Can I Eat Fish Tacos While Pregnant?

The desire for a fish taco during pregnancy is a common craving that raises questions about food safety. The answer depends entirely on the ingredients and preparation methods used. Expectant mothers must consider two primary factors: the type of fish selected and the sanitation of all other components. Understanding the risks associated with the fish, toppings, sauces, and cooking process provides a clear path to safely satisfying this desire.

Navigating Fish Choices and Mercury Levels

The primary consideration when consuming fish during pregnancy is the potential for methylmercury contamination. This naturally occurring compound can accumulate in the tissues of fish and, when consumed, poses a risk to the developing fetus. The concern stems from the fact that methylmercury can cross the placenta and potentially harm the baby’s developing brain and nervous system.

Larger, longer-lived, and predatory fish accumulate the highest levels of mercury. The Food and Drug Administration (FDA) and the Environmental Protection Agency (EPA) advise avoiding certain fish entirely. These “Choices to Avoid” include species like shark, swordfish, King Mackerel, and tilefish from the Gulf of Mexico. These fish must be excluded from the diet of anyone who is pregnant.

Fortunately, many fish used in tacos fall into the “Best Choices” category, meaning they are significantly lower in mercury. These species, such as cod, tilapia, pollock, flounder, and shrimp, are encouraged for their high content of beneficial Omega-3 fatty acids, which support fetal brain development. Expectant mothers should eat two to three servings per week from this list, with a standard serving size being four ounces.

This recommended weekly intake of 8 to 12 ounces of low-mercury fish ensures the mother and baby receive nutritional benefits without excessive mercury exposure. When selecting fish for tacos, prioritize these smaller, fast-growing species to manage mercury intake effectively.

Ensuring Safety of Taco Fillings and Preparation

Beyond the methylmercury content of the fish, pregnant individuals must navigate the risks of bacterial and parasitic contamination from other taco components. The most significant bacterial risk is Listeria monocytogenes, which causes listeriosis and can lead to serious complications, including miscarriage or stillbirth. This bacteria can be present in unpasteurized dairy products often used in taco toppings.

Soft Mexican-style cheeses, such as queso fresco, are common toppings and must be confirmed as made with pasteurized milk. If dining out or purchasing pre-packaged cheese, always look for the word “pasteurized” on the label, as unpasteurized soft cheeses pose a risk. Sauces and cremas should also be approached with caution, ensuring they are properly refrigerated and served fresh to minimize bacterial growth.

The fish itself must be cooked thoroughly, as raw or undercooked seafood carries the risk of harmful bacteria and parasites. Preparations like ceviche, where the fish is cured in citrus juice rather than cooked with heat, should be avoided entirely. Finfish should be cooked to an internal temperature of 145°F (63°C), which is achieved when the flesh becomes opaque and flakes easily.

The raw vegetable toppings can present a risk of toxoplasmosis if not handled correctly. Toxoplasmosis is a parasitic infection transmitted through soil-contaminated produce. To mitigate this, all fresh produce must be thoroughly washed under running water before chopping and serving. When eating tacos prepared by others, be mindful of cross-contamination, where raw ingredients may have touched surfaces used for raw fish or meat preparation.

Practical Guide to Safe Fish Taco Consumption

Fish tacos can be a safe and nutritious meal choice during pregnancy, provided strict precautions are taken regarding all ingredients. The ultimate safety of the taco relies on making informed selections about the type of fish and confirming the preparation standards. You can safely enjoy your meal by adhering to the 8 to 12-ounce weekly limit of low-mercury “Best Choices” fish.

When ordering or preparing fish tacos, a few practical steps can ensure safety. Always ask what type of fish is being served, favoring species like cod or tilapia over high-mercury options. You must confirm that any soft cheese, like a crema or queso fresco, is made with pasteurized milk to avoid listeriosis. Ensure the fish is cooked until it is piping hot and opaque throughout, never raw or undercooked.

Finally, if the tacos contain any fresh, raw vegetables, verify they have been properly washed, or consider asking for cooked toppings instead. By focusing on low-mercury fish and fully cooked, pasteurized, and clean ingredients, you can enjoy fish tacos without compromising your health or that of your developing baby. This careful approach transforms the craving into a safe and satisfying part of a healthy pregnancy diet.