Raw Fish — pregnancy safety guide from SafeMom
Avoid in pregnancy

Raw Fish

Quick answer

Raw fish, often enjoyed in sushi and sashimi, carries a risk of foodborne illnesses like listeria and salmonella. For this reason, SafeMom advises pregnant women to avoid raw and undercooked fish to help protect both mom and baby. Always check with your healthcare provider for personalized guidance.

Reviewed by Jamie G, Founder & Researcher · Last reviewed July 1, 2026 · 8 min read

INCI name

Raw Fish

Also known as

sushi, sashimi, raw seafood

What is Raw Fish?

Pregnancy Safety Verdict: Avoid

Because of the potential for foodborne pathogens, SafeMom advises pregnant women to avoid raw and undercooked fish throughout pregnancy.

What is Raw Fish?

When we talk about raw fish in pregnancy, we’re usually referring to seafood that hasn’t been cooked to a temperature high enough to eliminate potential bacteria and parasites. This includes popular dishes like sushi, sashimi, ceviche, and even some smoked or cured fish that hasn’t been hot-smoked.

These culinary delights are enjoyed worldwide for their fresh flavors and textures. From delicate slices of tuna and salmon in sashimi to the artfully crafted rolls of sushi, raw fish is a staple in many cuisines. However, during pregnancy, the preparation and cooking methods of our food become especially important.

Why Pregnant Women Ask About Raw Fish

It’s totally understandable why so many of our SafeMom mamas-to-be ask about raw fish! For many, sushi or a fresh poke bowl is a beloved treat, a go-to meal, or even a cultural comfort food. Pregnancy often comes with cravings, and missing out on your favorite raw fish dishes can be a real bummer.

The good news is that there are many delicious and safe ways to enjoy seafood during pregnancy, even if raw preparations are off the menu for a little while. We want to empower you with the knowledge to make informed choices that feel good for you and your little one.

What Research and Expert Consensus Say

The primary reason medical and public health organizations universally recommend avoiding raw and undercooked fish during pregnancy is the potential risk of foodborne illnesses. Raw fish can sometimes harbor pathogens like Listeria monocytogenes, Salmonella, E. coli, and various parasites.

While anyone can get sick from these pathogens, pregnant women are at a higher risk of developing severe complications from certain foodborne illnesses, particularly listeriosis. Listeriosis, caused by Listeria bacteria, can potentially lead to serious health issues for both the expectant mother and the developing baby. Cooking fish to an internal temperature of 145°F (63°C) effectively kills these harmful bacteria and parasites, making it a much safer option.

Leading health authorities, including the American College of Obstetricians and Gynecologists (ACOG) and the Centers for Disease Control and Prevention (CDC), advise pregnant individuals to avoid raw and undercooked seafood. This recommendation is a precautionary measure designed to minimize any potential risks associated with these pathogens.

Safer Alternatives to Enjoy Instead

Missing your sushi fix? Don’t worry, there are plenty of delicious and pregnancy-safe ways to enjoy seafood and sushi-inspired flavors! Opt for fully cooked fish dishes, like baked salmon, grilled cod, or pan-seared scallops. When ordering sushi, look for rolls made with cooked ingredients such as tempura shrimp, cooked crab (California rolls often use imitation crab, which is cooked), or fully cooked eel (unagi).

Vegetarian sushi rolls are also a fantastic option! Think avocado rolls, cucumber rolls, or rolls packed with cooked vegetables like sweet potato or asparagus. These options allow you to enjoy the experience of sushi without any of the raw fish concerns. Always confirm that any seafood dish is thoroughly cooked through before enjoying.

How SafeMom Can Help

Navigating food choices during pregnancy can feel like a lot, but SafeMom is here to be your friendly guide! While we recommend avoiding raw fish, for any other food or ingredient you’re curious about, you can quickly check its pregnancy safety. Simply scan any specific product in the SafeMom app for a complete pregnancy-safety check and feel confident in your choices!

Frequently Asked Questions

Can I have cooked sushi rolls during pregnancy?

Yes, absolutely! Cooked sushi rolls, such as those with cooked shrimp tempura, fully cooked crab (often imitation crab, which is cooked), or cooked eel (unagi), are generally considered safe. Just ensure that any fish or seafood in the roll is thoroughly cooked to the recommended temperature.

What about smoked salmon?

Smoked salmon, particularly cold-smoked salmon, is generally advised to be avoided during pregnancy because the smoking process doesn’t always reach a temperature high enough to kill Listeria bacteria. Hot-smoked salmon, which is cooked to a higher temperature, can be a safer option, but it’s always best to check the specific product and err on the side of caution.

Are there any types of raw fish that are okay?

No, SafeMom advises avoiding all types of raw and undercooked fish during pregnancy. The risk of foodborne pathogens applies broadly to raw seafood, regardless of the type of fish or how it’s prepared (e.g., sushi, sashimi, ceviche). The safest approach is to ensure all fish is thoroughly cooked.

What if I accidentally ate raw fish?

If you’ve accidentally eaten raw fish, try not to panic! While the general recommendation is to avoid it, a single instance doesn’t automatically mean there will be a problem. It’s always a good idea to contact your healthcare provider to discuss your concerns and determine if any monitoring or specific actions are recommended for your situation.

SafeMom content is informational only and is not a substitute for medical advice. Always consult your healthcare provider before changing your routine during pregnancy. Scan any specific product in the SafeMom app for a complete pregnancy-safety check.

Trimester-specific note

The risk associated with raw fish remains consistent throughout all trimesters of pregnancy, so the recommendation to avoid it applies universally.

When to talk to your OB

If you used a product containing Raw Fish before learning you were pregnant, mention it at your next prenatal visit — but most topical cosmetic exposures are not a cause for panic. For prescription exposures or specific concerns, contact your OB or midwife directly.

Jamie G

Founder & Researcher, SafeMom

Jamie founded SafeMom after researching the ingredient-regulations gap that leaves expecting parents without a single trustworthy answer source. She has spent two years on pregnancy-safety research focused on cosmetic, food, and household-product chemistry. Not a medical professional — all medical questions should be directed to your OB or midwife.

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