Curbside Consultation in GERD: 49 Clinical Questions

Philip O. Katz, MD

Question 42: What Are The Treatment Options For Gerd In Pregnancy? (continued)

The safety of medical therapies in the nonpregnant patient is well established. The focus of practitioners who care for pregnant patients with GERD must be the teratogenic potential of antireflux medications (Table 42-1). Concern about teratogenic potential leads many practitioners to avoid pharmacologic agents and pursue conservative care by initially recommending lifestyle modifications, especially for mild symptoms. Chewing gum may also be of benefit for pregnant women with heartburn, as it stimulates salivary bicarbonate production. Other lifestyle and dietary modifications are identical…