Coffee and fetal death: a cohort study with prospective data
Abstract
The authors conducted a cohort study within the Danish National Birth Cohort to determine whether coffee consumption during pregnancy is associated with late fetal death (spontaneous abortion and stillbirth). A total of 88,482 pregnant women recruited from March 1996 to November 2002 participated in a comprehensive interview on coffee consumption and potentially confounding factors in pregnancy. Information on pregnancy outcome was obtained from the National Hospital Discharge Register and medical records. The authors detected 1,102 fetal deaths. High levels of coffee consumption were associated with an increased risk of fetal death. Relative to nonconsumers of coffee, the adjusted hazard ratios for fetal death associated with coffee consumption of 1/2-3, 4-7, and > or =8 cups of coffee per day were 1.03 (95% confidence interval (CI): 0.89, 1.19), 1.33 (95% CI: 1.08, 1.63), and 1.59 (95% CI: 1.19, 2.13), respectively. Reverse causation due to unrecognized fetal demise may explain the association between coffee intake and risk of fetal death prior to 20 completed weeks' gestation but not the association with fetal loss following 20 completed weeks' gestation. Consumption of coffee during pregnancy was associated with a higher risk of fetal death, especially losses occurring after 20 completed weeks of gestation.
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One study of 1,207 pregnant women reported that a moderate decrease in caffeine intake to 100 mg/day in the third trimester did not decrease the risk of adverse birth weight-related outcomes.
“In addition, one study of 1,207 pregnant women reported that, although they tended to reduce consumption of caffeine during pregnancy, a moderate decrease in caffeine intake to 100 mg/day in the third trimester of pregnancy did not decrease the risk of adverse birth weight-related outcomes (145).”
From The Safety of Ingested Caffeine: A Comprehensive Review (2017) · cites this paper as [145]
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- Authors
- Bech, B. H., Nohr, E. A., Vaeth, M., Henriksen, T. B., & Olsen, J.
- Affiliations
- Aarhus University (DK)
- Corresponding author
- Bech, Bodil Hammer
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-10-05
- Volume
- 162
- Issue
- 10
- Pages
- 983-990
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- OpenAlex
- W2122110030
- Cited by
- 202
- References
- 54
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 8 · 2020: 57 · 2019: 4 · 2018: 6 · 2017: 7 · 2016: 5 · 2015: 11 · 2014: 10 · 2013: 14 · 2012: 9
- FWCI
- 5.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- March of Dimes Foundation
- Danmarks Grundforskningsfond
- Topics
- Health Sciences › Medicine › Pharmacology › Coffee research and impacts
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
- Keywords
- coffee consumption, fetal death, stillbirth, miscarriage, pregnancy outcomes, caffeine, reverse causality, gestational age, Danish National Birth Cohort
- MeSH terms
- Abortion, Spontaneous, Adult, Alcohol Drinking, Caffeine, Coffee, Denmark, Female, Fetal Death, Gestational Age, Humans, Parity, Pregnancy, Prospective Studies, Risk Factors, Smoking, Socioeconomic Factors, Tea, Cohort Studies, Comorbidity, Causality, Age Distribution, Maternal Exposure, Cola, Fetal Mortality, Stillbirth
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