The best option is saline, either via neti pot, spray bottle or aerosol spray. Remind her that the congestion won't last forever- which is really hard to keep in mind when you can't breathe through your nose.

Gail Hertz, MD, IBCLC, FABM 
Author of The Little Green Book of Breastfeeding Management
[log in to unmask]

> On Mar 23, 2014, at 8:29 AM, Ruth Piatak <[log in to unmask]> wrote:
> 
> Dear colleagues,
> 
> A mother who is expecting to give birth soon is suffering severe congestion
> and cough. She is concerned about whether taking a decongestant might
> suppress colostrum production. What is known about this?
> 
> Ruth
> -- 
> Ruth Piatak, BA, MS, LLLL, IBCLC
> Tulsa, Oklahoma
> [log in to unmask]
> 
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