How to Give Newborn Saline Drops Safely

Saline nasal drops, which are simply a sterile saltwater solution, offer a gentle way to help newborns manage nasal congestion. This non-medicated approach works by introducing moisture into the nasal passages, which helps to thin and loosen thick mucus. By softening the dried or sticky discharge, the drops make it easier for the baby to breathe, feed, and sleep more comfortably. The process of administering these drops requires careful attention to preparation, technique, and follow-up care to ensure safety and effectiveness.

Essential Preparation and Safety Precautions

Begin by thoroughly washing your hands with soap and water to prevent the transfer of germs. Gather all necessary supplies, including infant-specific saline drops and a clean nasal aspirator or bulb syringe, placing them within easy reach.

It is important to use only sterile, commercially prepared saline drops made specifically for infants, as they contain the appropriate concentration of salt. Avoid using adult nasal sprays or attempting to create a homemade solution, which may contain incorrect salt ratios that could irritate the delicate nasal lining. Position the newborn on their back on a flat surface, or hold them in your lap in a slightly reclined position, ensuring their head is supported and gently tilted back to help the saline flow correctly. Consulting with a healthcare provider before starting any new routine is always a sound practice.

Step-by-Step Administration Technique

Carefully stabilize the newborn’s head with one hand to minimize movement while applying the drops. This steadying action helps prevent accidental injury from the dropper tip. Hold the dropper just at the opening of the baby’s nostril, taking care not to insert the tip deeply into the nasal passage itself. Squeeze the bulb to release the recommended dosage, typically one to three drops into a single nostril, following the product’s specific instructions.

Immediately after the drops are administered, keep the baby in the same position for approximately 30 to 60 seconds. If the baby coughs slightly, gently hold them upright for a moment until they settle before returning them to the reclined position. Once the waiting period is over for the first nostril, proceed to administer the same number of drops into the second nostril using the same method. Make sure the dropper does not touch the baby’s nose, as this can introduce bacteria back into the bottle, contaminating the sterile solution.

Post-Application Suction and Comfort

After allowing the saline to settle, remove the loosened mucus using a nasal aspirator or bulb syringe. Before placing the aspirator near the baby’s nose, fully compress the bulb to expel all the air from the device. Gently place the tip of the compressed aspirator just inside the nostril, creating a light seal.

Slowly release the pressure on the bulb, which creates a gentle vacuum that draws the saline and the mucus out. Remove the aspirator from the nostril, squeeze the bulb to expel the collected contents onto a tissue, and then repeat the process for the other nostril. Limit suctioning to two to four times a day, as excessive use can cause irritation and swelling of the nasal tissues, potentially worsening congestion.

The ideal time to perform this routine is about 15 minutes before a feeding or sleep, as a clear nose helps with both sucking and rest. After the process is complete, gently wipe away any excess saline solution or mucus from around the nostrils and console the baby. Thoroughly clean the aspirator with warm, soapy water after each use to prevent bacterial growth and maintain hygiene.