Why Can’t Pregnant Women Eat Turkey?

Pregnant women often face uncertainty about safe turkey consumption due to conflicting information and potential foodborne illnesses. Understanding the risks and how to mitigate them is important for maternal and fetal health. This article clarifies these dangers and provides guidance for safe turkey consumption during pregnancy.

Understanding the Risks of Turkey Consumption

Pregnant women face a heightened susceptibility to certain foodborne pathogens due to changes in their immune system. Two primary bacteria associated with turkey that present dangers during pregnancy are Listeria monocytogenes and Salmonella. Listeria monocytogenes causes listeriosis, an infection that can be about 10 to 20 times more common in pregnant women than in the general population.

Listeriosis can lead to severe complications for both the pregnant individual and the unborn baby. While the pregnant person might experience only mild, flu-like symptoms, the infection can result in miscarriage, stillbirth, premature birth, or life-threatening infections in the newborn. Neonatal infections can manifest as sepsis or meningitis, potentially leading to long-term health issues like intellectual disability, paralysis, or seizures.

Salmonella infection, or salmonellosis, can also cause issues during pregnancy, including dehydration, high fever, and in severe instances, miscarriage or preterm labor. The bacteria can enter the bloodstream and, in rare cases, cross the placenta to infect the fetus, potentially causing meningitis in the newborn.

Deli Turkey Versus Cooked Turkey

The risks associated with turkey consumption vary significantly depending on its form and preparation. Deli meats, including sliced turkey, generally carry a higher risk of Listeria monocytogenes contamination. This is because Listeria can survive and even grow at refrigerated temperatures, and these products are often consumed without further reheating. Processing and extended storage periods of deli meats allow time for Listeria to proliferate if present.

In contrast, freshly cooked whole turkey or turkey parts are generally safer when handled and prepared correctly. The heat from thorough cooking kills harmful bacteria like Listeria and Salmonella. However, even cooked turkey can become re-contaminated if not stored properly or reheated adequately after refrigeration. It is important to prevent cross-contamination from raw turkey to other foods during preparation.

Ensuring Turkey Safety During Pregnancy

Strict food safety practices are important for pregnant women to reduce the risk of foodborne illnesses from turkey. All poultry, including turkey, should be cooked to an internal temperature of 165°F (74°C) to kill any harmful bacteria. Using a food thermometer to check the thickest part of the meat ensures it reaches this safe temperature.

Deli turkey slices must be reheated until steaming hot, reaching an internal temperature of 165°F (74°C), before consumption. To prevent cross-contamination, raw turkey should be kept separate from other foods. Cutting boards, utensils, and surfaces that have touched raw meat should be thoroughly cleaned with hot, soapy water. Prompt refrigeration of cooked turkey within two hours and maintaining the refrigerator at 40°F (4°C) or colder helps inhibit bacterial growth.

Recognizing Symptoms and Seeking Help

Pregnant individuals should recognize symptoms of foodborne illnesses after consuming turkey. Symptoms of listeriosis can include fever, muscle aches, nausea, diarrhea, and sometimes headache or stiff neck. These symptoms can appear from a few days to several weeks after exposure, making it difficult to pinpoint the source.

Salmonellosis typically presents with diarrhea, fever, and abdominal cramps, with symptoms usually appearing within 6 to 72 hours after infection. Seek immediate medical attention if these symptoms develop after eating turkey, especially during pregnancy. Early diagnosis (often through blood cultures) and prompt antibiotic treatment help manage listeriosis and improve outcomes for both the pregnant person and the baby. While many salmonellosis cases resolve on their own, medical consultation helps prevent complications like dehydration, which can affect blood flow to the baby.