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Recommendations of societies and government bodies on caffeine intake during pregnancy

Recommendations of societies and government bodies on caffeine intake during pregnancy
Country/region Society Recommendation
International World Health Organization (WHO) For pregnant women with high daily caffeine intake >300 mg/day, lowering daily caffeine intake during pregnancy is recommended to reduce the risk of pregnancy loss and low birth weight neonates.[1]
International Federation of Gynecology and Obstetrics (FIGO) The advice to limit caffeine intake to 200 mg/day during pregnancy continues to be justified. Higher maternal caffeine consumption (>300 mg/day) is associated with an increased risk of fetal growth restriction and is suggested to increase risks of spontaneous abortion and stillbirth.[2]
March of Dimes Women who are pregnant or trying to become pregnant consume no more than 200 mg of caffeine/day (1.5 8-ounce cups of coffee). Women who are breastfeeding advised to limit caffeine to no more than two cups of coffee per day.[3]
North America Health of Canada Women who are planning to become pregnant, pregnant women, and breast-feeding mothers should limit caffeine intake to 300 mg per day.[4]
American College of Obstetricians and Gynecologists (ACOG) Moderate caffeine consumption (<200 mg/day) does not appear to be a major contributing factor to miscarriage or preterm birth. The relationship of caffeine to growth restriction remains undetermined and it remains unclear whether there is a correlation between high caffeine intake and miscarriage.[5]
US Department of Health and Human Services (HHS) Strong and consistent evidence shows that moderate coffee consumption up to 400 mg/day of caffeine (three to five 8-oz cups/day) in healthy adults is not associated with an increased risk of major chronic diseases or premature death. Women who are capable of becoming pregnant, who are trying to, or who are pregnant and those who are breastfeeding should consult their health care providers for advice concerning caffeine consumption.[6]
Europe European Food Safety Authority (EFSA) Consumption of up to 200 mg per day of caffeine by pregnant individuals in the general population does not give rise to safety concerns for the fetus.[7]
Royal College of Obstetricians and Gynaecologists (RCOG) Women before conception and during pregnancy are advised to limit caffeine intake to 200 mg/day.[8]
Australia and New Zealand National Health and Medical Research Council (NHMRC) Food Standards Australia and New Zealand (FSANZ) suggests limiting caffeine intake during pregnancy to 200 mg/day.[9]
References:
  1. WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience. World Health Organization, Geneva 2016.
  2. Hanson MA, Bardsley A, De-Regil LM, et al. The International Federation of Gynecology and Obstetrics (FIGO) recommendations on adolescent, preconception, and maternal nutrition: "Think Nutrition First". Int J Gynecol Obstet 2015; 131:S4.
  3. Caffeine in pregnancy. March of Dimes. Available at: https://www.marchofdimes.org/pregnancy/caffeine-in-pregnancy.aspx# (Accessed on November 17, 2021).
  4. Caffeine and pregnancy. Public Health Agency of Canada. Available at: https://www.canada.ca/en/public-health/services/pregnancy/caffeine.html (Accessed on November 17, 2021).
  5. American College of Obstetricians and Gynecologists. ACOG Committee Opinion No. 462: Moderate caffeine consumption during pregnancy. Obstet Gynecol 2010; 116:467. Reaffirmed 2020.
  6. 2015-2020 Dietary Guidelines for Americans. U.S. Department of Health and Human Services and U.S. Department of Agriculture, 8th Edition (December 2015). Available at: http://health.gov/dietaryguidelines/2015/guidelines/ (Accessed May 8, 2021).
  7. Scientific opinion on the safety of caffeine. EFSA Panel on Dietetic Products, Nutrition and Allergies. European Food Safety Authority (EFSA). Available at: https://efsa.onlinelibrary.wiley.com/doi/epdf/10.2903/j.efsa.2015.4102 (Accessed on September 02, 2020).
  8. Healthy eating and vitamin supplements in pregnancy. Royal College of Obstetricians & Gynaecologists. Available at: https://www.rcog.org.uk/for-the-public/browse-all-patient-information-leaflets/healthy-eating-and-vitamin-supplements-in-pregnancy-patient-information-leaflet/ (Accessed on July 20, 2022).
  9. Department of Health. Clinical Practice Guidelines: Pregnancy Care. Australian Government Department of Health, Canberra 2020.
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