Can You Have Pesto When Pregnant?

Pesto is a vibrant Italian sauce traditionally combining fresh basil, pine nuts, hard cheese, garlic, and olive oil. Because it contains several raw or minimally processed ingredients, many pregnant people question its safety. Pesto can generally be consumed safely during pregnancy, but its safety profile depends entirely on the specific ingredients and preparation method. Checking the preparation details is necessary to ensure the sauce does not pose a risk of foodborne illness. The primary concerns involve a microorganism found in dairy and a toxin that can develop in improperly stored homemade versions.

The Primary Ingredient Concern: Cheese Safety

The largest food safety consideration in traditional pesto is the hard cheese component, typically Parmesan, Pecorino, or Grana Padano. These cheeses are often made with unpasteurized milk, which carries a risk of contamination with the bacterium Listeria monocytogenes. Infection with this bacterium, known as listeriosis, is particularly dangerous during pregnancy because it can cross the placenta, potentially leading to miscarriage, stillbirth, or severe illness in the newborn.

Hard cheeses, such as Parmesan, are considered safe even if made with unpasteurized milk due to their low moisture content and high acidity. This environment naturally inhibits the growth of Listeria organisms, meaning bacteria will likely die off during the cheese’s shelf life. The clearest way to remove any risk is to always choose pesto made with cheese that explicitly states it was produced using pasteurized milk. Checking the ingredient label for the word “pasteurized” is an effective step to ensure safety when consuming any dairy product during pregnancy.

Store-Bought Versus Homemade Pesto

The difference in preparation between store-bought and homemade pesto introduces distinct food safety considerations. Commercial pesto sold in jars is often subjected to heat treatment, or pasteurization, during manufacturing to extend shelf life and destroy harmful microorganisms. This processing provides an additional layer of safety against bacterial risks. Once opened, consumers must strictly adhere to the manufacturer’s refrigeration and consumption guidelines, typically consuming the product within a few days to a week.

Homemade pesto presents a different challenge, specifically concerning the risk of botulism. The combination of fresh garlic and herbs submerged in olive oil creates a low-oxygen, low-acid environment conducive to the growth of Clostridium botulinum spores. If homemade pesto is stored at room temperature, these spores can produce a potent toxin that causes botulism, a severe form of food poisoning. To mitigate this risk, homemade pesto should be prepared using thoroughly washed basil leaves and immediately refrigerated. It must be consumed quickly, ideally within four to ten days, or immediately portioned and frozen to prevent toxin growth.

Other Pesto Ingredients and Allergies

The remaining traditional ingredients in pesto are safe for consumption during pregnancy and offer nutritional benefits. The traditional nut is the pine nut, which is actually a seed and is safe to eat. Some variations use walnuts or cashews; these tree nuts are also safe unless a pre-existing nut allergy is present, as avoiding nuts during pregnancy is no longer advised for allergy prevention.

Fresh basil, the main herb, is safe to consume, unlike some other herbs discouraged in large quantities during pregnancy. Garlic and olive oil are also safe components and contribute beneficial fats and flavor to the sauce. Pesto is calorie-dense and rich in monounsaturated and polyunsaturated fats from the nuts and oil. Consuming pesto in moderation is advisable to manage overall fat and calorie intake.