They might seem like low-level pregnancy symptoms but gastric issues can be seriously painful. Here’s what you need to know.
What are the symptoms of heartburn or acid reflux?
Heartburn feels like a strong burning sensation in the chest and can be extremely uncomfortable. It is also known as acid reflux and indigestion (NHS Choices, 2017).
Heartburn can show itself as a discomfort (especially after eating), bloating, wind, burping and nausea. You’ll be able to compare notes with a lot of other mum friends as up to eight out of ten pregnant women get heartburn (NICE, 2017).
What causes heartburn in pregnancy?
Heartburn is caused by the valve between your stomach and the tube leading to it relaxing during pregnancy due to hormonal changes (NHS Choices, 2017). This means stomach acid can pass into the tube and cause the burning feeling.
In later stages of pregnancy, your growing uterus can press on your stomach and make the problem worse.
Is heartburn harmful to me or the baby?
No. It feels horrible but isn’t doing you or the baby any harm. Occasionally, gastric symptoms are signs of a more serious underlying condition. Chat to your midwife or GP if your symptoms are sudden or severe (NHS Choices, 2017).
How to stop heartburn and indigestion
Try the following as your first port of call.
- Avoid large meals and eat smaller ones more often – about every three hours.
- No midnight feasts. Don’t eat late at night or three hours before bedtime.
- Avoid triggers like fatty and spicy foods, chocolate, caffeine and fizzy drinks or fruit juice. Keep a food diary to identify triggers
- Raise the head of your bed by 10 cm to 15 cm, or sleep propped up on lots of pillows.
- Avoid medication that may cause or worsen symptoms, if appropriate. Discuss it with your doctor before stopping any prescribed medications
- Stop smoking.
- Try acupuncture – it might help you sleep better through the symptoms.
(Phupong and Hanprasertpong, 2015; NHS Choices, 2017; NICE, 2017)
Ask your GP or midwife for advice if symptoms of heartburn persist. Your heartburn may not be completely relieved by medication but your doctor or midwife can prescribe an antacid that is safe during pregnancy.
Further information
Our support line offers practical and emotional support with feeding your baby and general enquiries for parents, members and volunteers: 0300 330 0700.
We also offer antenatal courses which are a great way to find out more about birth, labour and life with a new baby.
References
NICE. (2017) Dyspepsia - pregnancy-associated. Available from: //cks.nice.org.uk/dyspepsia-pregnancy-associated#!scenario [Accessed 3rd March 2018].
NHS Choices. (2017) Indigestion and heartburn in pregnancy. Available from: //www.nhs.uk/conditions/pregnancy-and-baby/indigestion-heartburn-… [Accessed 3rd March 2018].
Phupong V, Hanprasertpong T. (2015) Interventions for heartburn in pregnancy. Cochrane Database Syst Rev. Sep 19;(9):CD011379. doi: 10.1002/14651858.CD011379.pub2. Available from: //www.cochrane.org/CD011379/PREG_interventions-heartburn-pregnancy [Accessed 3rd March 2018].
Chances are good that you’re one of many pregnant women who experience the churning and burning of heartburn or acid indigestion. It typically hits somewhere in the second or third trimester, and it can be miserable. Heartburn doesn’t really mean your heart is burning, but it’s a good description of the discomfort that begins behind the breastbone. It then moves upward to the neck and throat. Officially, heartburn is known as gastroesophageal reflux, when acidic stomach juices or food and fluids back up into the esophagus. This is a hollow muscular tube between your mouth and your stomach.
Why does it happen in pregnancy?
Many women who have heartburn during pregnancy have never had problems before. Unfortunately, if you had heartburn before becoming pregnant, you’re more likely to have symptoms while you are pregnant. Although the exact reasons aren’t clear, most experts believe that pregnancy hormones, particularly progesterone, play a role. Hormones cause relaxation of the esophageal sphincter. This is a tight circular band of muscle at the top of the stomach. This allows partially digested food and stomach acids to backflow, or reflux, into the esophagus. In addition, progesterone also slows the digestive process. This keeps food in the stomach longer. The pregnancy itself—the upward pressure of the growing uterus—also may play a role.
What makes it worse?
Most spicy, greasy, fatty foods known for causing heartburn are also likely to cause problems for pregnant women. Food doesn’t digest as well or move as quickly during pregnancy. So, eating large meals or overeating in general can also increase the risk for heartburn. Eating right before bedtime can cause problems, too. Smoking makes heartburn worse and is another reason to quit, especially while pregnant.
What makes it better?
For most women, things that help reduce acid production or prevent reflux are helpful in avoiding the discomfort of heartburn. Here are tips that may help:
Avoid classic spicy foods, as well as those with lots of fat or grease. Many people recommend avoiding citrus and chocolate, as well.
Eat multiple, small meals spread throughout the day, much like “grazing,” instead of three big meals.
Try elevating the head of your bed by several inches, and wait a while after eating before going to bed or lying down.
Some women find that it’s better to drink fluids between meals, rather than with a meal. This can increase the amount of contents in the stomach.
If your symptoms do not improve after the above recommended diet and lifestyle changes are in place, talk with your healthcare provider about over-the-counter medicines. Antacids are available as chewable tablets and liquids. They work by coating the lining of the esophagus and stomach and neutralizing stomach acid. Heartburn medicines called H2-blockers work by reducing the amount of acid made by your stomach. Although most of these are considered safe in pregnancy, as with all medicines, these should be avoided in the first trimester.
When will it end?
Heartburn symptoms are usually mild and manageable. Tell your healthcare provider if your heartburn is severe, if you spit up blood, or have dark-colored bowel movements. This is a sign of blood in your digestive tract. Fortunately, heartburn usually ends with the birth of your baby and your body goes back to its nonpregnant state.