29/04/2025
What is Bell’s palsy?
Bell’s palsy is a sudden weakness or paralysis of the muscles on one side of the face. It happens when the facial nerve (which controls your facial muscles) becomes inflamed or compressed.
Why does Bell’s palsy happen during pregnancy?
Pregnant women, especially in the third trimester or immediately after delivery, have a slightly higher risk. Possible reasons include:
• Fluid retention and swelling (common late in pregnancy) putting pressure on the facial nerve.
• Changes in immune function (pregnancy alters how the immune system works).
• Increased blood clotting tendency during pregnancy.
• Possible link to viral infections like herpes simplex virus reactivating under stress or immune changes.
Symptoms of Bell’s palsy in pregnancy:
• Sudden weakness or drooping on one side of the face.
• Difficulty closing the eye on the affected side.
• Drooling.
• Loss of taste.
• Sensitivity to sound (hyperacusis) in one ear.
• Pain or discomfort around the jaw or behind the ear.
• Headache.
• Trouble making facial expressions (like smiling or blinking).
Treatment for Bell’s palsy during pregnancy:
• Corticosteroids (like prednisone) are often prescribed — they help reduce swelling around the facial nerve. They are generally considered safe in pregnancy if used properly, especially after the first trimester.
• Antiviral medications may be added if a viral infection is suspected, but their benefit is less clear.
• Eye care is crucial if you can’t close your eye properly (to prevent dryness and injury):
• Use lubricating eye drops during the day.
• Apply eye ointment at night.
• Wear an eye patch if needed.
• Physical therapy and facial exercises may help improve muscle strength and prevent permanent tightness.
• Most cases improve within 3 to 6 months, though recovery can sometimes take longer in pregnant women.
NB: Always discuss treatment with your doctor, because pregnancy needs extra care with medications.
Cc: Health Tips by Christy
