The pirosis is present in 70 % of the gestantes. It stems from the decrease of the tone of the sphincter esofágico low and to the increase of the pressure intrabdominal.

We must recommend the decrease of the chocolate ingestion, coffee, tea, fats, etc., as well as the achievement of unexploits of frequent food and with few quantity. Not to use pledges fitted in the abdomen, to raise the head of the bed and to avoid to consume food in 2-4 hours before to the night rest.

If it was necessary we can use some medicine:

1. Not absorbable oral antacids (Category B of the FDA) are medicines of low risk for the fetus therefore it is possible to use any of them if it is indicated, that is to say if the dyspepsia remains in spite of the changes in the diet and in the life style [To].
2. The Cimetidina, Famotidina and Ranitidina (Category B of the FDA) are acceptable only if there is maternal risk, if it is not preferable to use not absorbable oral antacids.
3. With the Omeprazol there is little experience therefore it is preferable not to use it.
4. The Misoprostol is a medicine teratógeno and it is contra-indicated.