The American public consumes a wide array of caffeinated products as c
offee, tea, chocolate, cola beverages, and caffeine-containing medicat
ion. Therefore, if seems of value to inform both the scientific commun
ity and the consumer about the potential effects of excessive caffeine
consumption, particularly by pregnant women. The results of this lite
rature review suggest that heavy caffeine (greater than or equal to 30
0 mg per day) during pregnancy is associated with small reductions in
infant birth weight that may be especially detrimental to premature or
low-birth-weight infants. Some researchers also document an increased
risk of spontaneous abortion associated with caffeine consumption pri
or to and during pregnancy. However, overwhelming evidence indicates t
hat caffeine is not a human teratogen, and that caffeine appears to ha
ve no effect on preterm labor and delivery. More research is needed be
fore unambiguous statements about the effects of caffeine on pregnancy
outcome variables can be made.