ShePrep

Can I drink Gatorade while pregnant?

Written by Andy Hendrick
6 sources cited

Safe in moderationNo published limit. Judge by the label: free sugars 30g a day, salt 6g a day, caffeine 200mg a day

Yes. No health authority publishes pregnancy guidance on sports or electrolyte drinks, so this verdict comes from what is in them rather than from a rule. Sugar and salt are the two things to count, some brands add caffeine, and for ordinary thirst water remains the default.

The verdict

Yes, and the honest framing is that nobody has ruled on it. No health authority in the UK, United States, Australia or Ireland publishes pregnancy guidance on sports drinks, electrolyte sachets or hydration multipliers, in either direction.

That is not a loophole and it is not an endorsement. It means the verdict has to be built from the general rules that apply to what is in the bottle: sugar, salt and sometimes caffeine.

The short version: an occasional sports drink is unremarkable. A daily habit is worth looking at the label for. And for ordinary thirst, water is what NHS guidance points to.

What is actually in them

Sports drinks were designed for a specific problem - replacing fluid, sodium and carbohydrate during prolonged hard exercise - and most people drinking them are not doing that.

Sugar. A standard sports drink is a sugar solution, typically around 6% carbohydrate, because that concentration empties from the stomach quickly. A 500ml bottle can carry a substantial share of the NHS adult reference intake of 30g of free sugars a day. Zero-sugar versions replace it with sweeteners.

Sodium. This is the point of an electrolyte drink and it is why they taste faintly salty. Some concentrated hydration sachets contain a lot of sodium per serving - considerably more than a sports drink - because they are designed for heavy sweat losses. The NHS adult limit is 6g of salt a day, and a couple of sachets can be a meaningful part of that.

Caffeine. Classic Gatorade and Powerade do not contain caffeine. Some newer hydration and pre-workout style products do, and some contain guarana, which is caffeine under another name. FSANZ requires products containing added caffeine or guarana to declare it on the label. Anything caffeinated counts towards the 200mg daily ceiling.

Vitamins. Some hydration products are fortified. This matters because pregnancy has one hard vitamin rule the NHS is firm about: avoid supplements containing vitamin A, or retinol, because too much can harm your baby. A drink fortified with vitamin A is worth reading the label on, particularly alongside a pregnancy multivitamin.

When they are actually useful in pregnancy

There are two situations where a sports drink does something water does not.

Vomiting and severe morning sickness

NHS guidance on vomiting and morning sickness in pregnancy is about keeping fluids down: drink little and often rather than in large amounts, and get help if you cannot keep fluids down at all. Persistent vomiting - hyperemesis gravidarum - is a recognised condition needing medical treatment rather than a sports drink.

If you are vomiting, you are losing salt as well as water, and a drink with some sugar and sodium is easier to absorb than plain water and provides some energy. This is a practical observation rather than official advice, and it does not replace medical care.

If you cannot keep fluid down for a day, are passing very little urine, or feel faint, that is a reason to contact your midwife or GP the same day. NHS dehydration guidance lists dark strong-smelling urine, dizziness and tiredness among the signs, and pregnancy makes dehydration harder to correct.

Long, hot exercise

Exercise in pregnancy is encouraged, and if you are exercising for a long time in the heat, the same physiology applies to you as to anyone. This is the use these drinks were built for.

For a 30-minute walk or a swim, they are not needed. Water does the job.

The alternatives

For rehydration during illness with diarrhoea and vomiting, oral rehydration salts from a pharmacy are the product actually designed for that purpose. Their composition is set for absorption rather than for taste or athletic performance, and a pharmacist can advise on which are suitable in pregnancy.

For ordinary thirst, water. NHS dehydration guidance is that drinking enough fluid is what prevents dehydration, and pregnancy is a time when fluid needs rise.

Milk contributes fluid, calcium and protein. Diluted fruit juice contributes fluid and some vitamin C, with the caveat that the NHS advises limiting juice to a small glass a day.

How much is too much

No authority has published a limit for sports drinks in pregnancy, and this page will not manufacture one.

What can be said is which numbers to check on the label and against what:

  • Sugars per serving against 30g of free sugars a day for adults
  • Salt or sodium per serving against 6g of salt a day
  • Caffeine, if declared against 200mg a day
  • Vitamin A or retinol against the NHS advice to avoid supplements containing it in pregnancy

If a drink is being used daily as a substitute for water, those numbers add up in a way they do not with occasional use.

If you have been drinking a lot of them

Nothing needs reporting and there is no test. Sports drinks are not on any avoid list and there is no exposure to declare.

It is worth mentioning at your next appointment if they make up a large part of your daily fluid, particularly if you are being screened or monitored for gestational diabetes, where a regular sugar-containing drink is relevant information. It is also worth mentioning if you are drinking them because you cannot keep other fluids down, because that is a symptom that deserves attention rather than a drink choice.

Where guidance differs

It does not, because none of the four authorities has written anything specific. The silence is consistent across the NHS, ACOG, FDA, FSANZ, the HSE and safefood.

The applicable general rules are near-identical too: 200mg of caffeine a day everywhere, and broadly similar advice on limiting sugary drinks. Ireland is the most directive on that last point, grouping sugary fizzy drinks with treat foods and suggesting once or twice a week.

Australia is the only jurisdiction that regulates the product side, requiring caffeine and guarana to be declared on the label and capping caffeine in formulated caffeinated beverages at 320mg per litre, with a mandatory statement that they are unsuitable for pregnant women. That is what separates an energy drink from a sports drink in law, and it is a distinction worth keeping straight: energy drinks carry a pregnancy warning, sports drinks do not.

Guidance by country

The NHS does not mention sports or electrolyte drinks in its pregnancy guidance. Three general rules bear on them: no more than 200mg of caffeine a day, no more than 30g of free sugars a day for adults, and no more than 6g of salt a day. Its dehydration guidance says the way to prevent dehydration is to drink enough fluid, and that plain water is suitable for most situations.

Showing guidance from NHSread the source.

Sources

  1. Dehydration NHS, accessed
  2. Sugar: the facts NHS, accessed
  3. Salt in your diet NHS, accessed
  4. Caffeine during pregnancy Health Service Executive (Ireland), accessed
  5. Caffeine Food Standards Australia New Zealand, accessed
  6. Vomiting and morning sickness in pregnancy NHS, accessed