Can a mother drink coffee while breastfeeding? Awareness of the diet of breastfeeding mothers. Survey and review of the latest recommendations
Abstract
Introduction: Breastfeeding women often face the dilemma of whether they can drink coffee and, if so,
in what quantity. The European Food Safety Authority recommends a daily intake of 200 mg of caffeine
for lactating women. It is assumed that 1 cup of black coffee provides from 70 to 140 mg of caffeine.
Aim: The article outlines surveyed women’s understanding of coffee consumption safety during breastfeeding
and current recommendations.
Material and methods: The study used an original questionnaire. 630 women aged 18–44 took part in the
survey. The level of knowledge regarding the diet of a breastfeeding mother was examined, with particular
emphasis on the aspect of coffee.
Results: Most of the surveyed women — 408 (64.8%) answered that drinking coffee is allowed while
breastfeeding. However, only over ⅓ of respondents (34.9%) indicate that there is a limit to the amount
of coffee consumed during lactation and it should not be more than 1–2 cups a day. The study showed
no relationship between women’s knowledge and the use of advice from a certified lactation consultant
(p = 0.472).
Conclusions: Most surveyed women correctly indicate coffee as a drink allowed during lactation. However,
they are not aware of the limitations associated with it. The lack of this knowledge may be because mostly
they hear about the diet of breastfeeding mothers from their families rather than from medical professionals.
Using advice from a certified lactation consultant among respondents was not associated with having
more detailed knowledge about drinking coffee during lactation.
Keywords: breastfeedingcoffeecaffeinelactationbreastfeeding diet
References
- Sekuła M. Jak odkrycie kawy rozpoczęło nową formę życia kulturalno-obyczajowego w Europie? In: Świerczek A, Wyszogrodzka S, Kołat S. ed. Innowacje w kulturze na przestrzeni wieków. Wydawnictwo WAM, Kraków 2016: 119–136.
- Zdrojewicz Z, Grześkowiak K, Łukasiewicz M. Czy picie kawy jest zdrowe? Med Rodz. 2016; 3: 138–145.
- Socała K, Szopa A, Serefko A, et al. Neuroprotective Effects of Coffee Bioactive Compounds: A Review. Int J Mol Sci. 2020; 22(1).
- Cornelis M, El-Sohemy A. Coffee, caffeine, and coronary heart disease. Current Opinion in Lipidology. 2007; 18(1): 13–19.
- Gökcen BB, Şanlier N. Coffee consumption and disease correlations. Crit Rev Food Sci Nutr. 2019; 59(2): 336–348.
- Arnaud MJ. Metabolism of caffeine and other components of coffee, In: Garattini S. ed. Caffeine, Coffee and Health. Raven Press, New York 1993: 43–95.
- Callahan MM, Robertson RS, Arnaud MJ, et al. Human metabolism of [1-methyl-14C]- and [2-14C]caffeine after oral administration. Drug Metab Dispos. 1982; 10(4): 417–423.
- Grosso L, Triche E, Benowitz N, et al. Prenatal Caffeine Assessment: Fetal and Maternal Biomarkers or Self-Reported Intake? Annals of Epidemiology. 2008; 18(3): 172–178.
- Le Guennec JC, Billon B. Delay in caffeine elimination in breast-fed infants. Pediatrics. 1987; 79(2): 264–268.
- Parsons WD, Neims AH. Prolonged half-life of caffeine in healthy tem newborn infants. J Pediatr. 1981; 98(4): 640–641.
- Carrier O, Pons G, Rey E, et al. Maturation of caffeine metabolic pathways in infancy. Clin Pharmacol Ther. 1988; 44(2): 145–151.
- Pituch A, Hamułka J, Wawrzyniak A, et al. Ocena stosowania używek ze szczególnym uwzględnieniem spożycia kofeiny w wybranej grupie kobiet karmiących piersią. Rocz Panstw Zakl Hig. 2012; 63(2): 171–178.
- Zielińska MA, Sobczak A, Hamułka J. Breastfeeding knowledge and exclusive breastfeeding of infants in first six months of life. Rocz Panstw Zakl Hig. 2017; 68(1): 51–59.
- WHO. Breastfeeding. World Health Organization. https://www.who.int/health-topics/breastfeeding#tab = tab_2..
- Mitchell DC, Knight CA, Hockenberry J, et al. Beverage caffeine intakes in the U.S. Food Chem Toxicol. 2014; 63: 136–142.
- Rohweder R, de Oliveira Schmalfuss T, Dos Santos Borniger D, et al. Caffeine intake during pregnancy and adverse outcomes: An integrative review. Reprod Toxicol. 2024; 123: 108518.
- EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies). Scientific Opinion on the safety of caffeine. EFSA Journal. 2015; 13(5).
- Bzikowska-Jura A, Żukowska-Rubik M, Wesołowska A, et al. Recommendations of the Expert Group included in the Dietary Guidelines for breastfeeding women. Stand Med Pediatr. 2023; 20: 233–248.
- Clark I, Landolt HP. Coffee, caffeine, and sleep: A systematic review of epidemiological studies and randomized controlled trials. Sleep Med Rev. 2017; 31: 70–78.
- Santos IS, Matijasevich A, Domingues MR. Maternal caffeine consumption and infant nighttime waking: prospective cohort study. Pediatrics. 2012; 129(5): 860–868.
- Kato I, Kozai S, Htun Y. Stężenie kofeiny w mleku japońskich matek karmiących piersią. Karmienie piersią Med. 2018; 13(7).
- Bik-Multanowski M, Łagosz A, Bakalarz R. Wiedza kobiet na temat odżywiania w okresie laktacji. https://nursing.com.pl/artykul/wiedza-kobiet-na-temat-odzywiania-w-okresie-laktacji-5f3e9f3f99dc40003dcde578.
- Karcz K, Lehman I, Królak-Olejnik B. Foods to Avoid While Breastfeeding? Experiences and Opinions of Polish Mothers and Healthcare Providers. Nutrients. 2020; 12(6): 1644.