1) Definition: Condition characterized by a reflux of gastric acid into the esophagus.

2) Physiological basis

(a) Intolerance to fatty food causes heartburn and indigestion.

(b) Increased progesterone relaxes the cardiac sphincter (the valve between the stomach and esophagus).

(c) The enlarging uterus compresses the stomach.

3) Management

(a) Smaller, more frequent meals will help.

(b) You should also decrease your consumption of fatty foods.

(c) Avoid lying down after meals.

(d) Dry crackers and teas such as chamomile, comfrey, and peppermint will help alleviate the discomfort.

4) Indicators to refer to your OB care provider.

(a) Persistent, severe symptoms should be reported.

(b) Notify your OB care provider in cases of pain, vomiting, and fever.