From: Review of recent evidence on the management of heartburn in pregnant and breastfeeding women
Lifestyle modifications |
Avoid eating within 3 h of going to bed [19, 68] Elevate the head of bed by 10–15 cm [19, 69] Lie down on the left side, rather than the right side or supine [24, 70] Weight loss is recommended for overweight breastfeeding mothers [28, 72] Maintain an upright posture, especially after eating [8] Chew gum to neutralise acid [12, 73] Increase physical activity to help with gastric motility [12, 14] |
Dietary changes |
Abstain from alcohol intake [19, 72, 74] Avoid trigger foods and beverages (e.g. fatty or spicy foods, chocolate, mints, caffeinated beverages, citrus juices, tomatoes and carbonated products) [8, 19, 72, 75,76,77] Consume frequent small meals [10, 14] Drink fluids between meals, and limit fluid intake with meals [7, 12, 14] |
Medicinal intake modifications |
Avoid medications that decrease LOS pressure [24] Avoid potentially harmful medications (e.g. anticholinergics, calcium channel antagonists, theophylline, antipsychotic agents, antidepressants) [24] |