Heartburn in Pregnancy: Why It Happens & How to Soothe the Burn
Pregnancy comes with plenty of surprises—some beautiful, some uncomfortable. If you’re experiencing heartburn for the first time (or more intensely than ever), you’re not alone. Over 50% of pregnant women experience heartburn, especially in the second and third trimesters.The good news? You don’t have to suffer in silence! Let’s explore why heartburn happens during pregnancy and how to ease the discomfort.
Why Do Pregnant Women Get Heartburn?
Heartburn (also called acid reflux) happens when stomach acid backs up into the esophagus, causing a burning sensation in the chest or throat. During pregnancy, several factors make this more common: Hormonal Changes: Rising progesterone levels relax the lower esophageal sphincter (LES), allowing acid to escape into the esophagus.Slower Digestion: Pregnancy hormones slow down digestion, keeping food in your stomach longer and increasing acid production.
Growing Baby: As your uterus expands, it pushes against your stomach, forcing acid upward. Heartburn is usually harmless but can be very uncomfortable. Luckily, there are ways to prevent and relieve it!
6 Easy Ways to Reduce Heartburn During Pregnancy
1. Eat Smaller, More Frequent Meals
Instead of three large meals, try eating five to six smaller meals throughout the day. This prevents your stomach from getting too full, reducing pressure on your esophagus.2. Avoid Trigger Foods
Certain foods can make heartburn worse. Common triggers include:Spicy foods
Fatty or fried foods
Caffeinated drinks (coffee, tea, soda)
Citrus fruits & juices
Chocolate & peppermint Keep a food diary to track what worsens your symptoms and adjust accordingly.
3. Don’t Lie Down After Eating
Lying down can make acid reflux worse. Try to:Stay upright for at least 2-3 hours after eating.
Sleep with your upper body elevated using extra pillows or a pregnancy wedge pillow.
Sleep on your left side to improve digestion.
4. Drink Between Meals, Not During
Too much liquid during meals can fill up your stomach and push acid upward. Instead, sip water throughout the day and limit drinks at mealtime.5. Try Natural Remedies
Ginger tea: Helps with digestion and nausea.A spoonful of yogurt: Can coat your stomach and soothe acid reflux.
A glass of warm milk with honey: May provide gentle relief before bed.
6. Consider Safe Medications (With Doctor Approval)
If heartburn is persistent, some antacids may help. Safe options during pregnancy include:Calcium-based antacids (Tums, Rolaids)
Magnesium-based antacids (Mylanta) Avoid antacids with aluminum or aspirin, such as Alka-Seltzer. Always check with your doctor before taking any medication.
When to Call Your Doctor
Occasional heartburn is normal, but if you experience severe, persistent, or painful symptoms, speak with your doctor. Seek medical attention if you notice: Difficulty swallowingSevere pain in your chest or upper abdomen
Vomiting blood or dark stools (could indicate an ulcer)
Final Thoughts
Heartburn is one of the less glamorous parts of pregnancy, but with a few lifestyle adjustments, you can manage it effectively. Focus on healthy eating habits, posture, and natural remedies to keep the burn at bay.
And remember—this discomfort is temporary! Once your baby arrives, your digestive system will gradually return to normal. Until then, take care of yourself and enjoy the journey.

Content Reviewed by Dr V.
Learn MoreDr. Vaheh Shirvanian, a family medicine physician and father. With over 17 years of experience, he specializes in inpatient acute hospital care, outpatient family medicine, urgent care, emergency medicine, and hospice care. Dr. V is passionate about guiding new parents through the challenges and joys of parenthood, offering compassionate and expert support at every step.