Will GERD go away after delivery?

In most cases, yes. Symptoms usually resolve within a few weeks postpartum as hormones stabilise and abdominal pressure reduces.

Can GERD harm my baby?

No. While GERD can be uncomfortable for you, it does not harm your baby.

Are antacids safe in pregnancy?

Many antacids are safe, but always check with your doctor first to confirm the right type and dosage.

GERD During Pregnancy: Causes & Effective Relief Tips

Pregnancy can bring unexpected changes to your digestive system. You might notice a sharp burn after meals, a sour taste rising up your throat, or the discomfort of lying down after dinner. These are not just annoyances; they could be signs of GERD. For many pregnant women, heartburn and reflux begin early and continue into the third trimester. This isn’t just due to what you eat. Your growing uterus, shifting hormones, and slower digestion all play a role. Knowing the root causes and treatment options can help you prevent flare-ups and find everyday relief.

What is GERD and Why Is It So Common in Pregnancy?

GERD stands for gastroesophageal reflux disease. It occurs when stomach acid flows backwards into the oesophagus, irritating its lining. In pregnancy, GERD becomes more common due to two key changes:

Hormonal relaxation of the lower oesophageal sphincter (LES): Progesterone relaxes the LES, the muscle that normally keeps stomach acid in place.
Increased abdominal pressure: As the uterus grows, it pushes the stomach upward, encouraging acid to move toward the chest.

These changes are natural and temporary, but they can lead to persistent heartburn and discomfort.

How GERD Affects Pregnant Women

GERD symptoms may range from mild to severe, and they often fluctuate with diet, posture, and trimester. Here’s how they can affect your day-to-day life:

Heartburn after meals: A burning sensation in the chest that worsens after eating or lying down
Acid regurgitation: Sour or bitter taste in the throat or mouth
Chest discomfort: Tightness or pressure behind the breastbone
Difficulty sleeping: Night-time reflux is common in late pregnancy
Reduced appetite: Fear of discomfort may cause you to eat less, which can affect nutrition

Common Triggers and Risk Factors

Several factors can worsen reflux symptoms in pregnancy. These include:

Spicy, oily, or acidic foods: Tomatoes, citrus, and deep-fried items
Caffeine and chocolate: These relax the LES further
Large or late meals: Overeating or eating close to bedtime
Lying down right after eating: Gravity plays a role in keeping acid down
Tight clothing: Increased pressure around the abdomen

Some women are more prone to GERD if they have a history of reflux before pregnancy or if they are carrying twins.

How GERD is Diagnosed During Pregnancy

In most cases, GERD during pregnancy is diagnosed clinically based on your symptoms. Your doctor may ask:

How often you experience heartburn or regurgitation
If your symptoms worsen after eating or lying down
Whether over-the-counter antacids provide relief

Tests like endoscopy or pH monitoring are rarely used during pregnancy unless symptoms are severe or persistent.

Safe and Effective Ways to Manage GERD in Pregnancy

Managing GERD is about making small, consistent changes. Here are science-backed strategies that are safe during pregnancy:

Eat smaller, more frequent meals: This reduces pressure on the stomach.
Avoid known trigger foods: Spicy, acidic, and greasy foods are common culprits.
Stay upright after eating: Wait at least 1 to 2 hours before lying down.
Elevate your head while sleeping: Use extra pillows or a wedge.
Wear loose, comfortable clothing: Avoid anything that compresses the waist.

Some women also find relief with:

Chewing sugar-free gum: Increases saliva production, which can neutralise acid
Ginger and fennel tea: Known to aid digestion and reduce bloating

If lifestyle changes aren’t enough, your doctor may recommend pregnancy-safe antacids. Options include:

Calcium carbonate antacids (e.g., Tums): Provide quick, short-term relief
H2 blockers (e.g., famotidine): Often prescribed if symptoms persist
Proton pump inhibitors (PPIs): Considered if other treatments fail, under medical supervision

Always check with your doctor before starting or stopping any medication during pregnancy.

Emotional and Practical Support for Managing GERD

Persistent reflux can affect your mood, sleep, and energy levels. Try not to ignore how it makes you feel emotionally. You can:

Speak to your gynaecologist or a pregnancy dietitian about a reflux-friendly meal plan
Ask your partner or family to help with cooking or meal prep during flare-ups
Rest in a propped-up position or recliner if lying down worsens symptoms
Practice mindfulness, especially before meals, to avoid overeating or rushed eating

You deserve to feel as comfortable as possible during pregnancy. While GERD is common in pregnancy, you don’t have to suffer through it in silence. Support and safe relief options are available to help you feel more at ease.

GERD during pregnancy is common, manageable, and usually temporary. With the right habits, medical guidance, and support, you can ease symptoms and continue nourishing your body and baby without discomfort. Don’t hesitate to speak up if the reflux becomes overwhelming. Help is available, and relief is possible.

FAQs on GERD During Pregnancy

Will GERD go away after delivery?
In most cases, yes. Symptoms usually resolve within a few weeks postpartum as hormones stabilise and abdominal pressure reduces.
Can GERD harm my baby?
No. While GERD can be uncomfortable for you, it does not harm your baby.
Are antacids safe in pregnancy?
Many antacids are safe, but always check with your doctor first to confirm the right type and dosage.