Pregnancy and Heartburn: Care Instructions

Overview

Heartburn is a common problem during pregnancy.

Heartburn happens when stomach acid backs up into the tube that carries food to the stomach. This tube is called the esophagus. Early in pregnancy, heartburn is caused by hormone changes that slow down digestion. Later on, it's also caused by the large uterus pushing up on the stomach.

Even though you can't fix the cause, there are things you can do to get relief. Treating heartburn during pregnancy focuses first on making lifestyle changes, like changing what and how you eat, and on taking medicines.

Heartburn usually improves or goes away after childbirth.

How can you care for yourself at home?

• Eat small, frequent meals.
• Avoid foods that make your symptoms worse, such as chocolate, peppermint, and spicy foods. Avoid drinks with caffeine, such as coffee, tea, and sodas.
• Avoid bending over or lying down after meals.
• Take a short walk after you eat.
• If heartburn is a problem at night, do not eat for 2 hours before bedtime.
• Take antacids like Mylanta, Maalox, Rolaids, or Tums. Do not take antacids that have sodium bicarbonate, magnesium trisilicate, or aspirin. Be careful when you take over-the-counter antacid medicines. Many of these medicines have aspirin in them. While you are pregnant, do not take aspirin or medicines that contain aspirin unless your doctor says it is okay.
• If you're not getting relief, talk to your doctor. You may be able to take a stronger acid-reducing medicine.