Heartburn - feeling the burn

If you smoke, consider stopping. Nicotine weakens the muscles in the oesophagus that prevent acid backing up. This may be one reason why pregnant smokers seem to experience heartburn more severely than others.

During the day try chewing gum to stimulate saliva. This can help neutralise stomach acid. You might also try to avoid tight-fitting and restrictive clothes that press on the abdomen.

Herbal remedies may also be helpful

Slippery elm powder (available from health food shops) is a soothing herb, which can be taken as a lozenge or mixed into a drink. Ginger, which is also good for nausea, can help. Take it in capsule form or as a tea made from 1-1½ teaspoonfuls of freshly-grated ginger root steeped in a cup of boiling water. Simmer for 10 minutes, strain, allow to cool and drink as needed. Teas made from meadowsweet, peppermint, lemon verbena, camomile and marshmallow may also be helpful.

WARNING: Take care which herbs you use during pregnancy

Hops, rue, gentian and golden seal are sometimes recommended to ease heartburn, but they should not be used during pregnancy. If you are unsure about any herbal preparation, always consult a qualified herbalist.