Is It Normal to Have So Much Acid Reflux During Pregnancy? | Antenatal Care Tips

If you’re expecting and experiencing a persistent, uncomfortable sensation in your chest or throat, you’re not alone. Acid reflux, also known as heartburn, is a common issue for many women during pregnancy, particularly in the later stages. In fact, studies show that over half of pregnant women experience acid reflux symptoms at some point during their pregnancy. The cause is usually a combination of physiological changes, hormone fluctuations, and the growing pressure of the baby on your digestive system. If you’re in your antenatal period and are finding it difficult to cope with this symptom, it’s natural to wonder if it’s normal to experience such discomfort. In this article, we will explore why acid reflux happens during pregnancy, how to manage it, and when to seek help. Understanding the causes and solutions will help you feel more in control and comfortable as you navigate the final months of your pregnancy.

1. What Causes Acid Reflux During Pregnancy?

a) Hormonal Changes

During pregnancy, your body experiences a surge in hormones, including progesterone, which plays a significant role in the development of acid reflux. Progesterone relaxes the muscles of the uterus to prevent premature contractions, but it also has the unfortunate side effect of relaxing the lower oesophageal sphincter (LES). The LES is the muscle that acts as a barrier between your stomach and oesophagus, preventing acid from flowing back up into the oesophagus. When this muscle becomes weakened due to hormonal changes, it can lead to the uncomfortable symptoms of acid reflux.

b) Physical Changes and Pressure on the Stomach

As your baby grows, the uterus expands and exerts pressure on your stomach and other organs. This pressure can force stomach acids upward into the oesophagus, leading to heartburn and discomfort. The growing baby may also push against the diaphragm, which further complicates the situation by reducing the space in the stomach, increasing the likelihood of acid reflux.

c) Slower Digestion

Pregnancy hormones, particularly progesterone, also slow down your digestive system to allow more time for nutrients to be absorbed. This delay in digestion can lead to a buildup of stomach acid, which increases the likelihood of acid reflux. Additionally, meals may take longer to process, leading to feelings of fullness, indigestion, and heartburn.

2. Is It Normal to Experience Acid Reflux During Pregnancy?

Yes, experiencing acid reflux during pregnancy is common and generally not a cause for concern. It is especially prevalent in the second and third trimesters due to the growing baby and the increasing pressure on the digestive system. However, the intensity of symptoms can vary from woman to woman. Some may experience mild discomfort occasionally, while others may deal with frequent or severe heartburn. It’s important to note that, although acid reflux is common, it should not be ignored if the symptoms become severe or interfere with your daily activities. In most cases, acid reflux symptoms are manageable with lifestyle changes, dietary modifications, and remedies. If symptoms persist or worsen, however, it is advisable to seek advice from your healthcare provider. Regular antenatal appointments are a great time to discuss any concerns about pregnancy-related symptoms, including acid reflux, and receive personalised advice on treatment options.

3. How to Manage and Relieve Acid Reflux During Pregnancy

Managing acid reflux during pregnancy is essential for maintaining comfort and well-being. Fortunately, there are several ways to reduce the frequency and severity of acid reflux symptoms:

a) Dietary Adjustments

One of the most effective ways to manage acid reflux during pregnancy is by making changes to your diet. Consider the following tips:

• Eat smaller meals more frequently: Large meals put extra pressure on the stomach, which can exacerbate acid reflux. Opt for smaller, more frequent meals throughout the day.
• Avoid trigger foods: Certain foods can worsen acid reflux, including spicy foods, fried or fatty foods, citrus fruits, chocolate, caffeine, and carbonated drinks. Identifying and avoiding these trigger foods can help reduce symptoms.
• Eat slowly: Eating too quickly can cause overeating and lead to indigestion. Take your time to chew your food thoroughly and eat slowly.
• Stay upright after eating: Lying down immediately after a meal can cause acid to flow back into the oesophagus. Try to remain upright for at least an hour after eating to allow digestion to occur properly.

b) Use Antenatal Support and Remedies

There are several remedies that can offer relief from acid reflux, but it’s important to ensure that they are safe for pregnancy:

• Antacids: Certain over-the-counter antacids are safe during pregnancy. However, always consult your doctor before using any medications to ensure they are appropriate for your situation.
• Herbal teas: Some herbal teas, such as chamomile or ginger tea, can help soothe the stomach and reduce symptoms of acid reflux. However, be cautious of herbal teas that may not be safe during pregnancy.
• Pregnancy-safe supplements: Antenatal vitamins can help ensure your body is getting the nutrients it needs. While these supplements won’t directly treat acid reflux, they support overall pregnancy health and can improve digestion.

c) Stay Hydrated

Dehydration can exacerbate acid reflux, so it’s important to stay hydrated throughout your pregnancy. Drink plenty of water between meals to help maintain a healthy balance of fluids. However, avoid drinking large amounts of water during meals, as this can contribute to bloating and pressure on the stomach.

d) Antenatal Yoga and Relaxation

Incorporating gentle exercises, such as prenatal yoga, into your routine can help alleviate the discomfort of acid reflux. Yoga during pregnancy promotes better posture, relaxation, and improved digestion. Certain poses in pregnancy yoga classes can help reduce pressure on the stomach and aid in digestion, thereby minimising reflux symptoms. Additionally, relaxation during pregnancy can help reduce stress, which can sometimes exacerbate acid reflux. Practice deep breathing, meditation, or mindfulness to manage your stress levels, and explore antenatal fitness routines that promote overall well-being.

e) Elevate Your Head While Sleeping

To prevent acid reflux during the night, elevate your head while sleeping. Using extra pillows or an adjustable bed can help keep stomach acid from flowing back into the oesophagus while you sleep. Aim to elevate your head by around 6-8 inches to ensure the most effective relief.

4. When to Seek Medical Help for Acid Reflux

Although acid reflux during pregnancy is common, there are times when you should seek medical advice. If you experience the following symptoms, it’s important to consult your healthcare provider:

• Severe or persistent symptoms that do not improve with lifestyle changes
• Painful swallowing or difficulty swallowing food
• Blood in your vomit or stool, which could indicate bleeding
• Unexplained weight loss or a sudden change in appetite Your antenatal clinic can provide guidance on treatment options that are safe during pregnancy. In some cases, your doctor may prescribe medication to control the acid reflux if lifestyle changes are not sufficient.

5. The Importance of Antenatal Care for Managing Symptoms

Regular antenatal care plays an important role in identifying and managing pregnancy-related conditions, including acid reflux. During antenatal checkups, your healthcare provider can assess your symptoms, provide advice on dietary and lifestyle changes, and offer medications or referrals to specialists if necessary. These checkups also provide an opportunity to address any concerns or questions you may have about your pregnancy and overall health. If you experience severe or persistent acid reflux, your doctor may recommend antenatal scans to rule out other conditions or complications that may be contributing to your symptoms. Acid reflux is a common and often frustrating symptom during pregnancy, but it is generally considered normal and manageable. By making simple dietary changes, staying hydrated, and incorporating relaxation techniques such as antenatal yoga, you can reduce the discomfort associated with acid reflux. Remember that antenatal support, including regular check-ups and antenatal education, is available to help you navigate these challenges and ensure the health and safety of both you and your baby. If your symptoms persist or worsen, don’t hesitate to reach out to your antenatal clinic for further guidance and support. Managing acid reflux during pregnancy is important for your comfort, and there are plenty of safe and effective solutions to help you feel your best as you approach the final weeks of pregnancy.