The holiday season is here, and while it brings joy and togetherness, it can also bring more sniffles and congestion for our little ones. As Mamas ourselves, we understand how having kiddos under the weather can further add to our load during an already busy season and want to help you through these common challenges with practical tips, gentle encouragement, and a few holiday-specific considerations. With recommendations from trusted sources (see below), you can feel confident in helping your baby through these cooler months. Let’s make this season cozy, comforting, and enjoyable!

Why Do Babies Get Congested in Fall and Winter?

Colder weather and increased time indoors make congestion more likely. There’s more exposure to common viruses and allergens, and even the dry indoor air can play a role. Here are a few typical causes:

• Seasonal Viruses: Common colds and respiratory viruses like RSV are more active during these months, especially when we gather more frequently with friends and family.

• Indoor Allergens: Dust mites and mold can increase as we spend more time indoors.

• Dry Air: Heating systems often dry out indoor air, which can irritate sensitive little noses.

Breastfeeding Through Congestion: Challenges and Tips for Success

Feeding a congested baby can be challenging, but you’ve got this! Babies breathe through their noses, especially while breastfeeding, and congestion can make it harder for them to latch and stay on. Here’s how to make it easier and keep your baby feeling loved and comforted:

• Steamy Showers and Humidifiers: Spending a few minutes (or even breastfeeding) in a steamy bathroom can open up those little nasal passages. Running a humidifier, especially in the baby’s room, can keep air comfortably moist, which is soothing for stuffy noses. 

• Upright Feeding Positions: Holding your baby in an upright position, like the “koala hold,” can make breathing easier during feedings, plus, it gives you lots of eye contact and cuddle time!

• Frequent Burping: Babies may swallow more air when breathing through their mouths, so gentle burping can make them more comfortable as they feed.

• Dream Feeding: Your little one may be sleeping less and feeding more as their body works to fight off illness. If so, offer the breast directly upon waking or even in the middle of a nap and/or the night, to ensure they are getting the hydration they need.

Staying Cautious with Over-the-Counter Products

If you’ve wondered about menthol or over-the-counter products for baby’s congestion, you’re not alone. Here are some tips:

• Avoid Menthol-Based Products: The AAP and CPS recommend avoiding menthol products, like vapor rubs or drops/crystals for humidifiers, for babies under 2 years. While they’re a favorite for grown-ups, menthol can irritate baby’s skin and might worsen congestion. 

• Skip Over-the-Counter Cold Medications: Cold meds designed for adults or older children aren’t safe for infants. Even the “mild” ingredients can be too strong for our little ones.

• Reminder: Honey should not be given to babies under one year of age due to the risk of botulism.

When to Reach Out for Help

Most cases of infant congestion clear up on their own, but don’t hesitate to reach out to your baby’s healthcare provider if:

• Your baby has trouble breathing, feeding, or staying hydrated.

• They’re running a persistent fever (over 100.4°F or 38°C in babies younger than 3 months).

• Symptoms seem to worsen or last longer than a week.

Pros (and some Cons) of Breastfeeding a Congested Baby

You’re doing an incredible job by continuing to breastfeed, and your milk is more helpful than ever! Here’s why breastfeeding is so beneficial during congestion:

• Immune Support: Breast milk contains antibodies and immune-boosting elements that can help your baby recover faster. Studies have also shown that breastfeeding a little one with an active infection will actually change the breastmilk to include more white blood cells and other protective elements to support baby’s healing. When the infection has resolved, the breastmilk will return to the same level of white blood cells as before the illness. 

Of course, a few challenges may pop up:

• Milk Transfer: If your baby has trouble staying latched, they may not drink as much milk at each feeding, which can be frustrating. Trying different feeding positions can help ensure they’re getting the milk they need.

• Parental Fatigue: If your baby is fussier, you might be nursing more often. Be kind to yourself, and ask for help if you need it. You’re doing a wonderful job!

Tips for Holiday Gatherings: Protecting Baby’s Health

The holiday season often means family visits, and a few simple steps can help keep your baby feeling their best:

• Hand Hygiene: Ask visitors to wash their hands or use hand sanitizer before holding your baby.

• Limit Close Contact: It’s okay to set boundaries and keep baby close to you. A baby carrier can be a wonderful way to keep them near, which can help prevent others from kissing or breathing too close to them.

• Find a Quiet Space for Feeding: If holiday gatherings get overwhelming, find a cozy, quiet space to feed your baby in peace. This can help them stay focused and get the nourishment they need.

You’re Doing Great!

Congestion is common during the colder months, and you’re doing everything right to keep your baby cozy and healthy. Breastfeeding through these challenges offers so much comfort and immune support for your little one. Remember, you’re not alone—your healthcare provider and lactation support team are here for you every step of the way.

You’re doing amazing! Keep up the great work, and enjoy those extra cuddles with your little one this holiday season!

Disclaimer: This blog post was written by Milk+Honey Mamas, with the assistance of ChatGPT, an AI language tool. The content is based on reliable recommendations from the American Academy of Pediatrics, Canadian Pediatric Society, La Leche League, Dr. Jack Newman, and the Australian Breastfeeding Association. While the information is provided to offer helpful guidance, please remember it is for general informational purposes only and should not replace personalized medical advice from your healthcare provider.