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Is It Safe to Drink Kombucha During Pregnancy?

18 Mar 2025
Is It Safe to Drink Kombucha During Pregnancy
Kombucha—a fizzy, fermented tea known for its probiotics and gut health benefits—is a popular drink among health-conscious individuals. But if you’re pregnant, you might be wondering: Is kombucha safe during pregnancy? The short answer? Most doctors recommend avoiding kombucha during pregnancy due to concerns about alcohol content, caffeine, and bacteria from fermentation. Let’s dive into the risks, possible benefits, and safe alternatives for expecting moms.

4 Reasons Why Kombucha May Not Be Safe During Pregnancy

1. It Contains Alcohol 

  • Kombucha is fermented, which means it naturally contains alcohol.
  • Even store-bought kombucha labeled “non-alcoholic” can still have trace amounts (0.5% or more).
  • Some home-brewed kombucha can contain as much alcohol as beer (up to 3%!).
Why it matters: Even small amounts of alcohol are not considered safe during pregnancy, as they can cross the placenta and affect fetal development.

2. Kombucha Is Unpasteurized

  • Most kombucha (especially homemade) is unpasteurized, meaning it contains live bacteria and yeast.
  • This increases the risk of foodborne illness, such as Listeria or other harmful bacteria, which can be dangerous for pregnant women and babies.
Why it matters: Pregnant women have weaker immune systems, making them more vulnerable to foodborne illnesses that can lead to miscarriage, preterm labor, or birth complications.

3. It Contains Caffeine

  • Kombucha is made from black or green tea, which contains caffeine.
  • Some brands have as much as 25 mg of caffeine per serving (though less than coffee, it still adds up).
Why it matters: Pregnant women are advised to limit caffeine intake to 200 mg per day. Too much caffeine may increase the risk of miscarriage or low birth weight.

4. It May Cause Digestive Issues 

  • Kombucha is high in probiotics and organic acids, which can:
    Aid digestion (for some).
    Cause bloating, diarrhea, or nausea—especially if your stomach is sensitive.
Why it matters: If you already struggle with morning sickness, acid reflux, or an upset stomach, kombucha could make it worse.

Possible Benefits of Kombucha (If Consumed in Moderation & Approved by Your Doctor)

Although kombucha has potential risks, some people consider it beneficial because: It contains probiotics, which support gut health.
It has antioxidants that may help boost the immune system.
It may aid digestion and reduce bloating. If you want to drink kombucha during pregnancy, consult your doctor first. They may allow small amounts of pasteurized, store-bought kombucha with low caffeine and alcohol.

Safe Alternatives to Kombucha During Pregnancy

If you’re looking for a pregnancy-safe drink with similar benefits, try: Pasteurized probiotic drinks (like kefir or yogurt-based drinks).
Herbal teas (ginger, peppermint, or chamomile for digestion).
Infused water with lemon, cucumber, or mint.
Sparkling water with a splash of juice for a bubbly, kombucha-like experience. Tip: Always choose pasteurized probiotic products to avoid bacteria risks.

Final Thoughts: Should You Drink Kombucha While Pregnant?

Because of its alcohol content, unpasteurized nature, caffeine, and digestive effects, most doctors recommend avoiding kombucha during pregnancy. Instead, opt for safer alternatives like pasteurized probiotic drinks or herbal teas. When in doubt, always consult your doctor before consuming kombucha while expecting!
Content Reviewed by Dr V. profile picture

Content Reviewed by Dr V.

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Dr. Vaheh Shirvanian, a family medicine physician and father. With over 17 years of experience, he specializes in inpatient acute hospital care, outpatient family medicine, urgent care, emergency medicine, and hospice care. Dr. V is passionate about guiding new parents through the challenges and joys of parenthood, offering compassionate and expert support at every step.

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