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Coffee During Pregnancy — Is It Safe?

One of the first things a client I was supporting during her pregnancy asked me was: Sofia, is coffee really off limits? Let's look at what the research says.

The American College of Obstetricians and Gynecologists (ACOG) recommends limiting caffeine to 200 mg per day. Not eliminating it — just limiting it.

What does 200 mg look like in practice?

In other words: 1–2 cups of coffee a day is perfectly within the safe range.

Why is there a limit at all?

Caffeine crosses the placental barrier, and the fetus metabolizes caffeine very slowly. High intake (above 300–400 mg) has been associated in studies with an increased risk of fetal growth restriction and preterm birth.

At moderate intake levels, this association has not been proven.

What else is important to know

Coffee cravings often naturally decrease during the first trimester — and that is no coincidence. If the smell of coffee makes you nauseous, your body is doing exactly what it should.

The bottom line

There is no need to fear caffeine or force yourself to give up coffee entirely. If you would like personalized nutrition recommendations during pregnancy, book a consultation or an individual support program.

Sofia Panfilova

Sofia Panfilova

Clinical dietitian specializing in women's health, hormones, and pregnancy. 10+ years of practice.

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