Is It Safe To Have Apple Cider Vinegar During Pregnancy?

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Apple cider vinegar is the vinegar that is made from fermented apple juice. Is it safe to have apple cider vinegar during pregnancy? We will help you answer this question in this post. Apple cider vinegar is commonly available in two forms: pasteurized and unpasteurized. Pregnant women are advised to consume the pasteurized form of apple cider vinegar as it is free from any harmful bacteria or microorganisms. However, there is a risk that consuming apple cider vinegar might cause heartburn. Therefore, it is advised to consult your doctor before consuming it and also to stop if you feel any discomfort to ensure safe prenatal care (1). Read on to know more about the benefits and adverse effects of having apple cider vinegar while pregnant.

In This Article

What Is Apple Cider Vinegar?

Apple cider vinegar is a product made from crushed apples through a process of fermentation. It contains folic acid or folate, pectin, biotin, and vitamins, including vitamins B1, B2, B6, and C. It is initially turned into alcohol and then to acetic acid. The final fermented apple cider vinegar (ACV) is sold in two forms (1).

  • Pasteurized form – removes potentially harmful bacteria such as E.coli
  • Unpasteurized form – believed to be healthy with its components intact
Pasteurized ACVUnpasteurized ACV
Refined and clear version of apple vinegarRaw and unfiltered organic version of apple vinegar
Does not contain mother substance, which contains nutrientsContains mother substance
Clear liquidMurky liquid
Safe for pregnant women as harmful bacteria are cleared offShould consult your doctor before consuming it

MomJunction tells you if pasteurized apple cider vinegar is safe during pregnancy.

Can You Drink Apple Cider Vinegar While Pregnant?

Consuming pasteurized apple cider vinegar during pregnancy is safe

Image: IStock

Yes! Studies suggest that during pregnancy you can drink pasteurized apple cider vinegar as it does not contain any harmful bacteria. ACV has health benefits when taken in small amounts along with other foods (2).

Dominique Andreoli, a functional nutritionist from Dudley, Massachusetts, says, “The amount of apple cider vinegar considered safe during pregnancy is not well established. Generally, it is recommended to limit its consumption to small amounts, such as those used in cooking or dressings. Drinking excessive amounts of apple cider vinegar can lead to unwanted side effects such as heartburn and low potassium levels, which may harm the mother and the developing fetus.”

But is apple cider vinegar safe for the fetus? Pasteurized form is safe for unborn babies when the mothers consume it. However, unpasteurized ACV is not safe as it could lead to stillbirth, miscarriage, and other complications in the mother, and the baby may suffer from health issues post birth (3). Also, remember that ACV should not be given to infants at all as the product is acidic.

Let us go in depth into apple cider vinegar benefits during pregnancy.

Benefits of Apple Cider Vinegar while Pregnant

Dr. DeForest Clinton Jarvis, author of ‘Folk Medicine’, recommended apple cider vinegar for pregnant women (3). According to him, drinking apple cider vinegar while pregnant has multiple benefits

1. Treats morning sickness:

According to experts at the Wake Forest School of Medicine, 80 of all pregnant women experience nausea and vomiting. ACV is pH neutral and helps settle the stomach acids that cause nausea. It, therefore, provides relief from the terrible feeling of morning sickness during the first trimester (4).

Mix two tablespoons of ACV in a cup of warm water and have it early in the morning.

2. Combats yeast infections:

Apple cider vinegar contains distinctive components, which can control and cure yeast infections such as candida infections. Topical application of ACV can reduce the infection and its symptoms. You can dilute it and apply it on the infected skin or use it in a hot water bath. Internal consumption strengthens the immune system and prevents diabetes, both of which can slow down the infection from healing.

Mix two tablespoons of ACV in a cup of warm water and drink it twice a day until the infection disappears (5).

3. Treats urinary tract infections (UTI):

Cloudy urine during pregnancy can be an underlying symptom of urinary tract infections. ACV contains enzymes and useful minerals that slow down the growth of UTI-causing bacteria. According to UT Southwestern Medical Center, around seven percent of expectant mothers may experience asymptomatic UTIs during pregnancy.

Have two teaspoons of ACV in a glass full of water, twice a day. You can also use a little ACV in bath water to avoid infections (6).

4. Prevents acidity and heartburn:

Heartburn can occur during the second trimester when the stomach contents move back to the esophagus and cause an irritation (acid reflux). It is due to the pressure exerted by the growing baby on the digestive tract. ACV neutralizes the acidic food and provides relief.

Consume one tablespoon ACV mixed in water to prevent heartburn (7).

4. Clears stuffy nose and offers sound sleep:

The potassium content and anti-inflammatory property of ACV thins the mucus and reduces sinuses swelling.

Mix two tablespoons of ACV with one tablespoon of honey in a cup of warm water, and have it twice or thrice a day (8).

5. Cures acne:

Using raw apple cider vinegar during pregnancy can treat acne

Image: IStock

Hormonal changes during pregnancy often lead to acne and other skin problems such as warts. Raw apple cider vinegar will act as a toner and it can rebalance the pH of the skin, remove dead cells, and excess oils.

To make this antibacterial and antiseptic toner, mix ACV and distilled water in 1:3 ratio and apply to the skin using a cotton ball (10).

6. Normalizes blood pressure levels:

The acetic acid present in ACV lowers the blood pressure by reducing the activity of rennin enzyme, which increases blood pressure.

Combine three tablespoons of ACV in a glass of warm water or any beverage of your choice (except sugary sodas) and drink it for a week (9.

7. Regulates blood flow:

You will have swollen hands, feet, and varicose veins due to poor blood circulation. ACV eases the blood flow, thereby relieving these conditions.

Mix ACV with any regular lotion and use on the affected parts. You can also make a homemade cream by mixing half a glass of ACV, half carrot, and three tablespoons of aloe vera gel. For internal consumption, take two to three tablespoons of ACV in a cup of warm water along with honey (optional) (10).

8. Detoxifies your body:

Apple cider vinegar has a detoxifying effect on your body. A cleansed body system absorbs the nutrients better, which in turn leads to better metabolism.

9. Treats diabetes:

ACV reduces blood sugar levels and insulin sensitivities when taken with some foods.

According to Lisa Richards, nutritionist and founder of Candida Diet, “Individuals with type 2 diabetes have seen benefits from using apple cider vinegar to control their blood glucose. It works by reducing insulin sensitivity when a high-carb meal is consumed, and if taken before bed, it can improve fasting blood glucose numbers in the morning.”

However, you should always consult your doctor before adding ACV to your diet, especially when you are on medication for diabetes (11).

10. Aids digestion:

The antibiotic properties of ACV could help fight stomach problems and indigestion caused by harmful bacteria. It improves digestion by regulating metabolism and promoting good bacteria in the stomach.

ACV also contains pectin, which soothes an uneasy tummy (13).

11. Promotes weight loss:

Apple cider vinegar during pregnancy promotes weight loss

Image: Shutterstock

Consuming apple cider vinegar before meals makes you feel full and therefore helps you eat less. You should have a nutritional and well-balanced diet to nourish yourself and your baby (11). Therefore, consult your healthcare practitioner if you can take ACV with your diet.

12. Cold remedy:

Apple cider vinegar’s antibacterial properties fight the cold and sore throat symptoms (12).

Add one tablespoon of ACV in a glass of warm water and drink twice a day until the symptoms subside. You may also put the mixture in a vaporizer and leave it overnight in your room.

13. Leg cramps:

You may not sleep well due to leg cramps caused by low potassium levels and pressure on the circulatory system. ACV contains excellent levels of potassium that relieves the discomfort (13).

protip_icon Quick fact
Raw apple cider vinegar contains antioxidants that could help prevent cell damage in the body (16).

If you are convinced and want to buy ACV, then choose the best quality product.

Jo Chan, a mother of two and a prenatal yoga instructor, says, “I’ve been using apple cider vinegar to help with some sinus issues that popped up during pregnancy, and I must say, it’s pretty darn good! Cleared up my stuffy nose and flu really well (i).”

Tips To Buy Best Quality Apple Cider Vinegar

Check for pale amber color of ACV when buying

Image: IStock

To pick the best quality ACV:

  • read the ingredients and make sure the ACV is made of crushed apples or cider.
  • check for pale amber color
  • Heinz and Bragg are the most trusted brands.

ACV mixed with water is safe to be consumed and provides many benefits. But…

Can You Take Apple Cider Vinegar Supplements During Pregnancy?

You should avoid taking them as most supplements (available in the form of capsules and pills) do not contain apple cider vinegar. Some of them may also not contain the actual mother product.

Supplements can be risky during pregnancy, especially if raw apple cider vinegar is the ingredient. Therefore, it is better to avoid these supplements or take your practitioner’s opinion.

ACV may not always be safe for the mother-to-be and could be accompanied by some nasty problems.

Side Effects Of Having Apple Cider Vinegar When Pregnant

Unpasteurized apple cider vinegar is considered unsafe and may lead to certain risks.

Andreoli opines, “Drinking unpasteurized apple cider during pregnancy can be risky as it may contain harmful bacteria such as E. coli and Salmonella, which may cause food poisoning. These bacteria may adversely affect the mother and the developing fetus, leading to complications such as miscarriage or stillbirth.”

  • If you are taking certain medications, then do not have ACV as it could lower the potassium levels, and be unsafe for you and your baby. Check with your doctor before you begin taking ACV. ACV is highly acidic and can erode your tooth enamel when you consume it directly (14).
  • In some cases, ACV gives you irritation in the stomach and throat (13).

As ACV is acidic, you should not have it in high quantities. Also, you need to take care while consuming it.

protip_icon Point to consider
Although vinegar has antimicrobial properties, it is recommended to use it in food preparations and not to clean wounds (1).

How To Consume ACV Safely?

Rinse your mouth after drinking anything containing ACV

Image: IStock

  • Do not ingest ACV directly as it harms your enamel, affects the esophagus, and can cause more problems.
  • If you are keen on choosing the ACV dietary supplements, then check the ingredients and constitution of the product before buying.
  • Minimize exposure of your teeth to vinegar by using a straw to have fluids that contain ACV.
  • Rinse your mouth after drinking anything that contains ACV.
  • Avoid ACV when you have any stomach problems.
  • Beware of allergies. If you feel any discomfort when you take ACV, see your doctor immediately.

ACV could be quite unpleasant to consume because of its acidity. But there are ways to make it taste better.

protip_icon Quick tip
Add apple cider vinegar to salad dressings and marinades to add a tangy flavor (15).

How To Store Apple Cider Vinegar?

ACV has a low pH, which makes it self-preserving to some extent. Here are some simple tips on how you can store it:

  • Do not store ACV in a metal container or bottle, as it can corrode the metal. Instead, keep the ACV in a glass or plastic container.
  • Store ACV in a dark bottle in a dry, cool place away from direct sunlight or heat, as they can degrade vinegar’s quality over time.
  • Always keep the bottle tightly closed, as exposure to air can cause oxidation, which may alter vinegar’s taste and composition.
  • Refrigerating ACV is not necessary. However, storing ACV in a cold place is suitable as it can slow down potential bacterial growth and maintain the vinegar’s quality.

Refrigeration might cause the vinegar to form sediment. However, shaking the bottle before use is harmless and can be resolved.

How To Make ACV Taste Better?

You may not always feel like having apple cider vinegar with water as it tastes bitter. There are some tasty and safe ways to include ACV in your diet during pregnancy:

  • Add one teaspoon of ACV and two teaspoons of honey to a glass full of water. Add two tablespoons of ACV and two teaspoons of raw honey to one and a half cup of fresh grapefruit juice.
  • Add two tablespoons of apple or grape juice, two tablespoons ACV, half teaspoon cinnamon powder, and half teaspoon stevia to one-and-a-half cup of cold water and have the ACV elixir.

Note:

Do not drink these as water but have them in small sips. Limit these drinks to two or three times a day. Also, consult your health practitioner before taking any of them.

Frequently Asked Questions

1. Can apple cider vinegar help with constipation during pregnancy?

Some anecdotal evidence suggests that apple cider vinegar may help alleviate constipation. Organic acids present in ACV may improve digestion (16). Drinking hot apple cider vinegar may relieve constipation (17). However, there is limited scientific research on the effectiveness of ACV for constipation during pregnancy.

2. Can apple cider vinegar help with stretch marks during pregnancy?

As per a study, topical application of apple vinegar effectively reduces the size of striae (18). While some sources suggest that ACV may help reduce the appearance of stretch marks, more research is needed to confirm its effectiveness.

3. Can apple cider vinegar help with anemia during pregnancy?

Consumption and use of ACV may be beneficial in treating hematological problems and anemia. Its use could positively impact the prevention of hemolytic anemia induced by phenylhydrazine due to the antioxidant properties of its major components (19). However, you will need iron supplementation to manage anemia, and you must consult a doctor for it.

4. Can I take apple cider vinegar gummies while pregnant?

California-based dietitian and nutritionist Vandana Sheth suggests, “While gummies may seem safer, it’s still good to be cautious since the FDA does not typically regulate them, and their impact on pregnancy is not well-researched. It’s always best to consult your healthcare team before adding supplements to your pregnancy diet.”

Consuming pasteurized apple cider vinegar during pregnancy is considered safe. ACV has several benefits and helps deal with various pregnancy symptoms such as morning sickness, acidity, and heartburn. However, it is advised that you buy the best quality ACV from the market after thoroughly checking the ingredients and manufacturing dates. In addition, you could mix ACV with a glass of water and honey to reduce the acidic taste and make its consumption easier. If you have any doubts about the safety of consuming it or its potential effects on fetal development, consult your doctor.

Infographic: Tips To Consume Apple Cider Vinegar Safely During Pregnancy

A bit tangy in taste, apple cider vinegar (ACV) is a beverage made from apple fermentation. It is popularly used as a natural remedy, for cooking purposes, and even as a cleaning agent. However, if you’re thinking about consuming them during pregnancy, look through the infographic below to learn some helpful advice on consuming ACV safely.

how to safely consume apple cider vinegar when pregnant (infographic)

Illustration: Momjunction Design Team

Key Pointers

  • Pasteurized ACV in small amounts is safe to consume during pregnancy.
  • ACV has various benefits, including fighting morning sickness, infections, acidity, acne, diabetes, and digestive issues.
  • Some pregnant women may experience adverse reactions, such as irritation of the bowel and throat, from consuming ACV.
  • ACV should be avoided by pregnant women with gastric problems or those taking certain medications.
  • Unpasteurized ACV should not be consumed during pregnancy as it may increase the risk of stillbirth or miscarriage.

Illustration: Is It Safe To Have Apple Cider Vinegar During Pregnancy?

Apple Cider Vinegar During Pregnancy_illustration

Image: Dall·E/MomJunction Design Team

Personal Experience: Source

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.
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  2. Food Safety by Type of Food.
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  3. Suggestion and Healing.
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  4. Research/R&D Areas.
    https://lhncbc.nlm.nih.gov/
  5. Ana Carolina Loureiro Gama Mota et al.; (2015); Antifungal Activity of Apple Cider Vinegar on Candida Species Involved in Denture Stomatitis.
    https://pubmed.ncbi.nlm.nih.gov/25219289/
  6. Peter Grandics; (2003); Cancer: a single disease with a multitude of manifestions?.
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  8. Apple cider vinegar boosts health.
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  9. S Kondo et al; (2001); Antihypertensive effects of acetic acid and vinegar on spontaneously hypertensive rats.
    https://pubmed.ncbi.nlm.nih.gov/11826965/
  10. Derya Atik et al.; (2016); The Effect of External Apple Vinegar Application on Varicosity Symptoms Pain and Social Appearance Anxiety: A Randomized Controlled Trial.
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4735895/
  11. Apple cider vinegar diet: Does it really work?
    https://www.health.harvard.edu/blog/apple-cider-vinegar-diet-does-it-really-work-2018042513703
  12. Cold busters: 8 ways to treat the incurable common cold.
    https://health.clevelandclinic.org/exploring-the-health-benefits-of-apple-cider-vinegar
  13. Nutrition News – Beware apple cider vinegar claims
    https://extension.colostate.edu/topic-areas/nutrition-food-safety-health/nutrition-news/nutrition-news-beware-apple-cider-vinegar-claims/
  14. Raw Apple Cider Vinegar- The Elixir Of Life.
    http://tagteam.harvard.edu/hub_feeds/2406/feed_items/1602742
  15. Exploring the Health Benefits of Apple Cider Vinegar.
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  16. Akanksha Singh & Mishra Sunita; (2017); Study About The Nutritional And Medicinal Properties Of Apple Cider Vinegar.
    https://www.researchgate.net/publication/322953260_STUDY_ABOUT_THE_NUTRITIONAL_AND_MEDICINAL_PROPERTIES_OF_APPLE_CIDER_VINEGAR_ARTICLE_INFO_ABSTRACT
  17. Nutrition Problems and Their Solutions.
    https://my.clevelandclinic.org/health/diseases/22987-malnutrition
  18. Maryam Eshghizadeh Et Al.; (2018); The Effect Of Topical Application Of Apple Vinegar On Striae Gravidarum: A Randomized Clinical Trial.
    https://journals.innovareacademics.in/index.php/ajpcr/article/view/25592
  19. Driss Ousaaid et al.; (2022); Anti-Anemic Effect of Antioxidant-Rich Apple Vinegar against Phenylhydrazine-Induced Hemolytic Anemia in Rats
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8880287/
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Jyoti Benjamin
Jyoti BenjaminMS, RD, CSO, FAND, CD
Jyoti Benjamin has 25 years of experience as a clinical dietitian and currently works in Seattle. She focuses on teaching people the value of good nutrition and helping them lead healthy lives by natural means.Benjamin has a masters in Foods and Nutrition, and has been a longtime member and Fellow of AND (Academy of Nutrition and Dietetics) and the International Confederation of Dietetic Association.

Read full bio of Jyoti Benjamin
  • Vandana Sheth
    Vandana ShethRDN, CDCES, FAND Vandana Sheth is a registered dietitian nutritionist, certified diabetes care and education specialist, certified intuitive eating counselor, and CEO of a nutrition and wellness coaching business. She has authored the book My Indian Table: Quick & Tasty Vegetarian Recipes.
    Vandana Sheth is a registered dietitian nutritionist, certified diabetes care and education specialist, certified intuitive eating counselor, and CEO of a nutrition and wellness coaching business. She has authored the book My Indian Table: Quick & Tasty Vegetarian Recipes.
  • Lisa Richards
    Lisa RichardsRDN Lisa Richards is a certified nutritionist coach from the Institute for Integrative Nutrition. She is an author at the Candida Diet (thecandidadiet.com), with 17 years of experience.
    Lisa Richards is a certified nutritionist coach from the Institute for Integrative Nutrition. She is an author at the Candida Diet (thecandidadiet.com), with 17 years of experience.
Rebecca is a pregnancy writer and editor with a passion for delivering research-based and engaging content in areas of fertility, pregnancy, birth, and post-pregnancy. She did her graduation in Biotechnology and Genetics from Loyola Academy, Osmania University and obtained a certification in ‘Nutrition and Lifestyle in Pregnancy’ from Ludwig Maximilian University of Munich (LMU).

Read full bio of Rebecca Malachi
Swati Patwal
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.

Read full bio of Swati Patwal
Dr. Joyani Das
Dr. Joyani DasM.Pharm, PhD
Dr. Joyani Das did her post-graduation from Birla Institute of Technology, Mesra and PhD in Pharmacology. Previously, she worked as an associate professor, faculty of Pharmacology, for two years. With her research background in preclinical studies and a zeal for scientific writing, she joined MomJunction as a health writer.

Read full bio of Dr. Joyani Das