Intended for healthcare professionals

Rapid response to:

Papers

Maternal consumption of coffee during pregnancy and stillbirth and infant death in first year of life: prospective study

BMJ 2003; 326 doi: https://doi.org/10.1136/bmj.326.7386.420 (Published 22 February 2003) Cite this as: BMJ 2003;326:420

Rapid Response:

Bitter experience

I am not an expert but my reading in this area does suggest that
women may find that their taste for coffee/tea or other drinks may be
reduced during pregnancy (particularly early pregnancy) because women
become much more aware of (and averse towards) bitter flavours such as the
alkaloids in both tea and coffee.

It has also been suggested that a sensitivity to alkaloids or bitter
substances may also be an evolutionary advantage associated with morning
sickness during pregnancy.

Have the authors considered the possibility that those who shun
coffee during pregnancy might also avoid other bitter substances which
might explain the observed effect?

Competing interests:  
None declared

Competing interests: No competing interests

13 June 2003
Sean Tierney
Consultant Surgeon
Adelaide & Meath Hospital Dublin