It is quite common for newborns—especially those born preterm—to experience nasal congestion, particularly during the early morning hours. Because infants primarily breathe through their noses, even minor congestion can feel disruptive, sometimes leading to fussiness or difficulty during feedings.
Why does this happen?
Newborns have very narrow nasal passages. Environmental factors, even those that seem minor, can contribute to dryness or irritation in the nose, which may lead to swelling and congestion. While you are already taking steps like keeping the room warm and ventilated, subtle shifts in air quality or temperature overnight can often be the culprit.
Practical Tips for Relief
- Use a Humidifier: Running a cool-mist humidifier in the nursery can help keep the air moist, preventing the nasal passages from drying out and becoming irritated.
- Saline Drops: As recommended by many pediatricians, using gentle saline nasal drops or a saline spray can help loosen mucus and soothe the nasal lining. Always follow your pediatrician's specific instructions on frequency and application.
- Keep it Upright: Holding your baby in an upright position for a few minutes after a feed can help settle their breathing.
When to Call the Pediatrician
While occasional congestion is often harmless, you should always consult your pediatrician if you notice:
- Signs of respiratory distress (flaring nostrils, rapid breathing, or grunting).
- A fever or signs of illness.
- Persistent inability to feed effectively.
Always ensure any medical interventions, including over-the-counter nasal drops, are cleared by your healthcare provider to ensure they are appropriate for your baby's specific health history.
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