Managing Fast Heart Rate and Acid Reflux During Late Pregnancy - Obstetrics and Gynecology

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During late pregnancy, particularly around 35 weeks, many women experience a variety of physical changes and discomforts, including acid reflux and an increased heart rate. These symptoms can be concerning, especially for first-time mothers who may not have encountered them in previous pregnancies.
Acid Reflux: It is quite common for pregnant women to experience gastroesophageal reflux disease (GERD) or acid reflux, especially in the third trimester. As the uterus expands, it exerts pressure on the stomach, which can push stomach contents back up into the esophagus, leading to discomfort when lying down. This is often exacerbated by hormonal changes that relax the lower esophageal sphincter, making it easier for acid to escape. To manage this condition, consider the following strategies:
1. Dietary Changes: Eating smaller, more frequent meals can help reduce the pressure on the stomach. Avoiding spicy, fatty, or acidic foods, as well as caffeine and carbonated beverages, can also alleviate symptoms.

2. Positioning: When lying down, try to elevate your upper body with pillows to prevent acid from flowing back into the esophagus. Additionally, sleeping on your left side can improve circulation and reduce pressure on the stomach.

3. Medications: If lifestyle changes are insufficient, consult your healthcare provider about safe medications for managing acid reflux during pregnancy. Antacids are often recommended, but always check with your doctor before taking any medication.

Increased Heart Rate: A heart rate of 105 to 111 beats per minute can be considered elevated, but it is not uncommon during pregnancy. The body undergoes significant changes, including increased blood volume and cardiac output, to support the growing fetus. This can lead to a faster heart rate, especially during physical activity or stress. However, if you are experiencing palpitations, shortness of breath, or chest discomfort, it is essential to discuss these symptoms with your healthcare provider.

1. Rest and Relaxation: Ensure you are getting enough rest and managing stress levels, as fatigue and anxiety can contribute to an increased heart rate.

2. Hydration: Staying well-hydrated is crucial during pregnancy. Dehydration can lead to an increased heart rate, so make sure you are drinking plenty of fluids.

3. Monitoring: Keep track of your heart rate and any accompanying symptoms. If your heart rate remains consistently high or if you experience any concerning symptoms, it is important to seek medical advice.

Postpartum Recovery: Many women find that symptoms such as acid reflux and increased heart rate improve after delivery. The body begins to return to its pre-pregnancy state, and the pressure on the stomach is relieved. However, if symptoms persist postpartum, it is advisable to consult with a healthcare provider for further evaluation and management.

Safety During Delivery: Generally, these symptoms should not significantly impact the safety of a cesarean section or vaginal delivery. However, it is crucial to communicate all symptoms to your healthcare team, as they can provide tailored care and monitoring during labor and delivery.

In summary, while experiencing acid reflux and an increased heart rate during late pregnancy can be uncomfortable, they are often manageable with lifestyle modifications and medical guidance. Always consult with your healthcare provider for personalized advice and to ensure both your health and the health of your baby.