One to two sprays per nostril once daily. Onset of full effect is 1-2 weeks. Patients must be counseled that these are not decongestants; they reduce inflammation over time, not instantly.
Severe nasal obstruction may complicate intrapartum oxygen delivery, particularly if the patient requires general anesthesia for cesarean section. Nasal packing or oral airways may be needed. Furthermore, snoring has been associated with longer first-stage labor, possibly due to sympathetic activation from intermittent hypoxia. stuffiness and pregnancy