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Moderate
Coffee Drinking
OK During Pregnancy: Study
NEW YORK (Reuters Health) -
Another study has found that moderate caffeine consumption by
pregnant women is not likely to harm the developing fetus.
"This study provides reassurance
that moderate caffeine consumption during pregnancy does not meaningfully
influence fetal growth," write Dr. Michael B. Bracken of Yale
University School of Medicine in New Haven, Connecticut and colleagues.
"Large amounts of caffeine should
be avoided, but we found no evidence of risk from consumption
of decaffeinated coffee," they add in the March issue of the American
Journal of Epidemiology.
But serious effects could be seen
among women who drink six or more 10-ounce cups of coffee daily,
they add. The findings mirror research released last month by
Danish researchers that found pregnant women who drank four cups
of coffee daily or more were at greater risk of having a stillborn
child.
In the current study, researchers
asked nearly 2,300 pregnant women in Connecticut and Massachusetts
about their caffeine consumption, and tested their urine for caffeine.
The investigators found that caffeine
consumption did not increase the risk of low birth weight or preterm
delivery, and had no effect on fetal growth in the womb.
But the researchers did see a relationship
between caffeine consumption and birth weight, with weight reduced
by 28 grams (just under one ounce) for every 100 milligrams of
caffeine consumed daily, the equivalent of about one cup of coffee.
The reduction, the researchers
say, is unlikely to have any clinical effect, except among women
consuming 600 milligrams of caffeine (6 cups of coffee) daily
or more.
Much larger effects were seen for
women who smoked during pregnancy, the researchers note. Those
who smoked 10 cigarettes daily cut their baby's birth weight by
about 180 grams (6.3 ounces), while babies of women who smoked
a pack of 20 cigarettes a day weighed about 360 grams (12.7 ounces)
less than newborns whose mothers didn't smoke at all.
SOURCE: American Journal of Epidemiology
2003;157:456-466.
Reference
Source 89
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