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Is it safe? · Pregnancy Smart

Is hibiscus tea safe during pregnancy?

Assigned clinical reviewerMichael Yuzefovich· MD, FACOGDraft · pending clinical reviewUpdated

What does the evidence say about hibiscus tea during pregnancy?

  1. Hibiscus flowers have a long history in traditional medicine as a plant used to bring on a late period, and that reputation has actually been studied by researchers rather than dismissed as folklore. 1
  2. Concentrated hibiscus extract measurably slowed and weakened uterine muscle contractions in animal studies, showing this plant is pharmacologically active on the womb and not just a flavoring ingredient. 2
  3. Pregnant rats given hibiscus extract had female offspring that gained extra weight and reached puberty later, changes the researchers linked to elevated stress-hormone levels in the mother during pregnancy. 3
  4. A daily hibiscus drink measurably lowered blood pressure over six months in a clinical trial of healthy adults, so this isn't just a folk claim about the tea. 4
  5. Hibiscus extract added on top of a prescription blood pressure medication produced blood pressure drops similar to combining two prescription drugs, which is exactly why it's worth mentioning to your provider if you take blood pressure medicine. 5

Is hibiscus tea safe in each trimester?

  • First trimester. The first trimester is when this caution matters most. Hibiscus has a long folk history as a plant used to bring on a late period, which lines up with exactly the window you're trying to protect. Most clinicians suggest choosing a different tea for now and checking with your provider before hibiscus becomes a habit.
  • Second trimester. The period-related worry matters less by the second trimester, but the blood-pressure question doesn't go away. If your blood pressure has ever run low, or you're on any blood-pressure medication, ask your provider before drinking hibiscus tea regularly.
  • Third trimester. Care teams often watch blood pressure closely in the third trimester, so a tea that can lower it on its own adds a variable your provider may not want in the mix. It's simplest to save hibiscus tea for after delivery and ask your provider when it's fine to bring back.

Frequently asked questions

Can hibiscus tea cause a miscarriage?

There's no proof that a cup of hibiscus tea causes miscarriage in people. What raises a flag is hibiscus's long traditional use for bringing on a late period, plus animal studies showing it's active on uterine muscle and reproductive hormones. That mix of signals is why most providers say it's easiest to skip.

Can I drink hibiscus tea if I have low blood pressure or take blood pressure medication?

This is exactly the situation to flag with your provider first. Hibiscus has been shown to lower blood pressure on its own, and one study found it added to a blood pressure prescription still pushed numbers lower. Stacking that on top of an already-low reading or medication needs their sign-off.

Is it okay if hibiscus is just one ingredient in a fruit tea blend?

A blend with a little hibiscus is a smaller dose than a straight hibiscus tea, but there's no established safe cutoff during pregnancy. Check the ingredient list, and when in doubt, pick a caffeine-free blend without hibiscus or ask your provider.

References

  1. Improvement on Blood Pressure and Skin Using Roselle Drink: A Clinical Trial

    PubMed · https://pubmed.ncbi.nlm.nih.gov/35758855/

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.