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Is caffeine safe during pregnancy?

Answered by MotherToBaby’s teratology specialists, quoted in full — including the questions most pages skip, like whether a father’s exposure matters.

By the pharmaranks editorial teamReviewed against the MotherToBaby fact sheet for caffeine (OTIS, published via the NIH) sourcesUpdated Jul 21, 2026How we research

The questions people actually ask about caffeine in pregnancy

Answered by MotherToBaby, the fact sheets written by the Organization of Teratology Information Specialists and published through the NIH. Quoted in full — we do not condense them.

How much caffeine is in common foods and drinks?

The best way to know how much caffeine is in a product is to check the ingredient label. The amount of caffeine in some common items is listed below (amounts are approximate and might vary between products):

Some herbal supplements such as guarana also contain caffeine (about 47 mg per 1 gram). Beverages made from the guarana seed also contain caffeine.

I consume (eat/drink) products with caffeine. Can it make it harder for me to get pregnant?

Some studies have suggested that high levels of caffeine (more than 300 mg per day) might make it harder to get pregnant, but these findings are not proven. Low (less than 200mg per day) to moderate (about 200-300 mg per day) caffeine consumption has not been proven to make it harder to get pregnant.

Does caffeine increase the chance of miscarriage?

Miscarriage is common and can occur in any pregnancy for many different reasons. Researchers have not reported an association between low (under 200 mg) levels of caffeine and an increased chance of miscarriage. Some studies suggest that the chance of miscarriage might be increased when women consume moderate (200-300 mg) or high (more than 300 mg) levels of caffeine. As there can be many causes of miscarriage (such as age, health, other exposures), it is hard to know if an exposure or other factors are the cause of a miscarriage.

Does caffeine increase the chance of birth defects?

Birth defects can happen in any pregnancy for different reasons. Out of all babies born each year, about 3 out of 100 (3%) will have a birth defect. We look at research studies to try to understand if an exposure, like caffeine, might increase the chance of birth defects in a pregnancy. Caffeine has not been shown to increase the chance of birth defects.

Does consuming products with caffeine in pregnancy increase the chance of other pregnancy-related problems?

Most studies find no clear evidence that low (less than 200 mg) to moderate (200 to 300 mg) caffeine use during pregnancy can increase the chance of other pregnancy-related problems, such as preterm delivery (birth before week 37) or low birth weight (weighing less than 5 pounds, 8 ounces [2500 grams] at birth). High doses (more than 300 mg) of caffeine are not well studied.

I need to take caffeine throughout my entire pregnancy. Will it cause withdrawal symptoms in my baby after birth?

The use of caffeine during pregnancy can cause temporary symptoms in newborns soon after birth. These symptoms are sometimes referred to as withdrawal. Large amounts of caffeine could affect babies in the same way as it does adults. Some reports suggest that children exposed to more than 500 mg of caffeine per day in the third trimester of pregnancy were more likely to have faster heart rates, shaking, increased breathing rate, and spend more time awake in the days following birth. Not all babies exposed to caffeine will have these symptoms. It is important that your healthcare providers know you are taking caffeine so that if symptoms occur your baby can get the care that is best for them.

Does consuming products with caffeine in pregnancy affect future behavior or learning for the child?

Most studies find no effect on learning or behavior in young school-aged children who were exposed to caffeine during pregnancy.

If a man consumes products with caffeine, could it affect his fertility or increase the chance of birth defects?

Studies on caffeine and male fertility (ability to get a woman pregnant) have reported mixed findings. The American Society for Reproductive Medicine (ASRM) states that caffeine consumption has no effect on semen. In general, exposures that fathers or sperm donors have are unlikely to increase risks to a pregnancy. For more information, please see the MotherToBaby fact sheet Paternal Exposures at https://mothertobaby.org/fact-sheets/paternal-exposures-pregnancy/ .

Quoted from MotherToBaby Fact Sheets — Caffeine, published November 1, 2025. MotherToBaby states its fact sheets should not take the place of medical care and advice from your healthcare providers.

Breastfeeding is a separate question — what LactMed says about caffeine

This is general reference information, not medical advice. Whether to take any medication in pregnancy is a decision for you and your prescriber; do not start or stop a drug on your own, because an untreated condition can also carry risk.