Can I eat california roll while pregnant?

US pregnancy food safety guidance. Educational only.

What Guidelines Say

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FDA and ACOG guidelines categorize California rolls as safe because they contain cooked imitation crab rather than raw fish.

Read more details

According to FDA and ACOG guidelines, California rolls are generally considered safe for consumption during pregnancy. The primary ingredient, imitation crab (surimi), is a processed seafood product made from cooked white fish, typically Alaskan pollock. Because the fish is fully cooked during production, the risk of parasites and most foodborne illnesses associated with raw seafood is significantly reduced. Furthermore, the fish used in surimi is typically low in mercury, falling into the 'Best Choices' category of the FDA's fish consumption guide. However, safety depends on the roll being prepared in a hygienic environment to prevent cross-contamination with raw fish. Guidelines suggest that pregnant individuals consume 8 to 12 ounces of low-mercury seafood per week to benefit from omega-3 fatty acids while minimizing risks. Proper refrigeration and sourcing from reputable vendors are essential for maintaining safety.

Avoid

Raw Sushi and Sashimi

Caution

Ensure all seafood in sushi is fully cooked.

Safe Options

Cooked Sushi Rolls

Expert Pick

Vegetable Rolls

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Updated: Jan 2026 Sources: Eating Out & Bringing In +4

Safer Choices

Cooked Sushi Rolls

  • Shrimp tempura rolls
  • Eel rolls

Vegetable Rolls

  • Cucumber rolls
  • Avocado rolls
  • Sweet potato rolls

Egg Rolls (Tamago)

  • Tamago sushi
  • Egg nigiri

Fully cooked imitation crab

  • Ensure the surimi is processed and kept refrigerated until use to prevent bacterial growth.

Vegetable-based rolls

  • Cucumber or avocado rolls eliminate seafood-related risks entirely while providing essential nutrients like folate.

Home-prepared rolls

  • Preparing sushi at home allows for strict control over ingredient freshness and the elimination of cross-contamination risks.

Tempura rolls

  • Shrimp or vegetable tempura rolls are deep-fried, ensuring ingredients reach safe internal temperatures of 145°F.

Risks & Limits

Raw Sushi and Sashimi

  • Risk of parasites
  • Risk of bacteria causing foodborne illnesses

High-Mercury Fish

  • King mackerel
  • Shark
  • Swordfish
  • Tilefish
  • Limit sushi containing king mackerel, shark, swordfish, or tilefish due to potential neurodevelopmental risks to the fetus.

Raw fish cross-contamination

  • Avoid rolls prepared on surfaces or with utensils used for raw fish like tuna or salmon to prevent Listeria exposure.

Unpasteurized sauces

  • Avoid spicy mayo or dressings if they contain raw, unpasteurized eggs, which carry a risk of Salmonella.

Key Points from Health Guidelines

Based on FDA, Mayo Clinic published guidance

  • 1
    Ensure all seafood in sushi is fully cooked.
  • 2
    Avoid raw fish and shellfish.
  • 3
    Limit intake of high-mercury fish.
  • 4
    Consume a variety of low-mercury seafood.
  • 5
    Ensure sushi is prepared in a clean environment.
  • 6
    Refrigerate sushi promptly if not consumed immediately.
  • 7
    Consult healthcare provider for personalized dietary advice.

Common Questions

Is it safe to eat California rolls during the first trimester?
Yes, California rolls made with cooked crab or imitation crab are safe during the first trimester, as they do not pose the risks associated with raw seafood.
How often can I eat California rolls while pregnant?
The FDA recommends that pregnant women consume at least 8 and up to 12 ounces of a variety of seafood per week from choices that are lower in methylmercury. California rolls can be included as part of this weekly seafood intake.
What are the main risks of eating sushi during pregnancy?
The primary risks include exposure to harmful bacteria and parasites from raw fish, and high mercury levels in certain fish, both of which can adversely affect fetal development.
Are there safer alternatives to California rolls?
Yes, sushi rolls made with fully cooked seafood, vegetables, or cooked egg (tamago) are safe alternatives during pregnancy.
How should sushi be prepared to ensure safety during pregnancy?
Sushi should be prepared in a clean environment, using fully cooked seafood, and consumed promptly or refrigerated properly to prevent bacterial growth.