Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

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

Last Updated: 11/2/2025

Caffeine Intake Guidelines During Pregnancy

Evidence-Based Recommendations

  • The European Food Safety Authority recommends that pregnant women strictly limit caffeine intake to ≤200 mg per day, approximately 1-2 cups of coffee, as supported by multiple international guidelines 1
  • The established safe threshold is ≤200-300 mg/day of caffeine during pregnancy, with most guidelines converging on 200 mg/day as the conservative upper limit, due to caffeine freely crossing the placenta and being metabolized more slowly during pregnancy 1
  • Coffee contains 50-300 mg per 8 oz serving, depending on brewing method, so 200 mg/day typically equals 1-2 cups of regular coffee 1

Clinical Considerations

  • Women with uncontrolled hypertension should avoid caffeine entirely until blood pressure is adequately controlled, as recommended by the American Heart Association 2, 1
  • Caffeine sources extend beyond coffee to include tea, energy drinks, soft drinks, and chocolate, all of which must be counted toward the daily total 1

Practical Recommendations

  • Limit total daily caffeine intake to 200 mg/day maximum, counting all sources including coffee, tea, chocolate, and soft drinks, as recommended by the European Food Safety Authority 1
  • Choose water as the primary beverage, with fruit juices as better alternatives to caffeinated drinks when variety is desired, as suggested by the American College of Obstetricians and Gynecologists 3
  • Track caffeine content carefully, considering switching to decaffeinated coffee or tea to stay well below the threshold 1