Can I eat pastrami while pregnant?

US pregnancy food safety guidance. Educational only.

What Guidelines Say

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FDA guidelines state pastrami is safe only when heated to steaming hot (165°F) to eliminate potential Listeria bacteria.

Read more details

Pastrami is a cured deli meat categorized as a high-risk food for Listeria monocytogenes, a bacterium that can survive refrigeration and cause listeriosis. According to FDA and ACOG guidelines, pregnant individuals are significantly more susceptible to listeriosis, which can lead to severe complications including miscarriage, stillbirth, or preterm labor. To mitigate this risk, medical consensus requires heating all deli meats, including pastrami, until they are steaming hot, reaching an internal temperature of 165°F (74°C). This temperature is sufficient to destroy any bacteria present. Cold pastrami served directly from a deli counter or refrigerator is considered unsafe. Additionally, pastrami is typically high in sodium and nitrates; while not strictly prohibited, limiting intake is often suggested for managing blood pressure and overall maternal health.

Avoid

Unheated Deli Meats

Caution

Reheat deli meats to 165°F (74°C) before consumption.

Safe Options

Freshly Cooked Meats

Expert Pick

Canned Meats

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Updated: Sources: Dietary Advice Before and During Pregnancy | FDA +2

Safer Choices

Freshly Cooked Meats

  • Opt for meats cooked at home to an internal temperature of 165°F (74°C) to ensure safety.

Canned Meats

  • Shelf-stable canned meats are generally safe as they are processed to eliminate harmful bacteria.

Vegetarian Alternatives

  • Consider plant-based deli slices, which carry a lower risk of bacterial contamination.

Home-Roasted Poultry or Beef

  • Preparing and slicing your own roasted meats allows control over cooking temperatures and reduces contamination risk.

Pasteurized Meat Spreads

  • Choose meat spreads labeled as pasteurized, as the pasteurization process kills harmful bacteria.

Steaming hot pastrami

  • Heating meat to an internal temperature of 165°F ensures the destruction of Listeria monocytogenes.

Home-cooked beef brisket

  • Preparing fresh brisket at home allows for full control over cooking temperatures and hygiene standards.

Grilled pastrami sandwiches

  • Utilizing a panini press or skillet to heat the meat until it is steaming throughout provides a safer preparation method.

Shelf-stable meat products

  • Canned or shelf-stable meats undergo high-heat processing that eliminates bacterial risks, though sodium levels remain high.

Risks & Limits

Unheated Deli Meats

  • Consuming deli meats without reheating increases the risk of Listeria infection.

Unpasteurized Meat Spreads

  • These can harbor harmful bacteria and should be avoided during pregnancy.

Cold Smoked Meats

  • Cold smoking does not kill Listeria; thus, these products pose a risk.

Raw or Undercooked Meats

  • Always ensure meats are cooked thoroughly to eliminate potential pathogens.

Cold deli-sliced pastrami

  • Refrigerated deli meats are primary sources of Listeria outbreaks and are considered unsafe unless reheated.

High-sodium cured meats

  • Excessive sodium intake can contribute to gestational hypertension and increased water retention.

Nitrate-heavy preparations

  • Some guidelines suggest limiting nitrates during pregnancy to support optimal fetal development.

Key Points from Health Guidelines

Based on FDA, Mayo Clinic published guidance

  • 1
    Reheat deli meats to 165°F (74°C) before consumption.
  • 2
    Use a food thermometer to verify internal temperatures.
  • 3
    Store deli meats in the refrigerator at or below 40°F (4°C).
  • 4
    Consume opened packages of deli meats within 3-5 days.
  • 5
    Wash hands and surfaces thoroughly after handling raw meats.
  • 6
    Avoid cross-contamination by using separate utensils for raw and cooked foods.
  • 7
    Consult a healthcare provider with any dietary concerns during pregnancy.

Common Questions About pastrami in Pregnant

Can I eat pastrami while pregnant?
FDA guidelines state pastrami is safe only when heated to steaming hot (165°F) to eliminate potential Listeria bacteria.
Is it safe to eat pastrami during the first trimester?
Pastrami can be consumed during the first trimester if it is reheated to an internal temperature of 165°F (74°C) just before eating to reduce the risk of Listeria infection.
How often can I eat reheated pastrami while pregnant?
There is no specific frequency limit; however, it's advisable to consume a varied diet and ensure pastrami is properly reheated each time.
What are the risks of eating unheated pastrami during pregnancy?
Unheated pastrami may be contaminated with Listeria monocytogenes, which can cause listeriosis—a serious infection that may lead to miscarriage, stillbirth, or severe illness in newborns.
Are there safer alternatives to pastrami for sandwiches during pregnancy?
Yes, options include freshly cooked meats, canned meats, vegetarian deli slices, home-roasted poultry or beef, and pasteurized meat spreads.
How should I properly reheat pastrami to make it safe during pregnancy?
Heat pastrami until it reaches an internal temperature of 165°F (74°C). Use a food thermometer to ensure accuracy. Microwaving or pan-heating until steaming hot are effective methods.