Can pregnant women eat parmesan cheese
Foods to avoid when pregnant
Foods to avoid when pregnant | Pregnancy Birth and Baby beginning of content6-minute read
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There are some foods you should not eat when you're pregnant because they might make you ill or harm your baby. Make sure you know the important facts about which foods you should avoid or take extra care with when you're pregnant. The best foods to eat are freshly cooked or freshly prepared food.
Some types of cheese
Don't eat mould-ripened soft cheese, such as brie, camembert and chevre (a type of goat's cheese) and others with a similar rind. You should also avoid soft blue-veined cheeses such as Danish blue or gorgonzola. These are made with mould and they can contain listeria, a type of bacteria that can harm your unborn baby.
Although infection with listeria (listeriosis) is rare, it is important to take special precautions in pregnancy because even a mild form of the illness in a pregnant woman can lead to miscarriage, stillbirth or severe illness in a newborn baby.
You can eat hard cheeses such as cheddar, parmesan and stilton, even if they're made with unpasteurised milk. Hard cheeses don't contain as much water as soft cheeses so bacteria are less likely to grow in them. Many other types of cheese are okay to eat, but make sure they're made from pasteurised milk. They include cottage cheese, mozzarella, cream cheese, paneer, haloumi, goat's cheese and processed cheeses such as cheese spreads.
Pâté
Avoid all types of pâté, including vegetable pâtés, as they can contain listeria.
Raw or partially cooked eggs
Make sure that eggs are thoroughly cooked until the whites and yolks are solid. This prevents the risk of salmonella food poisoning. Don’t eat foods that contain raw and undercooked eggs, such as homemade mayonnaise. If you wish to have dishes that contain raw or partially cooked eggs, consider using pasteurised liquid egg. Don’t use cracked or dirty eggs.
Raw or undercooked meat
Cook all meat and poultry thoroughly so it is steaming hot and there is no trace of pink or blood. Take particular care with poultry, pork, sausages and minced meat, including burgers.
Don't eat rare meat. Toxoplasmosis is an infection caused by a parasite that can be found in meat, soil, cat faeces and untreated water. If you are pregnant the infection can damage your baby, but it's important to remember that toxoplasmosis in pregnancy is very rare.
If you feel you may have been at risk, discuss it with your doctor, midwife or obstetrician. If you are infected while you're pregnant, treatment for toxoplasmosis is available.
Wash all surfaces and utensils thoroughly after preparing raw meat. It's also important to remember to wash and dry your hands after touching or handling raw meat. This will help to avoid the spread of harmful bugs such as salmonella, campylobacter and E. coli that can cause food poisoning.
Liver products
Don't eat liver or liver products such as liver pâté or liver sausage, as they may contain a lot of vitamin A. Too much vitamin A can harm your baby.
Supplements containing vitamin A
Don't take high-dose multivitamin supplements, fish liver oil supplements or any supplements containing vitamin A.
Some types of fish
Fish contains protein and essential omega-3 fatty acids, so it is recommended in pregnancy.
However, some types of fish have higher levels of mercury, which can affect the baby’s developing nervous system. It’s important to limit your intake of fish with higher levels of mercury. Shark (flake), broadbill, marlin and swordfish should be eaten no more than once a fortnight and don’t eat any other fish during that fortnight. Orange roughy and catfish should be eaten no more than once a week, and no other fish should be eaten during that week.
For more information about mercury in fish, visit Food Standards Australia.
Raw shellfish
Eat cooked rather than raw shellfish as it can contain harmful bacteria and viruses that can cause food poisoning and have a higher risk of listeria contamination.
Pre-packaged salads
Pre-prepared or pre-packaged fruit or vegetable salads, including those from buffets and salad bars have a higher risk of listeria contamination.
Certain fruit and vegetables
Don’t eat rockmelon, due to a risk of listeria, or bean sprouts, due to salmonella.
Sushi
Don’t eat chilled seafood such as raw oysters, sashimi and sushi, smoked ready-to-eat seafood and cooked ready-to-eat prawns, which have a higher risk of listeria contamination.
The safest way to enjoy sushi is to choose the fully cooked or vegetarian varieties, such as those that include:
- cooked seafood, for example fully cooked eel (unagi) or shrimp (ebi)
- vegetables, for example cucumber (kappa) maki
- avocado — for example California roll
- fully cooked egg
Cold cured meats
Cold cured meats include salami, parma ham, chorizo and pepperoni. In Australia, pregnant women are advised to avoid eating cold cured meats or smoked fish as there is a small risk of these foods harbouring listeria, or the toxoplasma parasite that causes toxoplasmosis. These include:
- cold meats from delicatessen counters and sandwich bars, and packaged, sliced ready-to-eat meats
- cold cooked ready-to-eat chicken (whole, portions, or diced)
Unpasteurised milk
If you have milk, drink only pasteurised or UHT (ultra-heat treated) milk (also called long-life milk). If only raw (unpasteurised) milk is available, boil it first. Don’t drink unpasteurised goat’s or sheep’s milk or eat food that is made out of them, such as soft goat’s cheese.
Don't eat soft-serve ice-creams while you're pregnant as they have a higher risk of listeria contamination.
Alcohol
There is no safe level of alcohol that you can have during your pregnancy. Whether you are planning a pregnancy, already pregnant or breastfeeding, not drinking is the safest option as alcohol can harm your unborn baby.
Caffeine
High levels of caffeine can increase the risk of miscarriage, low birth weight and experiencing a difficult birth. Caffeine is naturally found in lots of foods, such as coffee, tea and chocolate, and is added to some soft drinks and energy drinks. Some cold and flu remedies also contain caffeine. Talk to your midwife, doctor or pharmacist before taking these remedies.
You don’t need to cut out caffeine completely, but don’t have more than 200mg a day. The approximate amounts of caffeine found in food and drinks are:
- 1 cup of instant coffee: 60mg
- 1 shot of espresso coffee: 100mg
- 1 cup of plunger coffee: 80mg
- 1 cup of tea: 30mg
- 375ml can of cola: 49mg
- 250ml can of energy drink: 80mg
- 100g bar of milk chocolate: 20mg
Don’t worry if you occasionally have more than 200mg, the risks are quite small. To cut down on caffeine, try decaffeinated tea and coffee, fruit juice or mineral water instead of regular tea, coffee and cola.
Energy drinks
Energy drinks are not recommended during pregnancy as they may contain high levels of caffeine, and other ingredients not recommended for pregnant women.
Foods with soil on them
Wash fruit, vegetables and salads to remove all traces of soil and visible dirt. Learn more about safe food preparation.
Peanuts and allergies
If you would like to eat peanuts or food containing peanuts (such as peanut butter) during pregnancy, you can choose to do so as part of a healthy balanced diet, unless you are allergic to them or your health professional advises you not to. Exclusion of any particular foods (including foods considered to be highly allergenic) from the maternal diet during pregnancy or breastfeeding is not recommended, as this has not been shown to prevent allergies in your baby.
Check out our handy guide to food and drink during pregnancy (infographic) that you can print off to stick on the fridge or keep in your bag.
Sources:
Australasian Society of Clinical Immunology and Allergy (Infant feeding and allergy prevention), Food Standards Australia New Zealand (Caffeine), Food Standards Australia New Zealand (Mercury in fish), Eat For Health (Healthy eating during your pregnancy), NSW Food Authority (Foods to eat or avoid when pregnant), The Royal Women's Hospital Melbourne (Food safety during pregnancy), Department of Primary Industries (Food safety during pregnancy)Learn more here about the development and quality assurance of healthdirect content.
Last reviewed: August 2020
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Related pages
- Healthy diet during pregnancy
- Guide to food and drink during pregnancy
- Food preparation and safety
- Food cravings during pregnancy
- Alcohol and pregnancy
- Vitamins and supplements during pregnancy
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Can Pregnant Women Eat Parmesan Cheese? Is it Safe?
Last Updated on September 22, 2021
Cheese has to be one of the most confusing aspects of eating food safely in pregnancy, because there’s no one-rule-fits-all. Parmesan cheese still gets queried a lot, because it CAN be unpasteurized. But does that automatically mean it’s unsafe in pregnancy?
Can Pregnant Women Eat Parmesan? Traditional Parmigiano Reggiano is an unpasteurized, hard cheese from Italy. This parmesan is safe in pregnancy due to its low water content. However, some cheeses can still be called “parmesan” and are made differently, in other countries.
Parmesan is both delicious and versatile, and I know many of you will want to know if you can continue eating it during pregnancy. To try and remove some of the gray areas, I’ve listed common pregnancy-safe brands in this article, plus dishes that contain parmesan and whether they’re OK or not.
Covered in this Article:
Is Parmesan Cheese made with Pasteurized Milk?
First, you ought to know that there are two types of parmesan. One is the classic, protected Italian cheese, and the other is generic. Both get referred to as ‘parmesan’, but they’re quite different.
First, there’s the “real” parmesan – its full name is Parmigiano Reggiano and it will always carry the full name on the label and the rind. It can only be made in certain regions of Italy, and only to a certain recipe and standard. It’s got a PDO (Protected Designation of Origin).
Parmigiano-Reggiano is always made with unpasteurized milk, BUT it’s still safe when you’re pregnant. This is because it’s a hard cheese, aged for a minimum of 12 months, and can be aged for much longer. It has a low moisture content, which makes it very difficult for pathogens like listeria to survive in it.
Then there’s “generic” parmesan, which is common in the US and other countries outside Europe. It will either be called “parmesan” or “Reggiano” on the label. Generic parmesan can be made with unpasteurized or pasteurized milk. Both are safe in pregnancy, because of the hard texture of the cheese, and its minimum aging criteria.
A 1990 study deliberately introduced listeria into parmesan in a lab, to see how the bacteria would survive. As the cheese ripened (and dried out), listeria counts lowered to the point of being undetectable after several weeks (source: PubMed). The conclusion was that listeria doesn’t survive very well in parmesan.
Additionally, the FDA considers parmesan as food that “does not support the growth” of listeria, either (source: FDA). In the United States, all unpasteurized milk cheeses, like generic parmesan, have to be aged more than 60 days by law. This means it’s highly unlikely for listeria to survive in it.
Can Pregnant Women only eat Cooked Parmesan?
Parmesan – real or generic – is so unlikely to contain listeria that pregnant women can safely eat it cold, uncooked, or sliced straight out of the packet (or cheese wheel). This is the case, even if it’s made with unpasteurized milk, due to its low moisture content and hard texture.
Most hard cheeses can be eaten uncooked in pregnancy for the same reasons. Softer cheeses, however, need to be either made with pasteurized milk, or be fully cooked. If you’re a cheese fiend like me, you might find this ultimate list of safe pregnancy cheeses useful!
Is Aged Parmesan OK in Pregnancy?
Real, Parmigiano-Reggiano is aged for a minimum of 12 months, all the way up to 36 months. Generic parmesan can be aged anywhere from 10 months upwards.
Aged parmesan is not only safe in pregnancy, it’s theoretically safer, the older it is. The longer parmesan ages, the more dry and brittle it becomes, making it inhospitable to listeria and other pathogens.
That said, all parmesan is safe, at any age. It’s really a matter of taste. The older the cheese, the more expensive, but the more intense the flavor will be.
Is Mold (Mould) on Parmesan Dangerous in Pregnancy?
Real parmesan from Italy doesn’t tend to go moldy, it just dries out. Younger, generic parmesan cheeses may get mold on them over time.
Avoid mold on cheese (or any other food) when you’re pregnant. Depending on the mold and the cheese, it can cause anything from food poisoning to an upset stomach (source: USDA). Unlike mold that is deliberately added to cheese (like blue cheeses), this type of mold is not edible and should be avoided.
Because parmesan is such a hard cheese, the mold is unlikely to have penetrated very far into the cheese, and you can cut it off. However, it’s probably better to avoid any cheese that has gone bad when you’re pregnant, as sometimes it’s hard to tell how deeply the mold has penetrated into the food (source: USDA).
If you find cheese is going moldy faster than it should, check the way you’re storing food and the temperature of your fridge.
Is Grated, Shredded or Shaved Parmesan Safe When Pregnant?
So long as it’s “Parmesan”, either real or generic, it should still be safe in pregnancy no matter what form it takes. Grated and shredded parmesan is sometimes not made of parmesan at all, so check the ingredients list first. It might be called “Italian cheese” instead, which isn’t the same thing.
To stop the product clumping together, you may see other added ingredients like cellulose. These aren’t harmful, but a whole piece of parmesan won’t have such additions.
If you use a lot of parmesan in your cooking, it’s probably better to use the pure, unadulterated stuff and grate it off a single piece or block. Cross-contamination risks are also lowered because a whole block of cheese has a smaller surface area, too. In the end, it comes down to convenience and your budget.
Pregnancy-Safe Parmesan Brands
As I’ve already mentioned, all parmesan is safe when you’re pregnant.
However, I know it’s sometimes good to be reassured that your favorite brand is OK to eat. Here are some of the popular brands of parmesan, and they’re all safe to eat, cooked or uncooked, in pregnancy:
- Any parmesan labeled “Parmigiano-Reggiano” is safe. This is the genuine parmesan imported from Italy.
- Kraft
- Belgioioso
- Sartori
- iGourmet
- Any store-bought or supermarket own brand (e.g. 365, Tesco, Asda, Walmart, Trader Joe’s, Sainsbury’s, Waitrose, ASDA, Publix and so on)
- Saputo
- Organic Valley
- Olio & Olive
- SarVecchio
Food Made with Parmesan and its Pregnancy Safety
Parmesan is rarely eaten on its own, of course. Here are some dishes that frequently use parmesan, and whether they’re safe in pregnancy:
- Parmesan cheese crisps or crackers – all are fine to eat when you’re pregnant
- Eggplant Parmesan, also called Eggplant Parmigiana – this is safe to eat in pregnancy as all the ingredients it usually contains are fine. If you’re reheating it or having leftovers, make sure it’s piping hot before enjoying it.
- Chicken Parmesan or Chicken Parmigiana – like eggplant parm, this is also safe to eat, but make sure the chicken is fully cooked throughout (the interior should reach 165F / 74 C, and you can measure this most accurately with a thermometer).
- Parmesan salad dressings – for example, parmesan peppercorn dressing, is safe in pregnancy if the other ingredients are also pregnancy-safe. Dressings sometimes contain raw egg, especially if they’re homemade, and this should be avoided when you’re pregnant (find out more about eggs here). Commercially-made dressings found on a shelf, not a fridge, are usually safe.
This article is one of many on the subject of cheese on this site. If you’re a cheese lover, you might also want to check out my ultimate list of which cheeses are safe in pregnancy.
There are also specific cheeses dealt with, such as:
- Eating fresh burrata and mozzarella if you’re pregnant
- All about Mascarpone cheese safety
- A pregnant woman’s guide to eating feta
- Whether blue cheese is safe to eat or not
- A detailed article on cheese spread and cream cheese, and
- When halloumi is safe (or not) in pregnancy, too
This article has been reviewed and approved for publication in line with our editorial policy. |
Is it possible to eat cheese during pregnancy?
Cheese is a tasty and healthy product, beloved by many. That is why the statement of some doctors that any cheese is strictly forbidden to women during pregnancy can really spoil the mood. However, you should not despair - if you dig deeper, it turns out that everything is not so categorical. Below we will understand what are the benefits and harms of cheeses for pregnant women.
Which cheeses should be avoided during pregnancy
Despite all its usefulness and the abundance of microelements and vitamins in its composition, some types of cheese can sometimes cause irreparable harm to a woman and her unborn baby. These are unpasteurized cheeses, which may contain Listeria monocyotogenes, the bacterium that causes listeriosis. Acute infectious disease is severe and is accompanied by chills, high fever, muscle pain, nausea and vomiting. Such a severe clinical picture can lead to a miscarriage or the development of severe pathologies in the fetus - given this, it is necessary to be extremely selective in choosing cheeses during childbearing. nine0003
The infectious bacterium lives in unpasteurized cheeses made from sheep's and goat's milk that have not undergone heat treatment. We are talking about soft types of cheese and varieties with mold: dor blue, brie, camembert, cambonzola, etc. Also at risk are cheeses with blue mold: Roquefort, Gorgonzola, Savoy cheese. Such products contain a lot of liquid and little acid, which is the most favorable environment for the development of Listeria monocyotogenes.
Why mold is harmful when carrying a child
In addition to the risk of getting sick with listeriosis, eating delicious marbled cheeses, you run the risk of experiencing all the delights of the impact on the body of "noble" mold. So, valuable blue mold, which gives cheeses such a refined taste, endows the product with a number of side qualities. Being a pure antibiotic, mold kills the beneficial microflora that inhabits the body, which can cause intestinal dysbacteriosis and disrupt the digestive tract.
An imbalance of water and lactic acid in moldy foods can lead to the growth of fungus in the body, which is also highly undesirable for a pregnant woman who is already in a vulnerable state. Given the foregoing, doctors strongly recommend abandoning "live" cheeses for the period of bearing a child. nine0003
Which cheeses are safe for pregnant women? Under the influence of high temperature and careful processing, pathogenic bacteria die, making the cheese not only tasty, but also safe. Such cheeses include: gouda, maasdam, parmesan, cheddar, Poshekhonsky, etc. - all of them will not harm a pregnant woman, since the environment favorable for the life of bacteria is destroyed during high temperature processing. Eating hard cheeses, you will get the whole range of nutrients, saturate the body with calcium and, in addition, diversify your diet with a delicious product. nine0003
There is also good news for lovers of soft cheeses: there are varieties that pregnant women can safely include in their diet. These include delicious varieties such as feta, philadelphia, mascarpone, cottage cheese, goat cheese without rind (pasteurized), processed cheeses, etc. The technology for the production of such cheeses involves heat treatment, during which bacteria die. With soft cheeses, you can create various dishes, including delicious and healthy desserts - what could be better for a pregnant woman! nine0003
When to start eating moldy soft cheeses
Once your baby is born and the breastfeeding period is over, you can enjoy the full range of cheeses, including the gourmet blue mold varieties. Soft cheeses from Zhukovka are rightfully considered one of the best. Accurate adherence to production technology, verified to the gram of the recipe - all this allows you to make truly gourmet cheeses. By the way, the manufacturer's assortment also includes pasteurized soft varieties, for example, classic feta cheese, which is safe for women in an interesting position. nine0003
Which types of cheese are prohibited during pregnancy?
Despite the fact that cheese is considered very healthy due to its nutrients, expectant mothers should be careful in choosing a product.
Despite the fact that cheese is considered very healthy due to its nutrients, expectant mothers should be careful about choosing a product. So, some varieties of cheese are prohibited during pregnancy.
See also: Can I take antidepressants during pregnancy? nine0003
A balanced diet during pregnancy is extremely important. The mother provides the child with nutrients through food.
Cheese contains many minerals, trace elements and vitamins, which are very important for both. However, some species are susceptible to pathogens that can be passed on to the unborn child. To minimize this risk, pregnant women should avoid certain strains.
Gorgonzola, feta, mozzarella: which types of cheese are prohibited during pregnancy? nine0005
Typical types of cheese, which are made of raw milk and which pregnant women should avoid:
- Kamamber,
- Gorgonzola,
- Feta,
- Raklet,
- Tilsiter,
- Rockfort.
There are also some hard cheeses such as Allgäu mountain cheese, Allgäu Emmental and Le Gruyère, which are best avoided.
An exception, however, are long-term hard cheeses such as parmesan. There should be no harmful bacteria inside. Pasteurized milk cheese is generally safe for pregnant women. Processed cheese or industrially made pickled cheese, such as mozzarella, may also be on the menu. nine0003
However, it is important to note that bacteria can settle on the skin of any kind of cheese. Therefore, pregnant women should always cut it before eating.
Why are raw dairy products dangerous for pregnant women?
Since raw milk and raw milk products are not heated, they may contain pathogens such as Listeria. They usually die when the milk is heated. According to the Federal Institute for Risk Assessment (BfR), Listeria foodborne infection is harmless to most people. However, they can be more dangerous for people at risk, such as pregnant women, young children, or sick people. nine0003
Listeria causes the infectious disease listeriosis, which often presents in pregnant women with flu-like symptoms such as fever, exhaustion, and muscle aches.