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Learn whether apple cider vinegar is safe during pregnancy, its benefits, side effects, precautions, and how to consume it safely while pregnant.

September 18th, 2025

Your body experiences numerous changes throughout pregnancy, which can lead to discomfort like indigestion, nausea, and heartburn. Many expectant mothers seek treatment through natural remedies such as apple cider vinegar (ACV).

Apple cider vinegar (ACV) is made by fermenting apples and is commonly used as a food ingredient, condiment, and natural remedy.

Unpasteurized ACV retains the “mother,” a collection of beneficial enzymes and probiotics that support gut health. In contrast, pasteurized versions undergo processing to remove these bacteria. While it may be beneficial, it is critical to understand both the advantages and potential concerns before utilizing it at this special time.

This article will address the question, "Can I drink apple cider vinegar while pregnant?" We'll also discuss its benefits and potential side effects for women and provide some tips on how to consume it safely.

What is Apple Cider Vinegar Made Of?

Apples, water, and natural yeast are the ingredients used to make apple cider vinegar (ACV). Apple juice is first crushed and fermented to produce alcohol from the natural sugars. The following step involves bacteria turning the alcohol into acetic acid, which is what gives ACV its pungent scent and acidic flavor.

Apple cider vinegar comes in pasteurized and unpasteurized varieties. Sediment and bacteria are eliminated during processing to create filtered and pasteurized varieties. Filtered apple cider vinegar is typically pasteurized, while unfiltered apple cider vinegar is often raw and unpasteurized.

Is Apple Cider Vinegar (ACV) Safe for Pregnant Women?

Yes, Apple Cider Vinegar (ACV) is safe for pregnant women when consumed in moderation, but some precautions must be taken. Understanding the advantages and disadvantages of using ACV during pregnancy is essential.

Acetic acid, which is present in Apple Cider Vinegar, is an antibiotic that promotes the growth of certain kinds of beneficial bacteria over others. Pregnant women should use unpasteurized apple cider vinegar with extreme caution and awareness of the risks.

It's best to check with your doctor before adding apple cider vinegar to your diet, especially if you're pregnant, have certain medical conditions, or have a weaker immune system. Raw and unpasteurized ACV can be strong and may contain harmful bacteria.

Pasteurized and diluted ACV is usually safe. To make sure that taking ACV while pregnant is healthy for both you and your unborn child, always get medical advice first.

Benefits of Apple Cider Vinegar During Pregnancy

Is apple cider vinegar good for pregnancy? It is beneficial when consumed in moderation and in pasteurized form. ACV may significantly benefit specific pregnancy symptoms or characteristics. Pasteurized apple cider vinegar is thought to be the safest.

  • Reduces Morning Sickness: Because of its acidic properties, some people suggest apple cider vinegar as a remedy for morning sickness. It may help ease nausea.
  • Helps with Digestion: ACV supports intestinal function, maintains healthy pH balance, and improves gut health, helping prevent constipation and acid reflux.
  • Eases Leg Cramps: ACV contains potassium, which may help reduce pregnancy-related leg cramps.
  • Prevents Urinary Tract Infections (UTI): Enzymes and minerals in ACV may help prevent UTIs. Always consult your doctor before use.
  • Helps with Blood Pressure: Acetic acid helps reduce blood pressure by lowering renin enzyme activity.
  • Regulates Blood Flow: ACV may reduce swelling and varicose veins by improving circulation.

Side Effects of Apple Cider Vinegar (ACV) for Pregnant Women:

  • Sugar Content and Gestational Diabetes: ACV contains natural sugars, which should be monitored, especially if at risk for gestational diabetes.
  • Hard Cider: Alcoholic apple cider must be avoided during pregnancy.
  • Acidity and Heartburn: ACV’s acidity can worsen acid reflux and heartburn.
  • Bacterial Contamination: Unpasteurized ACV may contain harmful bacteria like E. coli or Listeria.

Can Apple Cider Vinegar Cause Miscarriage in Early Pregnancy?

No, Apple Cider Vinegar (ACV) does not cause miscarriage when consumed in moderation. There is no scientific evidence linking it to miscarriage in early pregnancy.

However, raw or unpasteurized ACV may carry a small risk of bacterial infection, so pasteurized forms are recommended. Always consult your healthcare provider before adding ACV to your pregnancy diet.

How should Apple Cider Vinegar (ACV) be consumed during Pregnancy?

Apple cider vinegar should never be consumed undiluted. Its high acidity can damage tooth enamel, irritate the esophagus, and upset digestion.

Dilute 1–2 teaspoons of ACV in 1 cup (240 ml) of water. Start with a small amount and stop if you experience discomfort, heartburn, or nausea.

Using ACV in salad dressings is a safer alternative to drinking it.

When to see the Gynecologist?

Consult your doctor if you experience the following symptoms after consuming ACV:

  • Red, itchy, or hot facial rashes
  • Indigestion or acidity
  • Vomiting or nausea
  • Dizziness

Is It Possible to Use Vinegar for a Pregnancy Test?

Yes, vinegar can be used as a traditional at-home pregnancy test. The reaction occurs between vinegar and HCG hormone in urine, though this method is not scientifically reliable.

  • Collect morning urine in a clean container.
  • Pour clear vinegar into another container.
  • Mix urine and vinegar together.
  • Wait for about 5 minutes.
  • A color change may indicate pregnancy.

Bottom Line:

A balanced diet, regular prenatal care, and limited use of pasteurized apple cider vinegar can support a healthy pregnancy. Always consult your gynecologist before adding ACV or any natural remedy to your pregnancy routine.

About The Author

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Dr. Kavitha Lakshmi Easwaran is a senior gynaecologist with over 28 years of experience, known for her patient-centric approach, clinical expertise, and commitment to supporting women’s health at every stage of life.

Dr. Kavitha Lakshmi Easwaran

| MBBS- M.D.

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