Managing Heartburn in Pregnancy: How To Cope

Indigestion, Heartburn, and Acid Reflux

Some women experience indigestion and heartburn during pregnancy. Don’t be concerned – you can take a few simple precautions to help reduce the likelihood of heartburn. As the growing baby develops, the uterus expands and puts increasing pressure on the stomach, which can contribute to heartburn. Understanding how to manage heartburn in pregnancy can make a significant difference in your daily comfort and well-being. Below, we’ve compiled a list of effective strategies that can help you navigate this common pregnancy symptom with ease.

Tips:

• Eat regularly. Opt for six to eight small meals a day rather than three large ones.

• Have fewer fatty foods and spicy foods.

• If a certain food upsets you, leave it for the time being.

• Avoid lying down right after meals.

• Raise the head of your bed or use extra pillows.

• Check with your LMC before taking antacids.

Understanding Heartburn During Pregnancy

Heartburn during pregnancy is a common symptom that many women experience, especially as the pregnancy progresses into the third trimester. This uncomfortable burning pain typically starts in the chest or upper stomach and can move up toward the throat. The main reason for heartburn during pregnancy is the effect of pregnancy hormones, which relax the esophageal sphincter—the muscle that normally keeps stomach contents, including stomach acid, from flowing back up into the esophagus. As your baby grows, the growing uterus puts pressure on your stomach, making it easier for stomach acid to escape and cause heartburn symptoms. This combination of hormonal changes and increased pressure means that heartburn is a frequent symptom for pregnant women, particularly in the later stages of pregnancy.

Causes of Acid Reflux in Pregnancy

Acid reflux in pregnancy is mainly caused by two factors: hormonal changes and the physical effects of the growing uterus. The hormone progesterone, which increases during pregnancy, relaxes the esophageal sphincter, allowing stomach acid to move up into the esophagus more easily. As the baby grows, the uterus expands and creates increased pressure on the stomach, which can push stomach acid upward and lead to heartburn symptoms. Certain foods, such as fatty foods, fried foods, and citrus fruits, can make acid reflux worse by relaxing the esophageal sphincter or increasing stomach acid production. These changes make acid reflux and heartburn common symptoms for many women during pregnancy.

Preventing Heartburn

To prevent heartburn during pregnancy, it’s important to make a few changes to your daily routine. Start by identifying and avoiding trigger foods, such as spicy dishes, fatty foods, and acidic items like citrus fruits. Eating smaller, more frequent meals instead of large ones can help prevent your stomach from becoming too full, which reduces the risk of stomach acid flowing back up. Adjust your drinking habits by avoiding alcohol and limiting caffeine, as these can worsen heartburn symptoms. If you are carrying extra weight, losing weight before pregnancy or managing weight gain during pregnancy can also help prevent heartburn. Wearing loose-fitting clothing can further reduce pressure on your stomach and help keep heartburn at bay.

Relieving Heartburn Symptoms

If you experience heartburn symptoms during pregnancy, there are several ways to find relief. Over-the-counter antacids can help neutralize stomach acid and provide quick heartburn relief, but always check with your healthcare provider before starting any new medication. Eating slowly and avoiding lying down right after meals can help prevent stomach acid from moving up into the esophagus. Elevating the head of your bed or using extra pillows can also reduce nighttime symptoms. Sipping on warm milk or other non-acidic drinks may soothe the burning sensation in your chest and throat. If your symptoms persist or become severe, your healthcare provider may recommend medications that reduce stomach acid production, such as H2-blockers or proton pump inhibitors, to help relieve symptoms safely during pregnancy.

Lifestyle Changes to Manage Heartburn

Making simple lifestyle changes can go a long way in managing heartburn during pregnancy. Focus on eating habits by choosing small meals throughout the day instead of three large ones, and avoid eating close to bedtime. Sleeping on your left side can help prevent stomach acid from flowing back into the esophagus, reducing nighttime heartburn symptoms. Avoid smoking and stay away from secondhand smoke, as these can worsen heartburn and affect your overall health. Drink plenty of water throughout the day, but try to avoid beverages that can trigger heartburn, such as citrus juices and coffee. Gentle physical activity, like walking, can aid digestion and help reduce symptoms. If you find that heartburn symptoms are persistent or severe, consult your healthcare provider for personalized advice and treatment options.