What can I do about Acid Reflux during pregnancy?

Though you may not be able to eliminate acid reflux entirely, you can take steps to minimize your discomfort:

• Avoid food and beverages that cause you gastrointestinal distress. The usual suspects are carbonated drinks; alcohol (which you should avoid anyway during pregnancy); caffeine; chocolate; acidic foods like citrus fruits and juices, tomatoes, mustard, and vinegar; processed meats; mint products; and spicy, highly seasoned, fried, or fatty foods.

• Don't eat big meals. Instead, eat several small meals throughout the day. Take your time eating and chew thoroughly.

• Avoid drinking large quantities of fluids during meals — you don't want to distend your stomach. (It's important to drink eight to ten glasses of water daily during pregnancy, but sip it between meals.)

• Try chewing gum after eating. Chewing gum stimulates your salivary glands, and saliva can help neutralize acid.

• Don't eat close to bedtime. Give yourself two to three hours to digest before you lie down.

• Sleep propped up with several pillows or a wedge. Elevating your upper body will help keep your stomach acids where they belong and will aid your digestion.

• Gain a sensible amount of weight, and stay within the guidelines your healthcare provider suggests.

• Wear loose, comfortable clothing. Avoid any tightness around your waist and tummy.

• Bend at the knees instead of at the waist.

• Don't smoke — in addition to contributing to a host of serious health problems, smoking boosts stomach acidity. (Ideally, smoking is a habit you should break before getting pregnant. If you're still smoking and are having trouble quitting, ask your caregiver for a referral to a smoking-cessation program.)

• An over-the-counter antacid that contains magnesium or calcium may ease discomfort, but check with your doctor or prenatal caregiver before taking one, because some brands contain aluminum or aspirin or are high in sodium. You should also check in with your healthcare provider if none of these suggestions helps.