Can I eat sauerkraut while pregnant?

US pregnancy food safety guidance. Educational only.

What Guidelines Say

i

Pasteurized sauerkraut is generally safe, while raw, unpasteurized varieties require careful handling due to potential bacterial contamination risks.

Read more details

According to FDA and CDC guidelines, food safety during pregnancy focuses on minimizing risks from pathogens like Listeria monocytogenes and Salmonella. Sauerkraut is a fermented product that is naturally acidic, which typically inhibits the growth of harmful bacteria. However, unpasteurized or 'raw' sauerkraut found in the refrigerated section may pose a slight risk if the fermentation process was not strictly controlled or if cross-contamination occurred. Pasteurized, shelf-stable sauerkraut has undergone heat treatment to eliminate pathogens, making it the preferred choice for pregnant individuals. Another significant consideration is sodium content; a single cup of sauerkraut can contain upwards of 900mg of sodium. High sodium intake is linked to increased blood pressure and gestational edema. While the probiotics in raw sauerkraut are beneficial for gut health, guidelines suggest prioritizing pasteurized versions or cooking raw varieties to ensure safety.

Avoid

High-Sodium Sauerkraut

Caution

Check nutrition labels for sodium content before purchasing sauerkraut.

Safe Options

Low-Sodium Sauerkraut

Expert Pick

Fresh Cabbage

Not sure about other foods?

Snap a photo to check instantly

Get the App
Updated: Sources: Dietary Advice Before and During Pregnancy | FDA +5

Safer Choices

Low-Sodium Sauerkraut

  • Opt for low-sodium or reduced-sodium versions to decrease sodium intake.

Fresh Cabbage

  • Incorporate fresh, cooked cabbage into meals for similar nutritional benefits without the high sodium content.

Other Fermented Vegetables

  • Choose other fermented vegetables with lower sodium levels, such as homemade pickles with controlled salt content.

Yogurt

  • Consume plain, unsweetened yogurt to obtain probiotics beneficial for digestive health.

Kimchi

  • If prepared with reduced salt, kimchi can be a flavorful alternative providing probiotics.

Pasteurized canned or jarred sauerkraut

  • Shelf-stable products are heat-treated to kill bacteria
  • Commercial pasteurization ensures a consistent safety profile

Cooked sauerkraut

  • Heating sauerkraut to an internal temperature of 165°F (74°C) eliminates most foodborne pathogens
  • Cooking is an effective way to make unpasteurized varieties safer for consumption

Low-sodium preparations

  • Rinsing sauerkraut under cold water can reduce sodium content by approximately 30-40%
  • Selecting 'low-sodium' labeled brands helps manage daily salt intake

Risks & Limits

High-Sodium Sauerkraut

  • Regular sauerkraut varieties can be high in sodium; excessive consumption may lead to increased blood pressure.

Canned Sauerkraut

  • Often contains added preservatives and higher sodium levels; check labels for sodium content.

Large Portions

  • Consuming large amounts can quickly exceed daily sodium recommendations.

Unpasteurized 'raw' sauerkraut from open vats

  • Bulk bins or open barrels in delis have a higher risk of cross-contamination
  • Lack of heat treatment means live pathogens could theoretically survive if the pH is not sufficiently low

Excessive daily portions

  • Consuming more than one cup per day may exceed recommended sodium limits for pregnant women
  • High salt intake can exacerbate pregnancy-related swelling and hypertension

Key Points from Health Guidelines

Based on FDA, ACOG, Mayo Clinic published guidance

  • 1
    Check nutrition labels for sodium content before purchasing sauerkraut.
  • 2
    Limit portion sizes to control sodium intake.
  • 3
    Rinse sauerkraut under water to reduce surface sodium before consumption.
  • 4
    Balance sauerkraut intake with other low-sodium foods throughout the day.
  • 5
    Monitor blood pressure regularly during pregnancy.
  • 6
    Consult a healthcare provider about dietary choices and sodium intake.
  • 7
    Consider preparing homemade sauerkraut to control salt content.

Common Questions About sauerkraut in Pregnant

Can I eat sauerkraut while pregnant?
Pasteurized sauerkraut is generally safe, while raw, unpasteurized varieties require careful handling due to potential bacterial contamination risks.
Is it safe to eat sauerkraut during the first trimester?
Yes, sauerkraut is generally safe during the first trimester when consumed in moderation. Its probiotics can support digestive health, but be mindful of its high sodium content.
How much sauerkraut can I safely eat while pregnant?
Given its high sodium content, it's advisable to limit sauerkraut intake to small portions, such as half a cup, and ensure total daily sodium intake does not exceed 2,300 milligrams.
What are the main risks of eating sauerkraut during pregnancy?
The primary concern is its high sodium content, which can contribute to elevated blood pressure and increase the risk of complications like preeclampsia.
Are there safer alternatives to sauerkraut for probiotics?
Yes, plain, unsweetened yogurt and other fermented foods with controlled salt content can provide probiotics without excessive sodium.
How can I reduce the sodium content in sauerkraut?
Rinsing sauerkraut under water before consumption can help reduce surface sodium. Additionally, choosing low-sodium varieties or making homemade sauerkraut with less salt can be beneficial.