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To avoid nighttime heartburn while pregnant, eat your last meal at least two hours before you go to bed. Reclining just after eating will lead to increased acid reflux and heartburn. Also, use extra pillows to elevate your head and upper back above the level of your abdomen to reduce symptoms. You should start taking a prenatal vitamin now. Taking a prenatal vitamin is great for your health. Prenatal vitamins can also help you conceive a baby. They are great for many different reasons and your doctor can help