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Peut-on boire du café pendant la grossesse ?

Finding out you're pregnant can lead to a range of emotions, from excitement and joy to anxiety and fear. There is a lot to get your head around, including changes to your diet.

Although most foods and drinks are safe to have during pregnancy, there are certain things to avoid or not have too much of - like overdoing it on caffeine.

Read on to find out how much is enough of your daily brew.

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Many of us rely on coffee and the effects of caffeine to get us through the day, but limiting how much caffeine you have during pregnancy is important because high levels have been linked to pregnancy complications.

Caffeine can cross the placenta and enter the bloodstream of the baby.1 Additionally, the body breaks down caffeine more slowly during pregnancy.

The current guidelines state that pregnant women should have fewer than 200 milligrams - around two cups - of instant coffee a day.

"Caffeine, like many things found in a normal diet, can be harmful in large amounts during pregnancy," says midwifery manager Amina Hatia from the pregnancy charity Tommy's.

"Babies can't process caffeine like adults so when large amounts of caffeine cross through the placenta to the baby, it can be dangerous."

Pourquoi le café est-il mauvais pendant la grossesse ?

Caffeine may cause blood vessels in the womb and placenta to constrict, which may reduce the blood supply to the baby and lead to a lower birth weights.2

Studies have also suggested caffeine may disrupt baby's stress hormones, putting infants at risk of rapid weight gain after birth and for later life obesity, heart disease and diabetes.2

Caffeine intake has also been linked to risk of fausse couche3 et mortinaissance.

Une étude de 20204 carried out by the pregnancy charity Tommy's suggests that the risk from caffeine increases the more you have. The research found a 27% increase in stillbirth risk for each 100 mg of caffeine consumed.

"While official guidance remains at 200 mg caffeine per day, this study suggests that limits considered 'completely safe' in current national guidelines should be reconsidered," says Hatia. "While the risk of stillbirth remains low, we suggest you reduce your intake as much as possible."

The research also showed consuming energy drinks led to a higher risk of stillbirth.5 However, the researchers weren't able to establish whether chemicals like taurine were the reason why energy drinks are dangerous in pregnancy, so further studies are needed.

Combien de café peut-on boire pendant la grossesse ?

Although more than 10 in 20 women cut down on caffeine consumption during pregnancy, one in 20 increased their caffeine intake when expecting, according to research by Tommy's.

One of the problems is that it can be difficult to work out how much caffeine is in your cup of coffee - here is a rough guide to how much caffeine is in some popular food and drinks:

  • Mug de café filtre = 140 mg.

  • Mug of instant coffee = 100 mg.

  • 250 ml can of energy drink = at least 80 mg.

  • Tasse de thé ordinaire = 75 mg.

  • Tasse de thé vert = 75 mg.

  • Canette de cola standard = 40 mg.

  • 50 g bar of plain dark chocolate = 25 mg.

  • 50 g bar of milk chocolate = 10 mg.

"It's important not to worry too much, as the risk is still very low," says Hatia. "It should also be remembered that pregnancy loss is very rarely caused by anything you did or did not do. Caffeine is just one part of pregnancy health, alongside eating a balanced diet, keeping physically active, going to antenatal care appointments, and seeking help for unusual symptoms.

"If you are pregnant you might worry if you occasionally go over the suggested caffeine limit, especially when it's not always clear how much caffeine is in a particular food or drink," she adds.

"Caffeine intake can be really confusing, and milligrams don't mean a lot to us, so it can be hard to keep track. We developed our calculateur de caféine de Tommy for this reason - to help give some clear guidance on what 200 mg looks like in a daily diet, so you can avoid unnecessary worry."

Peut-on boire du café décaféiné pendant la grossesse ?

There are no official guidelines in the UK on drinking decaf coffee or tea in pregnancy. The lower levels of caffeine in decaf coffee mean it is likely to be safe to drink in moderation. However, it is important to note that there are no known safe levels of caffeine in pregnancy.

Bien que certaines études5 have found an association between decaffeinated drinks and pregnancy complications, researchers have noted that this may be due to bias in the research. Overall, drinking a couple of cups of decaf coffee during pregnancy should be safe.

Lectures complémentaires et références

  1. Grosso LM, Triche E, Benowitz NL, et al; Prenatal caffeine assessment: fetal and maternal biomarkers or self-reported intake? Ann Epidemiol. 2008 Mar;18(3):172-8. doi: 10.1016/j.annepidem.2007.11.005.
  2. Gleason JL, Tekola-Ayele F, Sundaram R, et al; Association Between Maternal Caffeine Consumption and Metabolism and Neonatal Anthropometry: A Secondary Analysis of the NICHD Fetal Growth Studies-Singletons. JAMA Netw Open. 2021 Mar 1;4(3):e213238. doi: 10.1001/jamanetworkopen.2021.3238.
  3. James JE; Maternal caffeine consumption and pregnancy outcomes: a narrative review with implications for advice to mothers and mothers-to-be. BMJ Evid Based Med. 2021 Jun;26(3):114-115. doi: 10.1136/bmjebm-2020-111432. Epub 2020 Aug 25.
  4. Tommy's: Mums-to-be need more guidance on the risk of caffeine during pregnancy.
  5. Fenster L, Hubbard AE, Swan SH, et al; Caffeinated beverages, decaffeinated coffee, and spontaneous abortion. Epidemiology. 1997 Sep;8(5):515-23. doi: 10.1097/00001648-199709000-00008.

À propos de l'auteurVoir la biographie complète

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Lydia Smith

Rédacteur de reportages

Licence, Master, MSc

Lydia Smith est une journaliste primée et rédactrice spécialisée qui a beaucoup écrit sur la santé des femmes et la santé mentale. Elle prépare actuellement un MSc en psychologie.

À propos du critiqueVoir la biographie complète

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Dr Colin Tidy, MRCGP

Médecin généraliste, Auteur médical

MBBS, MRCGP, MRCP (Paediatrics), DCH

Le Dr Colin Tidy est un médecin du NHS, basé dans l'Oxfordshire.

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