What medication is often advised for management of indigestion in pregnant women?

For the management of indigestion in pregnant women, simethicone is frequently recommended. Simethicone is an anti-foaming agent that helps reduce gas-related discomfort by breaking up gas bubbles in the gut, therefore alleviating symptoms associated with bloating and indigestion. It is considered safe in pregnancy as it is not absorbed into the bloodstream and acts locally within the gastrointestinal tract.

In contrast, both omeprazole and lansoprazole are proton pump inhibitors that reduce gastric acid production and are generally not the first choice in pregnancy unless prescribed for specific conditions, as there may be concerns regarding long-term safety data in pregnant patients. Aluminum hydroxide is an antacid that can neutralize stomach acid but lacks the targeted efficacy for relief of gas and may cause constipation. The use of aluminum-based antacids requires caution due to potential systemic absorption concerns, particularly in those with renal impairment. Therefore, simethicone stands out as a favored option for managing indigestion in pregnant women due to its safety profile and effectiveness in reducing discomfort from gas.