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Key points

• Decaf has far less caffeine than regular coffee, but it is not caffeine-free.
• ACOG describes moderate caffeine intake as one that is not linked to pregnancy loss or preterm birth.
• The same general guidance applies in every trimester, so ask your provider about your own needs.

Why it matters

Caffeine crosses the placenta and reaches the baby. Because of this, many providers keep an eye on how much caffeine a pregnant person has in a day. Decaf coffee is made by removing most of the caffeine from coffee beans, so it is often seen as a way to enjoy coffee with less caffeine.

Decaf is not zero caffeine. Each cup usually has a small amount, and the total can add up over a day if you drink several cups or have other sources like tea, soda, chocolate, or some medicines.

What is OK and what is not

ACOG says that moderate caffeine intake during pregnancy is not linked to miscarriage or preterm birth. ACOG’s guidance uses a daily total of 200 mg of caffeine from all sources as a level to stay under. Decaf coffee counts toward that total, but it usually adds much less than regular coffee.

The guidance on caffeine does not change by trimester. Many providers suggest staying under the same daily limit in the first, second, and third trimesters. If you have a condition that makes caffeine a concern, such as high blood pressure or heart rhythm problems, your provider may suggest a lower limit.

Some people find that decaf works well for them, while others still feel effects like heartburn or trouble sleeping. Those are good reasons to talk with a provider about your choices.

Practical tips

• Many providers suggest adding up caffeine from all sources, not just coffee.
• Checking the label on tea, energy drinks, soda, and chocolate can help with the total.
• Some people switch to half-caf or decaf in the afternoon to help with sleep.
• Drinking coffee with food may help if it upsets your stomach, though heartburn can also come from pregnancy itself.
• Good nutrition and fluids are part of a healthy pregnancy, so many providers encourage water and other drinks alongside coffee. (NIH)

If you already had decaf coffee

Having a cup of decaf coffee during pregnancy is not usually a reason for alarm, since decaf has only a small amount of caffeine. Many providers suggest focusing on your overall daily total from now on rather than worrying about one cup.

If you are concerned about how much caffeine you have had, bring it up at your next visit. Your provider can review your full daily intake and answer your questions.

When to contact your provider

Contact your provider right away if you have vaginal bleeding, severe belly pain, fever, or a racing or pounding heartbeat that does not settle. Also reach out if you have questions about how much caffeine is right for you.

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