Getting the Common Cold When You're Pregnant

Having the common cold when you're pregnant is tough. It may be a challenge to eat well and get enough sleep. You also have to avoid some of the treatments that you'd otherwise be able to reach for.

In this article, you'll learn why you may get sick more when you're pregnant, what symptoms may affect your baby, what treatments are safe, how to take care of yourself, and how to prevent the cold.

Pregnancy and Your Immune System

Pregnancy temporarily changes some aspects of your immune system function. These changes protect your growing baby.

But they don't protect you from certain infections, including the common cold. Also, it's not just one change. Immune function evolves over the course of your pregnancy.

The Common Cold and Your Baby

The Centers for Disease Control and Prevention (CDC) says having a cold while pregnancy typically won't harm you or your baby. When you're sick, your baby is protected by:

• Your immune system
• Their own immune system
• The placenta

The one symptom to watch out for is fever. Early in pregnancy, a fever may increase the risk of certain birth defects. Contact your healthcare provider if you have a fever while you're pregnant.

The common cold doesn't typically cause a fever. So a high temperature may be a sign that you have a different illness, such as the flu or COVID-19.

Safe Cold Treatments

Many medications aren't safe while pregnant or breastfeeding. Don't take over-the-counter (OTC) cold or cough medications without an okay from your healthcare provider.

Drugs to avoid include:

• Decongestants pseudoephedrine and phenylephrine. In the first trimester, they slightly increase the risk of an abdominal wall birth defect.
• Analgesics like aspirin, Advil/Motrin (ibuprofen), and Aleve (naproxen).
• Combination cough and cold medications that contain any of these drugs.

Check all labels for the product's ingredients. Only use products specifically approved by your provider.

Pregnancy-safe cough and cold treatment options include:

• OTC steroid nasal sprays like Flonase (fluticasone)
• Neti pot
• Saline nasal spray
• Humidifier
• Honey (for cough)
• Natural throat lozenges
• Menthol rub
• The antihistamines Claritin (loratadine) and Zyrtec (cetirizine)

If you're using a Neti pot, be sure to use sterile water and a clean container. With a humidifier, change the water frequently and clean it thoroughly. This can keep the devices free of contaminants.

Taking Care of Yourself

Self-care is important when you have a cold. Do your best to:

• Get enough rest
• Drink plenty of clear fluids
• Eat a well-balanced diet rich in fruits and vegetables

To soothe a sore throat, you can:

• Drink hot water or herbal tea with honey and lemon
• Gargle saltwater
• Suck ice chips

Tell your healthcare provider about any severe or persistent symptoms.

Cold Prevention

It's hard to avoid the cold. But your best defense is to:

• Get enough sleep.
• Eat a balanced diet.
• Wash and sanitize your hands often.
• Get regular exercise.
• Consider a mask and social distancing in public or around sick people.
• Take prenatal vitamins as recommended.

Summary

Your immune system is changing to protect your baby. That can leave you open to illnesses like the common cold. The cold doesn't pose a threat to your baby.

Don't take any medications not approved by your healthcare provider. Opt for natural and home remedies like honey, saline spray, and a Neti pot.

Getting enough sleep, eating right, and simple prevention measures (hand washing, masks) can help keep you healthy during your pregnancy.

A Word From Verywell

Pregnancy is a scary time. It's normal to worry if you get sick. Don't feel bad about calls to your healthcare provider—you won't be the first expectant parent to be concerned.

It can help to have a conversation about what medications are and aren't okay before you get sick. That way, you can have the right things on hand if you suddenly need them.