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Coffee and pregnancy
March/April 2009
by Bruce Fellman
Women who are newly pregnant, or trying to be, should
reconsider that venti latte. Yale scientists have found that newly pregnant
mice given caffeine—at levels equivalent to as little as two cups of coffee a
day for a human—had offspring with long-term heart problems and other
abnormalities.
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Doctors recommend that mothers-to-be eliminate or at least sharply curtail their intake of caffeine.
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The research, coupled with a study last year that
linked first-trimester caffeine consumption with an increased risk of
miscarriage, has doctors reiterating recommendations that mothers-to-be
eliminate or at least sharply curtail their intake of full-strength coffee,
tea, soda, or any of the many drinks and foods, such as chocolate, that contain
caffeine.
Scott Rivkees, director of Yale’s Child Health
Research Center, and his colleagues injected pregnant mice with caffeine eight
to ten days after conception. (The corresponding period for humans is 20 to 40
days after conception.) When the offspring reached adulthood, Rivkees’s team
compared them with the offspring of a control group of pregnant mice that
hadn’t received caffeine. The male offspring had 20 percent more body fat. More
alarming still, the hearts of both male and female offspring were 40 percent
less efficient at pumping. (The study will appear in April’s FASEB Journal.)
Rivkees is planning epidemiological studies of the
long-term effects of caffeine consumption in early pregnancy in humans.
Meanwhile, he urges women to cut back, particularly in the first trimester.
Surprisingly, though, Rivkees says caffeine may be
beneficial when given to infants born prematurely; studies have shown that it
can reduce the rate of cerebral palsy by as much as 50 percent. 
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