Can You Eat Unagi While Pregnant?

Unagi, the Japanese term for freshwater eel, is a delicacy often served grilled and glazed with a sweet, savory sauce known as kabayaki. During pregnancy, seafood often raises questions due to concerns about contaminants. Understanding the nutritional components and preparation methods of unagi is essential for making an informed decision about its safety during pregnancy.

Safety Verdict and Primary Concerns

Unagi is generally considered safe for consumption during pregnancy, provided it is fully cooked, which is the standard preparation for this dish. Cooking eliminates the risks associated with bacteria, parasites, and a mild toxin found in raw eel blood that is denatured by heat. Since unagi is universally served cooked, it avoids the food safety risks of raw fish in sushi. However, two nutritional components require attention: the presence of mercury, a neurotoxin found in seafood, and the high concentration of preformed Vitamin A (retinol) naturally stored within the eel’s fatty tissue. These two factors dictate appropriate consumption limits.

Unagi’s Mercury Profile Compared to Other Seafood

Methylmercury can pass the placental barrier and affect the developing fetal nervous system. Federal guidelines categorize fish into “Best Choices,” “Good Choices,” or “Avoid” categories based on mercury content. Unagi is grouped among the “Best Choices,” which are safe to consume in two to three servings per week. The mercury levels in Japanese freshwater eel (Anguilla japonica) are low, testing between \(0.01\) and \(0.1\) parts per million (ppm), well below the safety limit of \(1.0\ \text{ppm}\). This contrasts with high-mercury fish like swordfish, shark, and king mackerel, which must be avoided.

Mercury accumulation correlates with the fish’s age and size. Larger eel species, such as the American or European eel, can exhibit higher concentrations. Studies show total mercury concentrations in some European eels averaging around \(0.179\ \text{ppm}\), with some reaching \(0.487\ \text{ppm}\). These levels remain below the regulatory limit but emphasize the importance of moderation.

Consumption Guidelines and Vitamin A Considerations

The most critical factor limiting unagi consumption is its exceptional Vitamin A content. Unagi is a highly concentrated source of preformed Vitamin A (retinol), an essential nutrient that can be teratogenic—capable of causing birth defects—when consumed in excessive amounts early in pregnancy.

A \(100\ \text{g}\) serving of unagi can contain approximately \(2,400\ \mu\text{g}\) of Vitamin A Retinol Equivalent. This single serving represents a substantial portion of the recommended daily upper intake limit for pregnant women, which is \(3,000\ \mu\text{g}\) per day. Due to this high concentration, unagi must be treated with the same caution as liver and other Vitamin A-rich foods.

Any eel consumed must be fully cooked to an internal temperature of \(145^\circ\text{F}\) to ensure safety from pathogens. Raw eel meat or eel blood, which contains a mild neurotoxin, must be avoided entirely. Limiting intake to a single \(100\ \text{g}\) serving per month, or a few small sushi pieces, helps manage both the Vitamin A load and potential mercury accumulation.