Is It Safe To Eat Sodium Citrate During Pregnancy?

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“Is it safe to eat sodium citrate during pregnancy?” is commonly asked by many expecting mothers when they want to use it for acidity issues. Although some people use sodium citrate for various reasons, pregnant women may have concerns regarding their baby’s health. Therefore, it is recommended to seek medical advice before taking sodium citrate during pregnancy. And one should consider it only when the benefits outweigh the risks. Sodium citrate can increase water retention, leading to the worsening of pregnancy-induced maternal swelling. Hence, obtaining prenatal advice before using any medications during pregnancy, whether traditional herbal remedies, is essential. Keep reading this post as we tell you more about the safety of sodium citrate during pregnancy.

In This Article

Key Pointers

Sodium citrate is a common antacid ingredient used to treat an acidic gastrointestinal tract.
Pregnant women should seek medical advice before using sodium citrate to ensure proper dosage.
Prolonged use of sodium citrate during pregnancy, such as vomiting and nausea, may lead to nutrient loss or water retention.
Sodium citrate should be considered for use during pregnancy only if the benefits outweigh the risks.

What Is Sodium Citrate?

Sodium citrate, also called citric acid, is an important ingredient found in antacids.

Women often complain of heartburn during pregnancy. This is because the uterus expands and pushes the lower abdomen i.e. stomach and intestines upwards. As a result of the excess pressure on your lower body, women experience heartburn or acidic stomach. For most people, the best way to combat acidity is to consume antacids. But is it safe during pregnancy?

What Are The Uses Of Sodium Citrate?

Sodium citrate helps treat an acidic gastrointestinal tract.

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Sodium citrate is used to treat many disorders. The following are some of the uses of sodium citrate.

1. Makes urine less acidic

Sodium citrate belongs to the class of Urinary Alkalinizers and makes urine less acidic.

Less acidic urine contains less uric acid that helps prevent gout and kidney stones (1)

2. Treats acidosis

Sodium citrate prevents acidosis and helps treat other kidney and metabolic problems.

So, if you have an acidic gastrointestinal tract, your health expert may recommend medicines that contain Sodium citrate (2).

Is It Safe To Eat Sodium Citrate During Pregnancy?

Consult your doctor for the correct dosage of sodium citrate.

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Though sodium citrate is safe to consume during pregnancy, always exercise caution and consult your doctor to determine the proper dosage. Also, if sodium citrate causes you discomfort, do not ignore the symptoms and be in regular touch with your healthcare provider. It is possible that your doctor may replace sodium citrate medicines with some other medication. You should also consult with your doctor before taking sodium citrate if you have a history of a heart or kidney disease.

What Are The Side Effects of Sodium Citrate?

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If you are expecting and consuming sodium citrate to treat heartburn or acidity, then you might notice the following side effects (1):

Nausea,
Vomiting
Diarrhea

Some other major side effects of sodium citrate consumption that can make you uncomfortable while pregnant are:

Nutrient Loss: If the above symptoms of vomiting and nausea during pregnancy persist for too long, then your body will start losing the major nutrients required for the healthy growth of your fetus.

Water Retention: The salts present in sodium citrate cause water retention in the body (3). Water retention is one of the major maternal health problems, and sodium citrate aggravates the problem further. So, if you notice any such symptom, rush to your medical expert immediately.
In rare cases, you might experience allergic reactions like rashes, swelling, and breathing difficulties.

What Are The Alternative Medicines?

Your health expert might prescribe you an alternative medication to treat gastrointestinal acidity in case you experience any side effects with sodium citrate. Some of the alternative medicines that are safe to ingest during pregnancy are:

Antacids that contain calcium carbonate (4).
Products containing magnesium hydroxide (5) or
Medicines that contain Magnesium Oxide (6)

Quick tip

Making lifestyle changes and avoiding spicy, acidic, and greasy foods during pregnancy can also help prevent or manage heartburn and indigestion.

Frequently Asked Questions

1. What is sodium citrate used for in labor?

Sodium citrate is used as an antacid during labor and should be given with an H2-receptor-blocking agent before administering general anesthesia for C-section delivery (7) (8).

2. Is sodium citrate used for constipation?

Sodium citrate is an osmotic laxative with lubricating and fecal-softening effects, which may be used to treat constipation (9).

3. Is magnesium citrate safe during pregnancy?

Studies indicate that taking magnesium supplements while pregnant might not provide significant advantages. Therefore, you should consult your doctor before using magnesium citrate in pregnancy (10).

Sodium citrate is an ingredient of antacids that pregnant women would often use to relieve their heartburn. For most women, it is safe to eat sodium citrate during pregnancy but they need to take their doctor’s advice for the right dosage and other important suggestions. However, sodium citrate may cause nausea, vomiting, and diarrhea in some women. It may also lead to nutrition loss and water retention. If you experience side effects of sodium citrate, consult a doctor for its alternatives, such as antacids with calcium carbonate or medicines with magnesium oxide.

Infographic: Side Effects And Uses Of Sodium Citrate

Sodium citrate helps decrease the acidic nature of blood and urine. However, its use during pregnancy should be strictly under medical supervision. The infographic below summarizes the various uses and potential side effects of consuming sodium citrate during pregnancy.

notable uses and potential side effects of sodium citrate (infographic)

Illustration: Sodium Citrate In Pregnancy - Everything You Need To Know

Eat Sodium Citrate During Pregnancy_illustration

Image: Dall??E/MomJunction Design Team

Acid reflux during pregnancy may be quite uncomfortable to deal with. Learn about the various treatment options available to help manage acid reflux with this video.

References

MomJunction's articles are written after analyzing the research works of expert authors and institutions. Our references consist of resources established by authorities in their respective fields. You can learn more about the authenticity of the information we present in our editorial policy.

1. citric acid and sodium citrate.
  https://www.uofmhealth.org/health-library/d03952a1#:~:text=Citric%20acid%20and%20sodium%20citrate%20are%20both%20alkalinizing%20agents%20that
2. Jing Shen and Xicheng Zhang; (2018); Potassium Citrate is Better in Reducing Salt and Increasing Urine pH than Oral Intake of Lemonade: A Cross-Over Study.
  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5894568/
3. Vahur Oopik et al.; (2008); The Effects of Sodium Citrate Ingestion on Metabolism and 1500-m Racing Time in Trained Female Runners.
  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3763336/#:~:text=middle%2Ddistance%20runners.-
4. 5 natural alternatives to antacids.
  https://www.pushdoctor.co.uk/nutrition-advice/5-natural-alternatives-to-antacids
5. Aluminum Hydroxide and Magnesium Hydroxide.
  https://medlineplus.gov/druginfo/meds/a601013.html
6. Magnesium Oxide.
  https://medlineplus.gov/druginfo/meds/a601074.html
7. G M Stirrat and T A Thomas; (1986); Prescribing for labour.
  https://pubmed.ncbi.nlm.nih.gov/2873914/#:~:text=Sodium%20citrate%20is%20the%20antacid,or%20other%20procedure%20involving%20anaesthesia.
8. Sodium Citrate 0.3M Oral Solution.
  https://www.medicines.org.uk/emc/product/7327/smpc#gref
9. Sodium Citrate Compound Enema.
  https://obsgynhandbook.nhsggc.org.uk/media/1297/sodium-citrate-compound-enema-m-ex-v2.pdf
10. Maria Makrides et al.; (2014); Magnesium supplementation in pregnancy.
  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6507506/

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Dr. Mona HardasMD

Dr. Mona Hardas is a practicing Ob/Gyn from Flint, Michigan, with over 20 years of experience in private practice. She is also actively involved in teaching medical students and residents as an associate clinical professor from MSU College of Human Medicine.

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Ria SahaB.Tech

Ria is a techie-turned-writer and writes articles on health, with special emphasis on nutrition. She did her B.Tech from West Bengal University of Technology and was previously associated with IBM as SAP ABAP technical consultant.

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Swati PatwalM.Sc. (Food & Nutrition), MBA

Swati Patwal is a clinical nutritionist, a Certified Diabetes Educator (CDE) and a toddler mom with more than a decade of experience in diverse fields of nutrition. She started her career as a CSR project coordinator for a healthy eating and active lifestyle project catering to school children.

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Lorraine TeronMSc

Lorraine is a postgraduate in Life Science from Mount Carmel College and previously worked as a freelance scientific illustrator. As a project associate and lab technician at the Centre for Cellular and Molecular Biology, Lorraine received valuable insights into Covid-19, transgenerational epigenetic inheritance, and neuro-degenerative diseases.

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