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5 aliments à éviter durant la grossesse

5 foods to avoid during pregnancy

Pregnancy comes with its share of restrictions, or at least warnings about certain foods. We know, for example, that care must be taken with raw meat or fish and soft-rind cheeses, as they can contain bacteria such as E. coli and Salmonella.

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Pregnancy comes with its share of restrictions, or at least cautions around certain foods. We know, for example, that care should be taken with raw meat or fish, and soft cheeses, as they can contain bacteria such as E. coli and Salmonella. Today we're talking about 5 foods that are best consumed in moderation during pregnancy, including two (foie gras and smoked salmon) that often appear on festive tables. Let's take a closer look!
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1 in 5 infection cases millions of pregnant women regarding soft cheeses

Smoked salmon

What is the problem?

The bacterium Listeria monocytogenes is often harmless in healthy adults. However, listeriosis is dangerous for pregnant women, whose immune system is weakened during pregnancy.

Listeriosis generally presents with flu-like symptoms: fever, chills, fatigue, headaches and muscle or joint pain. In rarer cases, digestive symptoms may occur (e.g. nausea, vomiting, diarrhoea, constipation).

A relatively rare infection

In a study on pregnant women, they showed that there was 1 case of Listeria infection per 83,000 following consumption of deli meats, and 1 case per 5 million for soft cheeses [1]. 

Therefore, if foods are handled and stored correctly, the risk of Listeria infection appears to be low. As a result, pregnant women do not need to avoid smoked salmon, as long as it is consumed in moderation and the source is reliable [2]. 
 

What are the consequences of contamination during pregnancy?

Even though the risk of Listeria food poisoning remains relatively low, the consequences of such an infection are serious for pregnant women. Listeriosis can cause miscarriage (in the first trimester), premature birth, stillbirth, respiratory distress, or a serious infection in the baby, such as meningitis or septicaemia [3]. 

What to do in practice?

It is important to check the origin of smoked salmon during pregnancy, ensure it is properly stored, and consume it quickly after purchase.

Smoked salmon is only considered safe if it is tinned or sold vacuum-packed at room temperature (pasteurised).

For all other types of smoked salmon (cold-smoked or hot-smoked), there is a risk of listeria contamination during preparation and storage. Seafood products sold for human consumption are subject to microbial contamination screening, which increases the safety of commercially available products.

Cold-smoked: the smoking temperature rarely exceeds 30°. The flesh is that of a raw fish. There is therefore a risk of contamination by parasites or bacteria (if handled incorrectly).

Hot-smoked: this time, the temperature exceeds 55° to 60°. Some manufacturers go as high as 80°. However, when stored in the cold, bacteria can develop on it after cooking. The risks here are linked to storage rather than to the preparation itself.

We recommend cooking it (until it reaches an internal temperature of 74°C). Listeria survives and grows at cold temperatures, but is destroyed by cooking.

Please note that listeria grows at refrigerator temperature, survives freezing and is only destroyed by cooking[4]. The pathogens responsible for listeriosis can survive freezing.

The risk is present if the fish has not been handled correctly.

To find out more, read our full article smoked salmon during pregnancy.

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Certain fish

Certain fish can contain high levels of methylmercury, which vary notably depending on the species or the fishing location. Methylmercury has a toxic effect on foetal development (demonstrated by experimental or accidental data from very high exposure levels). 

Did you know?

It is often said that liver should not be consumed during pregnancy. In reality, this depends on the type of liver and the quantity consumed. For example, 40g of chicken liver provides 1592 µg of retinol, which is fine. 

Large fish such as swordfish, marlin and shark [5] should be eliminated entirely from the diet, and tuna consumption should be limited. Farmed or Baltic salmon (high in toxins) should be avoided in favour of wild salmon (Atlantic or Pacific). Opt for small fish instead, such as anchovies, sardines or mackerel.

Raw shellfish must never be eaten during pregnancy, without exception. Prawns, lobster, or scallops may be consumed if you are certain they have been thoroughly cooked. Avoid buying them pre-cooked — it is preferable to buy them fresh or frozen and cook them yourself.

Taramasalata, lumpfish roe, and caviar are fine if you have cooked them. As they are, they should be avoided as they could be contaminated with listeria or toxoplasmosis.

To find out more, have a look at our article on fish and pregnancy.

Small oily fish are particularly recommended during pregnancy. They are very rich in omega-3 DHA, which is essential for the healthy development of the foetal brain and vision. 

Our supplement omega 3 pregnancy Omega Mama will help to meet your intake needs for this nutrient. 

And for a complete intake, you can take a multivitamin that already contains omega-3. Do bear in mind, however, the best pregnancy food supplements separate the omega-3 from the other compounds, to ensure their stability, as in the Baby Bump supplement. 

Take Care Mama

You need to pay attention to the hygiene of the foods you consume, beyond those that are prohibited. For example, we recommend avoiding pre-cut fruits and vegetables, as they are more likely to be contaminated by pathogens.

The liver

What is the problem?

Animal or fish liver is very rich in retinol, a teratogenic substance that increases the risk of foetal malformations if the mother consumes too much, particularly when eaten during the first trimester of pregnancy. ANSES has set an upper safety limit of 3,000 µg/day. If you are pregnant, you should therefore be mindful of your liver consumption. 

What do we do?

However, liver does have its advantages: it is rich in B vitamins and choline ! To stock up on this nutrient safely, our supplement choline pregnancy is ideal. 
 

Furthermore, one study observed very low vitamin A stores in pregnant and breastfeeding women at risk of vitamin and mineral deficiency (low income, closely spaced pregnancies, multiple pregnancy, or breastfeeding during pregnancy). A vitamin A deficiency could increase the risk of anaemia in the mother and the risk of negative impacts on the foetus [6].

Some fruits and vegetables are rich in vitamin A, but in the form of provitamin A (carotenoids, including beta-carotene). A high intake of beta-carotene does not lead to excessive conversion into vitamin A, as the body eliminates the surplus[7].

40g of cod liver provides 1668 µg of retinol
40g of chicken liver provides 1592 µg of retinol
40g of rabbit liver provides 1812 µg of retinol

40 g of veal liver provides 4,200 µg of retinol, which exceeds the safety limit!
40 g of heifer liver provides 3,092 µg of retinol
40 g of turkey liver provides 4,320 µg of retinol
40 g of raw lamb liver provides 3,052 µg of retinol

You can eat foie gras during pregnancy in very small quantities (once over the festive period, a small portion), but not just any kind: only the sterilised tinned variety. Other forms should be avoided due to the risk of listeria.

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Papaya (not fully ripe)

Papaya is often cited among the fruits not recommended for pregnant women, as it is said to cause miscarriage. But what is the reality?

What is the issue?

Studies have shown that raw papaya latex and its proteases, such as papain and chymopapain, are potent uterine contractants. Raw papaya latex induces spasmodic contraction of uterine muscles similar to that of oxytocin and prostaglandin F2 on the uterus of female rats at various stages of gestation[8]. However, the results relate specifically to unripe or semi-ripe papaya, which contains a high concentration of latex.

What do we do?

We avoid eating unripe papaya during pregnancy.

And what about pineapple?

According to popular belief, eating pineapple could shorten the cervix and encourage labour induction. It can in fact be dangerous to consume during pregnancy, as it may trigger contractions. 

Pregnancy food challenge

Our step-by-step advice for your diet during pregnancy

5 foods to avoid during pregnancy

Raw sprouted seeds

What is the problem?

Raw sprouted beans and seeds (alfalfa, bean sprouts, soy sprouts, onion, clover, broccoli, radish, and mung bean sprouts) are not recommended during pregnancy, as they carry a risk of food poisoning, most commonly caused by Salmonella or E. coli.

Bacteria can enter sprouted seeds through cracks in the shell before the sprouts are grown. Once inside, they are very difficult to remove, even when rinsed under water or washed with soap. What's more, compared to other plant-based foods, sprouted foods require warm, humid conditions to grow, which further encourages bacterial growth.

What should you do?

Avoid eating sprouted seeds during pregnancy.

Please note! Simply heating them is not enough to destroy bacteria. It is important to cook them thoroughly (you should see steam rising during cooking). Check sandwiches and salads bought outside the home, as they often contain sprouted seeds — ask for them to be prepared without.

Jolly tips

When fruits and vegetables are peeled, pressed, or cut, harmful bacteria can get inside.

Wash your fruit and vegetables thoroughly, even if you're not eating the skin or peel!

Liquorice (in large quantities)

What is the issue?

Glycyrrhizin is the active compound in liquorice, known for its sweet flavour, which is why it is used as a sweetener. It may be harmful during pregnancy when consumed in high doses.

This 2017 Finnish study[9] followed 378 children born in 1998 for over 12 years, whose mothers had consumed large quantities of glycyrrhizin. The study found a link between earlier onset of puberty in baby girls and high liquorice consumption by their mothers during pregnancy.

It also highlighted consequences for children's brain development, including reduced cognitive abilities and memory, and a higher risk of attention deficit disorder with or without hyperactivity.

What do we do?

Avoid liquorice herbal teas or natural remedies containing liquorice, as these can contain high doses of glycyrrhizin. The occasional sweet is fine.

Please note that consuming too much liquorice can be problematic for everyone, not just pregnant women (raised blood pressure, arrhythmia [10]).

I'm pregnant and I've already eaten these foods. What should I do?

Mama, if you are pregnant and have been eating these during your pregnancy, no panic. Simply avoid them going forward.

There are other precautions to take with foods that are not necessarily to be avoided altogether, but where it is best to limit consumption as much as possible. These include: soya and pregnancy, coffee and pregnancy, etc. 

We also pay attention to how we cook our food — making sure it is cooked all the way through. For example, barbecue during pregnancy is possible, as long as certain rules are respected (cooking, etc.).  

[1] Adrienne Einarson et al., « Food-borne illnesses during pregnancy », Canadian Family Physician 56, nᵒ 9 (septembre 2010): 869‑70.

[2] Tam, Carolyn, Aida Erebara, et Adrienne Einarson. 2010. « Food-borne illnesses during pregnancy ». Canadian Family Physician 56 (4): 341‑43.

[3] Wang, Zhaoyun, Xiaojing Tao, Shan Liu, Yutong Zhao, et Xiuhua Yang. 2021. « An Update Review on Listeria Infection in Pregnancy ». Infection and Drug Resistance 14 (mai): 1967‑78. https://doi.org/10.2147/IDR.S313675.

[4] Pasteur, recommandations sur la listéria

[5] Livret support grossesse, AFSSA

[6] Manuela Strobel, Jana Tinz, et Hans-Konrad Biesalski, « The Importance of Beta-Carotene as a Source of Vitamin A with Special Regard to Pregnant and Breastfeeding Women », European Journal of Nutrition 46 Suppl 1 (juillet 2007): I1-20, https://doi.org/10.1007/s00394-007-1001-z.

[7] Livret accompagnement grossesse, AFSSA

[8] Adebowale Adebiyi, P. Ganesan Adaikan, et R. N. V. Prasad, Papaya (Carica Papaya) Consumption Is Unsafe in Pregnancy: Fact or Fable? Scientific Evaluation of a Common Belief in Some Parts of Asia Using a Rat Model, The British Journal of Nutrition 88, no 2 (août 2002): 199‑203, https://doi.org/10.1079/BJNBJN2002598.

[9] Katri Räikkönen et al., « Maternal Licorice Consumption During Pregnancy and Pubertal, Cognitive, and Psychiatric Outcomes in Children », American Journal of Epidemiology 185, no 5 (1 mars 2017): 317‑28, https://doi.org/10.1093/aje/kww172.

[10] NHS Uk, Eating too much black liquorice might be bad for you

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