Can You Use Saline Spray on a Newborn?

Nasal congestion is a frequent concern for parents of newborns, often leading to disrupted sleep and feeding difficulties. Saline spray, a non-medicated solution of salt and water, is a gentle option for providing relief. It works by moistening and loosening dried mucus, making it easier for a baby’s tiny nasal passages to clear. This approach offers a way to manage congestion without relying on medicinal decongestants, which are not recommended for infants.

Why and When to Use Saline Spray

Saline spray can be beneficial for newborns experiencing minor nasal congestion, whether from a common cold or dry indoor air. It helps thin thick mucus, making it easier for the baby to expel. Dry air, especially during colder months or with heating systems, can dry out nasal passages and cause discomfort, which saline spray helps alleviate by adding moisture.

Using saline can be helpful before feeding times or naps, as a clear nose allows for more comfortable breathing. Mucus buildup can make sucking and swallowing difficult, impacting feeding. Saline also aids in reducing irritation caused by dried secretions by moistening the nasal lining.

Safe Administration Techniques

Administering saline drops or a gentle mist to a newborn requires careful technique. Begin by washing your hands with soap and water. Position your baby on their back or in an upright, slightly reclined position, ensuring their head is supported. Another adult can help hold the baby still, especially if fussy.

Place one to three drops of saline into each nostril, or administer a few gentle sprays, avoiding inserting the applicator tip too deeply into the nostril. Allow a few seconds for the saline to loosen the mucus. After applying the saline, a nasal aspirator or bulb syringe can gently suction out the loosened mucus. Squeeze the bulb syringe to expel air before placing the tip gently into the nostril, then slowly release to draw out mucus. Clean the aspirator with soap and water after each use.

When to Seek Medical Advice

While saline spray is safe for newborns, it is not a substitute for medical evaluation. Consult a pediatrician if congestion persists or worsens despite saline use. Other signs warranting medical attention include difficulty feeding due to congestion, rapid or labored breathing, flaring nostrils, or chest retractions.

A fever, especially in a newborn, or thick, discolored mucus, also indicates a doctor’s visit. If the baby appears unusually lethargic, irritable, or shows distress, seek immediate medical advice. These symptoms could indicate more serious conditions requiring medical intervention.