Managing heartburn naturally

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Published 22 May 2025 | Written by Dr Martin Jones

Pregnancy is a beautiful journey, but it often comes with a few uncomfortable side effects one of the most common being heartburn. Also known as acid indigestion or acid reflux, heartburn affects more than half of all expecting mothers. The good news? There are natural ways to manage it without compromising your or your baby’s health.

Why Does Heartburn Happen During Pregnancy?

Hormonal changes, especially increased levels of progesterone, cause the muscles of the digestive tract to relax. This includes the lower esophageal sphincter (LES) the valve that keeps stomach acid out of the esophagus. When it relaxes, acid can move upward, causing a burning sensation in the chest or throat.

As your baby grows, your expanding uterus also puts pressure on your stomach, making reflux even more likely especially in the third trimester.


Natural Ways to Manage Heartburn During Pregnancy

1. Eat Small, Frequent Meals

Instead of three large meals a day, try eating five to six small meals. This prevents your stomach from becoming too full, which can increase the likelihood of acid reflux.

2. Avoid Trigger Foods

Some foods are more likely to trigger heartburn. Common culprits include:

  • Spicy foods

  • Citrus fruits and juices

  • Tomatoes and tomato-based products

  • Caffeinated drinks

  • Chocolate

  • Fried and fatty foods

Keep a food diary to track what you eat and how it affects your symptoms. This can help you identify personal triggers.

3. Stay Upright After Eating

Try to remain upright for at least an hour after meals. Sitting or standing helps gravity keep food and acid in your stomach. Avoid lying down or slouching right after eating.

4. Elevate Your Head While Sleeping

If heartburn hits at night, elevate the head of your bed by about 6–8 inches. You can use extra pillows or a wedge pillow to keep your upper body elevated and reduce nighttime reflux.

5. Chew Food Thoroughly and Eat Slowly

Eating quickly or not chewing food well can overwhelm your digestive system. Slow down, chew thoroughly, and take your time with meals to give your body a chance to process food more gently.

6. Stay Hydrated But Sip, Don’t Gulp

Drinking plenty of water is important during pregnancy, but gulping large amounts at once, especially during meals, can add to stomach pressure. Sip water throughout the day instead.

7. Wear Loose-Fitting Clothing

Tight clothing, especially around the waist, can increase pressure on your stomach and worsen heartburn. Opt for comfortable, breathable maternity wear.

8. Consider Herbal Remedies (With Doctor Approval)

Some herbal remedies like ginger tea or chamomile tea may soothe the digestive system. However, always consult your doctor or midwife before trying any herbal treatment, as some herbs may not be safe during pregnancy.


When to Call Your Doctor

Occasional heartburn is common and usually harmless. But if it becomes severe, frequent, or is accompanied by vomiting, weight loss, or difficulty swallowing, it’s important to consult your healthcare provider. They may recommend pregnancy-safe antacids or check for other conditions like gastroesophageal reflux disease (GERD).


Final Thoughts

Managing heartburn naturally during pregnancy is all about lifestyle choices and mindful eating habits. By listening to your body, avoiding triggers, and making small adjustments, you can ease discomfort and enjoy a healthier pregnancy experience.

Remember, every pregnancy is unique what works for one mom may not work for another. Always discuss persistent symptoms with your healthcare provider to ensure the safest plan for you and your baby.