Can You Have Horchata While Pregnant?

Horchata is a sweet, creamy, and refreshing beverage popular across Latin cultures, typically made from a base of rice or tiger nuts, water, sugar, and cinnamon. For expectant mothers seeking to enjoy this traditional drink, the question of safety is a valid one, as the preparation and ingredients of horchata can vary widely. When made with attention to food safety and consumed in moderation, horchata can be a delightful part of a pregnancy diet. Understanding the specific risks associated with its preparation is the first step toward safe enjoyment.

Addressing Preparation Risks

The most significant safety concern for pregnant women consuming horchata relates to the potential for foodborne illness, particularly the bacteria Listeria monocytogenes. This bacterium thrives in unpasteurized products and can lead to listeriosis, which poses a serious risk to pregnancy, including potential miscarriage, stillbirth, or severe illness in the newborn. Since a pregnant woman’s immune system is naturally suppressed, she is at a higher risk of contracting listeriosis compared to the general population.

Homemade or street vendor horchata often carries a higher risk because of a lack of regulated sanitary controls and the potential use of unpasteurized ingredients. Traditional recipes sometimes call for the base ingredients, like rice or nuts, to soak in water at room temperature for several hours, creating an environment where bacteria can multiply rapidly. Any dairy or nut milk added to the beverage must be confirmed as pasteurized, as unpasteurized milk can be a source of harmful bacteria. Improper storage, such as leaving the finished drink unrefrigerated, further increases the chance of bacterial growth and subsequent contamination.

Nutritional Considerations and Spice Content

Beyond preparation risks, the nutritional composition of horchata requires consideration, primarily concerning its sugar content. Many traditional and commercial horchata recipes contain high amounts of added sugar, with some restaurant servings containing well over 20 grams per glass. Excessive intake of sugary drinks can contribute to unwanted weight gain and may increase the risk of developing gestational diabetes, a condition that requires careful management during pregnancy.

The characteristic flavor of horchata is derived from cinnamon, which contains a naturally occurring compound called coumarin. Coumarin can be toxic to the liver in very high doses. The type of cinnamon used makes a difference, as Cassia cinnamon, the most common variety found in grocery stores, contains significantly more coumarin than Ceylon, or “true” cinnamon. However, the amount of cinnamon used in a typical serving of horchata is considered safe and well below the level needed to cause concern.

How to Choose and Consume Safely

To safely enjoy horchata, expectant mothers should prioritize versions with guaranteed pasteurization and safe handling. The safest option is to choose commercially bottled or canned horchata from reputable manufacturers, as these products are subject to pasteurization and strict quality control standards. These versions eliminate the risk associated with unpasteurized liquids and improper temperature control during preparation.

If purchasing horchata from a restaurant or a food vendor, specifically ask if the drink was made using pasteurized milk and water, and if it has been stored continuously in a refrigerated environment. When preparing horchata at home, always use pasteurized ingredients, including any milk, and ensure the finished product is transferred to the refrigerator immediately after preparation. Never leave the horchata base or the final drink sitting at room temperature for extended periods. Furthermore, due to the high sugar content, it is best to limit consumption to small, occasional servings.