Heartburn During Pregnancy

 

Why Have I Got Heartburn During Pregnancy?

 

As your baby develops you may find that it is more than just your desire to meet them that’s burning. Heartburn during pregnancy is a frequent occurrence and can be recognised by a burning sensation that resides all the way from your breastbone to your lower throat. Many mothers experience heartburn for the first time during pregnancy and although it is quite uncomfortable, it is usually harmless. The reason heartburn occurs so frequently during pregnancy is due to the placenta producing the hormone progesterone. 

 
Progesterone is usually your friend throughout pregnancy, helping to prevent miscarriages through thickening the uterine lining, and promoting your natural health by reminding you to provide nutrients for your baby. However, this does not mean that progesterone won’t cause you pain from time to time. 
 
As it relaxes the muscles of the uterus and the valve that separates the oesophagus from the stomach, it also allows gastric acids to flow back up to the oesophagus, causing the nasty burning sensation. Your wiggling baby also contributes to your heartburn by placing pressure on the stomach and increasing the chance of acids being pushed into the oesophagus.

What Can I Do to Stop My Heartburn? 

 

1. Find out what triggers it

 
The first thing you can do is make a note each time you have heartburn of what you’ve previously had to eat or drink. Certain foods tend to directly impact heartburn during pregnancy, such as acidic foods, greasy foods, spicy foods, caffeine, fizzy drinks and chocolate. If you can figure out what is causing your heartburn, you can try to eliminate it from your diet and relieve the pain. 

2. Try to avoid big meals

 
Big meals increase the chance of heartburn, as food does not digest as well or move as quickly during pregnancy. It is better to eat several small meals throughout the day, taking your time to eat and chewing thoroughly. 

3. Take care when you sleep

 
Keeping your upper body elevated while you sleep can help stop your stomach acids from reaching the oesophagus. Try to also avoid eating anything 3 hours before bedtime, as this decreases the chance of the stomach acids reaching you even further. 

4. Try chewing gum

 
After eating, chewing gum helps eliminate heartburn during pregnancy. This is due to the chewing motion producing saliva which can help neutralise the acid. 

5. Over-the-counter help

 
If all else fails, any over-the-counter antacid which contains magnesium or calcium may help relieve you of the pain. However, you should first check with your prenatal nurse before taking anything to ensure that it is safe for you during pregnancy. 

 
If your heartburn during pregnancy continues to persist after these methods, be sure to contact your health care provider to see if there are any prescription medicines you can take to help you. Be sure to contact them immediately if you spit up blood or have dark-coloured bowel movements as this is a sign of blood in your digestive tract. We hope these tips help you relieve some of the pain and enjoy every moment of your pregnancy!
 
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Food is always a big concern when you're pregnant for the first time. We've already discussed what you shouldn't eat, so now here's some simple and easy-to-follow advice on what you should eat during your pregnancy, trimester by trimester:

During the First Trimester

What to eat:
  • Starchy foods such as bread, porridge, plain biscuits,oatcakes, pasta, rice and potatoes
  • Ginger (this will help to curb nausea)
  • Foods high in folic acid, such as green, leafy vegetables (kale, broccoli, spinach), pulses (chickpeas, beans, lentils) and fruits (citrus fruits, raspberries, strawberries). 
Other advice:
  • Eat small meals often.
  • Minimise your consumptions of fatty, hard-to-digest foods.
  • If you're experiencing morning sickness, keep a plain biscuit on your bedside table as a snack for when you wake up.
  • Don't overeat - you won't need to increase your food consumption ('eating for two') until later in your pregnancy, and even then, you will only have to increase your consumption by a few hundred calories.

During the Second Trimester 

What to eat:
  • Oily fish (such as salmon, mackerel, trout and sardines) twice a week
  • Wholemeal bread, cereals, and pasta
  • Oats, barley and pulses
  • Nuts and seeds
  • Lean meats such as chicken
Other advice:
  • Eat a variety of wholegrain foods, and up your consumption of water to avoid constipation.
  • Keep your iron levels at a healthy level by consuming lean meats, and plant-based sources such as dried apricots, spinach and lentils.
  • Include sources of vitamin C to aid your body's absorption of iron from plant sources.

During the Third Trimester 

What to eat:
  • Healthy fats from natural sources (found in foods such as nuts, seeds, avocados, eggs, and salmon)
  • A good variety of fruits and vegetables
  • Calcium-rich foods such as plain yoghurt, canned fish and tofu

Other advice:
  • Avoid bending or lying down after eating to help prevent heartburn and indigestion.
  • Increase your food intake by 150-200 calories a day.
  • Try to optimise your vitamin D levels, with foods such as eggs and fortified breakfast cereals.
  • Avoid spicy and fatty foods, to avoid the risk of further aggravating symptoms of indigestion.
Click here for a list of foods to avoid during pregnancy, or return to the First Encounters homepage to find out about the 3D/4D scan packages we offer for expectant parents and their families!

While we're sure you're already aware of how unpredictable and ever-changing each individual pregnancy can be, it always comes as a great help to prepare for the birth as much as possible. By creating a birth plan with your midwife or chosen health professional, you will be able to map out the details of your birth experience as you would like it to develop, while also preparing for any eventualities beyond your control. 

If you're unsure about what to include in your birth plan, or wondering how you can put these instructions in place, simply follow the advice outlined below:

What is a Birth Plan?

Although a birth plan is not an essential requirement for expectant mothers, it certainly acts as a useful reference for the midwives and doctors who will be looking after you, while also providing a great way to prepare for your labour in advance of your due date. 

While certain aspects will be affected by factors such as previous pregnancies and other medical history, the main aim of the birth plan is to give you as much control over the details of your labour as possible. From where you would like to give birth to your choice of pain relief, your plan should contain all of your preferences for the birth of your child, based on your own inclinations combined with the advice of your midwife. While it is vitally important that the plan should reflect your individual wishes, you should also remember the importance of flexibility, as you may need to adjust your plan to deal with unexpected circumstances once you have gone into labour. Your midwife will, of course, strive to follow the original plan as much as possible, but it is important to realize that not all your preferences will be achievable if circumstances change.

Where To Start

Before setting out a birth plan, you should seek out advice from medical professionals and other mothers in order to get a better idea of the pattern you would like your birth to follow. This will go hand-in-hand with your hospital appointments throughout your pregnancy, as well as your participation in local antenatal classes, which should give you countless opportunities to seek advice and assess your options. As you gather your information, you can note it down for reference when you come to setting out your finalised plans.

Once you have gathered sufficient information regarding the services available to you (along with identifying any possible constraints), you should then discuss these with your chosen birth partner. This will give them a chance to add any of their own suggestions, while also allowing them to gain a better understanding of how they can support your throughout the birth.

Things to Consider

When the time comes to put pen to paper and make your birth plan, here are the key things you should include in your specifications:
  • Identifying Your Birth Partner  - Name your partner and explain their level of involvement in your birth, making a note of any procedures you do not want them to be present for.

  • Pain Relief - Specify the type(s) of pain relief you would like to receive in order of preference, drawing attention to any you would like to avoid if possible. This should include medical treatments as well as natural forms of pain relief.

  • Position - Explain your preferred position for delivery, while also noting how flexible you would like to be in terms of your mobility during labour.

  • Location - This will include the geographical location you have selected for your birth, as well as your preferred delivery room style. This could, for example, include a request for a home birth.

  • Interventions - Include details of any interventions you would be happy to accept if the situation calls for them. This includes details such as speeding up your labour or assisted birth.

  • Heart Rate Monitoring - Provide details of how you would like your baby's heartbeat to be monitored during labour.

  • Third Stage Planning - This includes details for the delivery of the placenta and the cutting of the umbilical chord.

  • Post-Birth Details - Specify whether you would like your baby to be handed to you straight away or after cleaning, and explain your plans for feeding.

  • Emergency Care - As well as planning for any unexpected changes to the birth itself, you can also note your wishes in the event that your baby has to receive any additional care.

What if I'm Having a Caesarean?

If you've been advised to book a planned caesarean due to a medical condition or previous pregnancy, you will still be able to have a degree of control over your birth. You will still be able to choose the type of pain relief you would like to receive, although this will relate to the choice of anaesthetic and how it is administered. You will also be able to include your birthing partner in your plans, although they will have to follow the guidelines set out by the hospital. 

As well as selecting the medical details for your caesarian, you will also be able to decide on the ambience of the room, along with how much of the birth you would like to witness. This could include the amount of sound in the room, as well as your choice of if and when you would like the screen to be lowered during the birth. 

When putting your birth plan together, ensure that the opinion of your trusted medical professional is valued above all else. For assistance in creating your plan, ask your doctor or midwife for help, and use the information you have gathered during the course of your pregnancy. 

Here at First Encounters, we offer a complimentary pregnancy report with all of our scans, which can provide you with essential details about the health and position of your baby, in order to help you plan more efficiently for the birth. If you would like an additional glimpse at your little one before the birth, or would like to gain more information to help you plan for their arrival, take a look at our range of scan packages here.
 
Feeling your baby kick for the first time is an important milestone for any expectant mother, particularly when it's your first pregnancy. It can be extremely exciting to have that spark of life inside of you confirmed, although it can also be somewhat difficult to understand what kind of sensation to expect, and when! 
 
We've come to realise that many women are unsure about monitoring their baby's movements, and so we thought that we would write an informative piece for reference. In this blog post, we'll outline the types of sensation that you can expect to experience at various points throughout your pregnancy. 

What will the movement feel like?

The first movements of your pregnancy, referred to as 'quickening', are usually described as a fluttering sensation. If this is your first pregnancy, you may find it somewhat difficult to identify, but should find it more and more easy to pinpoint as time passes. By the second and third trimesters, your baby's movements should be far more distinctive, as you will be able to prominently feel your baby's kicks and jabs.

When will I start to feel these movements?

The time frame for experiencing your baby's movements can vary quite substantially in the early stages, particularly when comparing first pregnancies with those of women who have experienced pregnancy before. The average time to expect a detection of movement, however, is between 18 and 20 weeks. As previously mentioned, this may take slightly longer if it's your first pregnancy, and may even come as early as 16 weeks if you've already had a baby. If you haven't experienced any movement by 24 weeks, you should consult your midwife so that she can check that all is well.

How often should my baby be moving?

Again, there are no set amount of movements that you should look out for, although you may find that your baby is most active between 9 PM and 1 AM. There is also evidence to show that by your third trimester, your baby will move around about 30 times each hour, although you may not discern all of these. There is no need to keep a chart of how many kicks you feel each day, although it is useful to familiarize yourself with your baby's movement patterns during waking hours. This will be different for everyone, so it's all about taking note of the movements and getting to know what's normal for your baby.The best way to identify these kicks and wriggles is when you're lying down, so try to put your feet up for a while so that you can really take notice of what you're feeling. If your baby's movement pattern changes suddenly and your are concerned, again, as your doctor or midwife to take a closer look.

Will I see my baby moving when I have an ultrasound scan?

If your baby is awake during your scan, then of course, you will be able to see your baby move! At First Encounters, we recommend receiving  your scan between 25 and 29 weeks, as your baby will be well-developed by this time, and will also have plenty of room to move around. If your baby has assumed and awkward position and we are unable to obtain a high-quality image, your sonographer may ask you to stroll around in order to encourage movement. If your baby is being particularly difficult on that specific day, we will offer you a complimentary re-scan on an alternative date. With selected scan packages such as the Deluxe 4D, you will receive a 5 minute DVD recording, which will allow you to relieve your unborn baby's movements for years to come. You can preview our 4D scan images and video recording in our gallery, to give you a better idea of just how detailed our recordings are.
 
If you would like to witness your own babies movements in stunning 4D imagery, book one of our scan packages today, or get in touch to find out more about our services. Further details about our scans and what they are able to reveal, can be found on our FAQs page.
We've heard a lot about the Zika virus over the past few weeks, due to a recent outbreak in Brazil which has since prompted serious questions about the impact of the infection. While it's been rather common in certain African and Asian countries for many years, it's only since the infection has spread to Brazil that the western world has began to show concern regarding its impact. 

While for the most part the infection is largely symptom-free, presenting no lasting harm to those who become infected, the outbreak in Brazil has led to concerns that Zika could be linked to microcephaly in infants, causing them to be born with unusually small heads. 

If you are currently pregnant, or planning to become pregnant in the near future, here are a few things you should know about the Zika virus and its impact on unborn children:

Does Zika cause brain damage?

While the evidence linking microcephaly to Zika is largely circumstantial, there was a clear surge in the amount of babies being born with the disease during the outbreak, which would suggest that Zika is, in fact, the cause. As for the issue of microcephaly itself, in around fifteen percent of cases it accounts for the physical impact (i.e. reduced head size) only, while in the remainder of cases it can prevent proper brain development. 

Which countries present the highest risk?

Countries in South America are naturally at risk due to their proximity to Brazil, as are those in which the virus was already prevalent, such as Kenya, Egypt, India and more. The most up-to-date information on which countries pose a risk can be found here.

What should I do if I've visited a high-risk country?

Aside from rare exceptions, the virus does not linger in the body, and once you have recovered from the infection you will become immune. This means that this risks for women who have previously visited the country before getting pregnant are very low. Despite this, if you have visited the at-risk countries whilst pregnant (or during the early stages of conception), you should most certainly seek medical advice and get your blood tested. You should also get an ultrasound scan to check that your baby is developing properly, although evidence can not be detected until the end of the second trimester.

Should I worry about Zika if I'm trying to conceive?

As mentioned above, Zika is particularly dangerous in the early stages of pregnancy, which means that those looking to conceive should avoid visiting the countries which are most at risk. Those who are not trying to get pregnant are also being warned to be diligent with their birth control routine, in order to avoid an unplanned pregnancy with a high risk of complications. There has also been some evidence to suggest that it is possible to transmit the virus via sexual intercourse, which means that those with partners who have also recently returned from one of the affected areas should also exercise caution.

How can I avoid infection?

Travellers to high-risk countries should attempt to avoid infection by avoiding or minimising their contact with mosquitoes, taking precautions such as wearing long clothing and sleeping under mosquito nets. Sadly, there is no way to completely avoid infection if you are in these countries during pregnancy or at the time of conception, which is why pregnant or soon-to-be pregnant women are encouraged to avoid high-risk locations altogether.

For more pregnancy news and advice, follow us on Twitter or Facebook.
If you’re due to give birth in 2016, you may be interested to know about some celebrities who are also set to grow their families with new additions this year:

Sally Wood
The 37-year-old wife of Rolling Stones guitarist Ronnie Wood is expecting twins in 2016. Although this will be their first pregnancy together, the 68 year old has already had four children from previous relationships, which means that the pair won’t be short of older siblings to spoil them!

Anne Hathaway
Oscar-winning actress Anne Hathaway (pictured above) is expecting her first child with husband Adam Shulman, who she married in 2012.

Rose Byrne
The Bridesmaids actress is also expecting her first child this year with boyfriend Bobby Cannavale. Although the pair have decided to keep the baby’s sex a secret, Rose is due to give birth in late January, so we should find out the answer to that question very soon.

Giovanna Fletcher
The writer and YouTuber announced her pregnancy last year in an adorable video featuring her husband Tom and son Buzz, who has already become something of an internet sensation since he was born in 2014. In the video, Giovanna and Tom set up their son as ‘Player One’ on the Sega Mega Drive console, while displaying an ultrasound scan image with the caption ‘Player Two Loading’.

Kim Sears
The wife of British tennis star Andy Murray will be having their first child this year. The pregnancy was announced back in August 2015; according to Andy, it is something the pair had been considering for a while, as they have been a couple since 2005.

Kelly Clarkson 
Kelly Clarkson will be expecting her second child in 2016, after making the announcement on stage at a concert in Los Angeles. Having experienced several issues during her first pregnancy, including the near-loss of her singing voice, the American Idol star is presumably hoping for a less eventful experience this time around! Although there have been some reports of the signer being forced to rest by her doctor, everything seems to be fine with her unborn baby boy so far.

As you can see, 2016 is already going to be a rather busy year for celebrity births, and those are just the ones we know about already!

For more news and information about pregnancy and ultrasound scans, follow us on Twitter!