Can I eat Coffee?

High levels of caffeine have been linked to an increased risk of miscarriage and low birth weight. However, a moderate amount (roughly one 12oz cup) is considered safe by the ACOG.

A "Use Caution" rating means this food is generally fine during pregnancy but comes with a specific factor worth managing — a daily limit, a preparation requirement, or a moderation guideline — rather than a reason to avoid it outright. These ratings reflect general guidance from the FDA, ACOG, CDC, and USDA. The goal of the "caution" label is to flag what to pay attention to, not to suggest the food is unsafe when that factor is properly managed.

Try switching to decaf or half-caf to stay under the 200mg limit easily.

ACOG guidance advises keeping caffeine intake under 200mg per day during pregnancy, roughly the amount in 1-2 cups of coffee, since higher intake has been associated with increased risk of miscarriage and low birth weight. Alcohol is treated differently: no amount has been established as safe during pregnancy, and CDC/ACOG guidance is to avoid it completely, since it's linked to fetal alcohol spectrum disorders. Herbal teas vary by ingredient — some, like ginger tea, are commonly considered fine in moderation, but many herbal blends haven't been studied for pregnancy safety, so it's worth checking any specific blend rather than assuming all herbal tea is automatically safe. Staying well hydrated with water is also worth prioritizing during pregnancy, since fluid needs increase, and it's an easy way to naturally limit how much room is left for caffeinated or sugary drinks.

The caution around this food applies consistently across all three trimesters — there isn’t a specific window during pregnancy where it becomes more or less risky. The safest approach is moderation and attention to preparation or portion size throughout, rather than avoiding it in some trimesters and not others. If you’re managing a related condition, such as gestational diabetes or high blood pressure, ask your provider whether they’d recommend a stricter limit than the general guidance described here.

Beyond food-specific guidance, a few baseline food-handling habits reduce risk across everything you eat during pregnancy. These come from general FDA and USDA food-safety guidance rather than being specific to any one food, and they apply the same way in every trimester: