Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/15/2025

Artificial Sweetener Safety During Pregnancy

Introduction to Artificial Sweeteners

  • The FDA has approved several nonnutritive sweeteners for use in the United States, which have undergone safety evaluations 1
  • The American College of Obstetricians and Gynecologists recommends avoiding saccharin during pregnancy as it can cross the placenta and remain in fetal tissues 1

Nutrition Guidelines for Pregnant Women

  • A balanced diet resulting in appropriate weight gain generally supplies all vitamins and minerals needed during pregnancy 3
  • Pregnant women should focus on consuming fresh fruits and vegetables, lean meats, poultry, and fish, fat-free or low-fat milk and milk products, and whole grains 4
  • Water is the safest beverage choice during pregnancy, with fruit juices being a better alternative to diet sodas 4

Guidance on Artificial Sweetener Consumption

  • If a pregnant woman is concerned about caloric intake and weight gain, she should consult with a healthcare provider or nutritionist for personalized dietary guidance rather than relying on diet sodas 1
  • For women with gestational diabetes who need to limit sugar intake, water flavored with fresh fruit or herbs provides a safer alternative to artificially sweetened beverages 1

Alcohol Consumption Advice

  • Because no safe threshold of alcohol use during pregnancy has been established, women who are pregnant, planning a pregnancy, or at risk for pregnancy should be advised not to drink alcohol 2