Maternal Health

Listeria and Food Safety in Pregnancy

The short answer

Pregnant people are about 10 times more likely to get listeriosis, a serious infection caused by the Listeria bacteria found in certain foods. To reduce risk, avoid deli meats unless heated until steaming, soft cheeses made from unpasteurized milk, raw sprouts, refrigerated smoked seafood, and unpasteurized milk or juice. Proper food handling is also important.

Thousands of parents search for this exact thing. You are not alone.

By Age

What to expect by age

Listeria infection can cause miscarriage, stillbirth, and preterm labor. Prevention is key: heat deli meats and hot dogs until steaming (165F), avoid soft cheeses from unpasteurized milk (feta, Brie, Camembert unless labeled pasteurized), wash all produce thoroughly, keep refrigerator at 40F or below, and eat perishable foods promptly.

Continue food safety practices. Listeria is unique among foodborne bacteria because it can grow at refrigerator temperatures. Cook leftovers and ready-to-eat foods thoroughly. If you ate something you later realize may be risky, do not panic - the actual risk of infection from a single exposure is very low.

Listeria can cause serious complications at any stage but is especially concerning near delivery as it can cause neonatal infection. Continue all food safety precautions. If you develop flu-like symptoms (fever, muscle aches) after eating a potentially contaminated food, contact your provider promptly for evaluation and possible antibiotic treatment.

What Should You Do?

When to take action

Probably normal when...
  • Following food safety guidelines during pregnancy
  • Occasionally worrying about a food you ate - the actual risk is very low
Mention at your next visit when...
  • You accidentally ate a food known to be higher risk for listeria
  • You want clarification about which foods are safe
Act now when...
  • Fever, muscle aches, nausea, or diarrhea after eating potentially contaminated food
  • Symptoms of infection combined with pregnancy complications (contractions, decreased movement)

Sources

Trust your instincts. If something feels wrong, reach out to your pediatrician.

Worrying about your baby means you care. That is a good thing.

Cat Litter and Toxoplasmosis Risks

Toxoplasmosis is a parasitic infection that can be transmitted through contact with infected cat feces, undercooked meat, contaminated soil, or unwashed produce. While infection during pregnancy can affect the baby, the risk is easily minimized. Have someone else clean the litter box, cook meat thoroughly, wash produce well, and wear gloves when gardening.

Dealing with Abnormal Prenatal Screening Results

An abnormal prenatal screening result can be terrifying, but it is important to understand that screening tests are designed to cast a wide net and have significant false-positive rates. Most people with abnormal screening results go on to have healthy babies after further testing confirms the baby is fine. An abnormal screening is a reason for more information, not a diagnosis.

Pregnancy Over 35 (Advanced Maternal Age)

While pregnancy after 35 carries some increased risks (including chromosomal abnormalities, gestational diabetes, and hypertension), the vast majority of people over 35 have healthy pregnancies and healthy babies. The term "geriatric pregnancy" is outdated and does not reflect reality. With appropriate prenatal care and monitoring, outcomes are excellent.

Amniocentesis Questions and Fears

Amniocentesis is a diagnostic test performed between 15-20 weeks that analyzes amniotic fluid to detect chromosomal conditions and genetic disorders with over 99% accuracy. The risk of pregnancy loss from the procedure is approximately 1 in 500-1,000 when performed by an experienced provider. Understanding the actual risks can help you make an informed decision.

20-Week Anatomy Scan Unexpected Findings

The 20-week anatomy scan checks your baby's major organs, structures, and growth. Most scans are completely normal. When unexpected findings are identified, they range from minor variants that resolve on their own to conditions that need further evaluation. Many findings require nothing more than a follow-up ultrasound to confirm the baby is developing well.

Less Movement with Anterior Placenta

An anterior placenta (attached to the front wall of the uterus) acts as a cushion between the baby and your belly wall, which can make movements feel muffled or less intense. You may feel movement later (22-24 weeks instead of 18-20) and primarily on the sides and lower belly. This is normal, but you should still feel regular movement once it is established.