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Heartburn and Acid Reflux in Pregnancy: Safe Relief

A burning feeling in your chest or throat after eating is one of the most common pregnancy complaints, especially later on, as hormones relax the valve to your stomach and the baby crowds it. It is uncomfortable but usually harmless, and there are safe ways to feel better. This page is educational, not medical advice.

Call your clinician if you have

  • Severe upper-belly or right-side pain, especially with a headache or vision changes (this can be preeclampsia, not heartburn)
  • Vomiting blood, black stools, or trouble swallowing
  • Chest pain with shortness of breath, sweating, or pain down your arm (call 911)

Upper-belly pain with a headache or vision changes can be preeclampsia, not heartburn. Chest pain with shortness of breath needs 911. When unsure, call.

Why it happens

Pregnancy hormones relax the muscle between your stomach and esophagus, and your growing uterus pushes up on the stomach, so acid backs up more easily. It often gets worse in the third trimester and eases after birth.

Safe ways to ease it

Eat smaller, more frequent meals, avoid lying down for a couple of hours after eating, raise the head of your bed, and cut back on spicy, fatty, and acidic foods and caffeine. Many antacids (like calcium carbonate) are considered safe; ask your clinician before regular use of other reflux medicines.

How Materna helps

Materna helps you tell ordinary heartburn from the upper-belly pain that can signal preeclampsia, suggests safe remedies, and puts a bilingual nurse one tap away. Spanish-first and Medicaid-friendly.

Frequently asked questions

Are antacids safe in pregnancy?
Many calcium-based antacids are considered safe in pregnancy. Avoid ones high in sodium or with aspirin, and ask your clinician before regular use of stronger reflux medicines.
Will heartburn hurt my baby?
No. Heartburn is uncomfortable for you but does not harm the baby. The old saying that heartburn means a hairy baby is just a myth.
When is it not just heartburn?
Upper-belly or right-side pain with a headache, vision changes, or swelling can be preeclampsia and needs a prompt call. Chest pain with shortness of breath needs emergency care.

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Sources

  • American College of Obstetricians and Gynecologists (ACOG) on common discomforts of pregnancy