Can I drink coffee while pregnant?

Oh, what we would do for that morning cup! Pregnancy brings a lot of changes to our bodies and diets, and a common question women have is, “Can I drink coffee while pregnant?”

Absolutely. With moderation.

The Coffee-Caffeine Connection: Key Considerations

Understanding Caffeine: Coffee contains caffeine, a natural stimulant known to cross the placenta, potentially affecting both you and your developing baby. Caffeine is a diuretic (causing you to urinate more, and putting you more at risk for dehydration), can cause a slight increase in heart rate and blood pressure.  This is normal for everyone, but as caffeine crosses the placenta, in pregnant women, it can take the body longer to flush it out. There are studies that do link high caffeine intake to a higher risk of miscarriage, but they are not conclusive.

So, the question remains: Is it safe to drink coffee while pregnant?

Moderation Is Safe: Science tells us that moderate caffeine intake is generally regarded as safe during pregnancy. This translates to roughly 200 to 300 milligrams (mg) of caffeine per day, approximately equivalent to one 12-ounce (355 ml) cup of brewed coffee.


Striking a Balance:

  1. Limiting Caffeine: If you’re a coffee enthusiast, you don’t necessarily have to bid farewell to your cherished brew. Consider limiting your consumption to one cup per day or exploring decaffeinated coffee as an alternative. Decaffeinated coffees provide a comforting taste without the stimulant.
  1. Be Conscious of Additions: Pay attention to what you add to your coffee. Excessive sugar and high-calorie creamers can contribute to unnecessary calorie intake and mess with your blood sugar levels. Opt for healthier choices like a dash of low-fat milk, oat milk,  or a sprinkle of cinnamon. (FYI, a 16-oz cup of sweet coffee from a leading chain has 30 – 35 grams of sugar (7 – 9 teaspoons). This is a lot of sugar.
  1. Prioritize Hydration: Staying adequately hydrated is paramount during pregnancy. While coffee can certainly contribute to your fluid intake, give precedence to water and other hydrating beverages to meet your daily hydration needs. Or, like in Italian tradition, drink a cup of water with coffee. (They do it to clean the palate. We do it for hydration. Both work!)
  1. Listen to Your Body: Caffeine metabolism varies from person to person. Tune in to your body’s signals. If you experience restlessness, an accelerated heart rate, or digestive discomfort, it might be a cue to cut back on caffeine. Some women might notice heightened caffeine sensitivity during the first trimester of pregnancy. If this applies to you, you may consider reducing or temporarily eliminating coffee during this period.
  1. Consult a Healthcare Expert: Each pregnancy is unique, and individual responses to caffeine can differ. If you have concerns or specific health conditions, it’s prudent to consult your healthcare provider or prenatal dietitian for personalized advice on managing caffeine intake during pregnancy.


Beware of Hidden Sources of Caffeine:  High-caffeine beverages like energy drinks and select sodas can have substantial caffeine levels. Caffeine can also be found in teas, chocolate, and certain medications. Be mindful of your total caffeine intake from all sources, and never take medication (even over-the-counter or herbal) without consulting with your primary care physician or prenatal dietitian nutritionist first. “Natural” or “herbal” remedies might not be safe for you or your baby.

Indulging in a cup of coffee during pregnancy is generally regarded as safe, provided it aligns with recommended limits. Striking a balance is key, and your body’s cues are invaluable. Moderation and modification are general rules of thumb, though, when in doubt, talk to your doctor.