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The effect of maternal caffeine consumption during the perinatal period on lactation

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Published: Jan 9, 2024
DOI: https://doi.org/10.12681/healthresj.35544
Keywords:
perinatal breastfeeding pregnancy Greece caffeine consumption lactation Maternal
Maria Tigka
RM, MSc, PhD, Department of Obstetric Emergency, General and Maternity Hospital “Helena Venizelou”, Athens, Greece
Christina Nanou
Assistant Professor, Department of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, Greece
Maria Tzeli
RM, MSc, PhD (c), Department of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, Greece
Alexandros Gryparis
Assistant Professor, Department of Speech and Language Therapy, University of Ioannina, Greece
Dimitra Metallinou
Assistant Professor, Department of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, Greece
Aikaterini Lykeridou
Professor, Department of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, Greece
Abstract

Background: Caffeine is a substance found in various seeds, foods, beverages and pharmaceuticals. We sought to assess perinatal caffeine consumption rates and the impact of maternal consumption on lactation.


Material and Method: This is a prospective, descriptive cohort study conducted in Greece. Women were recruited from five tertiary maternity hospitals throughout 2020. A total of 847 mothers participated and data were collected during their hospitalization in the maternity hospital using a structured questionnaire. Follow-up included a telephone interview in the first, third and sixth month after delivery.


Results: A significant decrease in caffeine consumption was reported during pregnancy (84.7%) compared to the period before pregnancy (96.3%, p<0.001). On the fourth day postpartum, caffeine intake (65.8%) was reduced significantly compared to the pre-pregnancy period (p<0.001), remaining relatively unchanged over a period of three months postpartum (1st month: 71%, 3rd month: 64.7%). Moreover, there was a significant decline in caffeine intake at six months postpartum (54.2%, p<0.001) and after discontinuation of breastfeeding (42.7%, p<0.001). Our findings showed that women who ceased breastfeeding at any stage over the six-month follow-up consumed less caffeine during the first three months after delivery (p<0.001) in comparison to those who maintained breastfeeding at six months. In addition, higher pre-pregnancy caffeine consumption (β = 0.04, SE: 0.02, p = 0.032) had a positive association with longer breastfeeding duration.


Conclusions: Τhis study was the first to record caffeine intake in the perinatal period in the Greek setting. The results demonstrate that perinatal maternal caffeine consumption was reduced compared to the pre-pregnancy period and that there was a positive correlation between caffeine consumption and breastfeeding duration. 

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References
WHO recommendations on antenatal care for a positive pregnancy experience [Internet]. Geneva (Switzerland): World Health Organization. 2016 [cited 2023 Oct 3]. Available from: https://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng.pdf
Heckman MA, Weil J, Gonzalez de Mejia E. Caffeine (1, 3, 7-trimethylxanthine) in foods: a comprehensive review on con-sumption, functionality, safety, and regulatory matters. J Food Sci. 2010;75(3):R77-R87.
Poole R, Kennedy OJ, Roderick P, Fallowfield JA, Hayes PC, Parkes J. Coffee consumption and health: umbrella review of meta-analyses of multiple health outcomes [published correc-tion appears in BMJ. 2018 Jan 12;360:k194]. BMJ. 2017 Nov 22;359:j5024.
Grosso G, Godos J, Galvano F, Giovannucci EL. Coffee, Caf-feine, and Health Outcomes: An Umbrella Review. Annu Rev Nutr. 2017;37:131-156.
NHS. Breastfeeding and Diet [Internet]. UK: National Health Service (England). [reviewed 2022 Sep 1, cited 2023 Oct 3]. Available online: https://www.nhs.uk/conditions/pregnancy-and-baby/breastfeeding-diet/
James JE. Maternal caffeine consumption and pregnancy outcomes: a narrative review with implications for advice to mothers and mothers-to-be. BMJ Evid Based Med. 2021;26(3):114-115.
APA. Caffeine intake during pregnancy [Internet]. Texas (USA): American Pregnancy Association. 2023 [cited 2023 Oct 3]. Available from: http://americanpregnancy.org/pregnancy-health/caffeine-during-pregnancy/.
CDC. Maternal Diet. Are there any foods that mothers should avoid or limit while breastfeeding? [Internet]. Georgia (USA): Centers for Disease Control and Prevention. [reviewed 2022 May 17, cited 2023 Oct 3]. Available from: https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/diet-and-micronutrients/maternal-di-et.html#:~:text=Caffeine%3A,to%203%20cups%20of%20coffee).
Rhee J, Kim R, Kim Y, Tam M, Lai Y, Keum N, Oldenburg CE. Maternal Caffeine Consumption during Pregnancy and Risk of Low Birth Weight: A Dose-Response Meta-Analysis of Observa-tional Studies. PLoS One. 2015 Jul 20;10(7):e0132334.
ACOG CommitteeOpinion No. 462: Moderate caffeine con-sumption during pregnancy. Obstet Gynecol. 2010;116(2 Pt 1):467-468.
Greenwood DC, Thatcher NJ, Ye J, Garrard L, Keogh G, King LG, Cade JE. Caffeine intake during pregnancy and adverse birth outcomes: a systematic review and dose-response meta-analysis. Eur J Epidemiol. 2014;29(10):725-734.
Li DK, Ferber JR, Odouli R. Maternal caffeine intake during pregnancy and risk of obesity in offspring: a prospective cohort study. Int J Obes (Lond). 2015;39(4):658-664.
Papadopoulou E, Botton J, Brantsaeter AL, Haugen M, Alex-ander J, Meltzer HM, Bacelis J, Elfvin A, Jacobsson B, Sengpiel V. Maternal caffeine intake during pregnancy and childhood growth and overweight: results from a large Norwegian pro-spective observational cohort study. BMJ Open. 2018 Apr 23;8(3):e018895.
McCreedy A, Bird S, Brown LJ, Shaw-Stewart J, Chen YF. Effects of maternal caffeine consumption on the breastfed child: a systematic review. Swiss Med Wkly. 2018 Sep 28;148:w14665.
Tigka M, Metallinou D, Nanou C, Iliodromiti Z, Gryparis A, Lykeridou K. Medication Intake as a Factor for Non-Initiation and Cessation of Breastfeeding: A Prospective Cohort Study in Greece during the COVID-19 Pandemic. Children (Basel). 2023;10(3):586.
Tigka M, Metallinou D, Tzeli M, Lykeridou K. Maternal to-bacco, alcohol and caffeine consumption during the perinatal period: A prospective cohort study in Greece during the COVID-19 pandemic. Tob Induc Dis. 2023;21:80.
Rebhan B, Kohlhuber M, Schwegler U, Koletzko B, Fromme H. Rauchen, Alkoholkonsum und koffeinhaltige Getränke vor, während und nach der Schwangerschaft - Ergebnisseaus der Studie "Stillverhalten in Bayern" [Smoking, alcohol and caffeine consumption of mothers before, during and after pregnancy--results of the study ‘breast-feeding habits in Bavaria’]. Gesund-heitswesen. 2009;71(7):391-8.
Mourtakos SP, Tambalis KD, Panagiotakos DB, Antonogeor-gos G, Arnaoutis G, Karteroliotis K, Sidossis LS. Maternal lifestyle characteristics during pregnancy, and the risk of obesity in the offspring: a study of 5,125 children. BMC Pregnancy Childbirth. 2015;15:66.
Tsanidou E, Gougoula V, Tselebonis A, Kontogiorgis C, Con-stantinidis TC, Nena E. Socio-demographic Factors Affecting Initiation and Duration of Breastfeeding in a Culturally Diverse Area of North Eastern Greece. Folia Med (Plov-div). 2019;61:566-571.
Hoyt AT, Browne M, Richardson S, Romitti P, Druschel C. National Birth Defects Prevention Study. Maternal caffeine consumption and small for gestational age births: results from a population-based case-control study. Matern Child Health J. 2014;18(6):1540-1551.
Surma S, Witek A. Coffee consumption during pregnancy - what the gynecologist should know? Review of the literature and clinical studies. Ginekol Pol. 2022;93(7):591-600.
Lisowska A, Kasiak P, Rząca M. Assessment of caffeine in-take in groups of pregnant and breastfeeding women: A cross-sectional analysis. Clin Nutr ESPEN. 2023;57:151-157.
Mattar L, Hobeika M, Zeidan RK, Salameh P, Issa C. "Breast-feed for a Healthier Lebanon" study group. Determinants of Exclusive and Mixed Breastfeeding Durations and Risk of Recur-rent Illnesses in Toddlers Attending Day Care Programs Across Lebanon. J Pediatr Nurs. 2019;45:e24-e34.
Clifford TJ, Campbell MK, Speechley KN, Gorodzinsky F. Factors influencing full breastfeeding in a southwestern ontario community: assessments at 1 week and at 6 months postpar-tum. J Hum Lact. 2006;22(3):292-304.
Ludvigsson JF, Ludvigsson J. Socio-economic determinants, maternal smoking and coffee consumption, and exclusive breastfeeding in 10205 children. Acta Paediatr. 2005;94(9):1310-1319.
Santos IS, Matijasevich A, Domingues MR. Maternal caffeine consumption and infant nighttime waking: prospective cohort study. Pediatrics. 2012;129(5):860-868.
Uenishi T, Sugiura H, Tanaka T, Uehara M. Aggravation of atopic dermatitis in breast-fed infants by tree nut-related foods and fermented foods in breast milk. J Dermatol. 2011;38(2):140-145.