# Raw Fish During Pregnancy

Source: https://www.pregnancypowerhour.com/foods/raw-fish
Last updated: 2026-07-15

> During pregnancy, it's generally recommended to avoid raw fish, including sushi and ceviche, due to the potential risks of Listeria and parasites.

When considering raw fish during pregnancy, the primary concern revolves around potential exposure to bacteria like *Listeria monocytogenes* and certain parasites, which can pose risks to both you and your developing baby. Making informed decisions about your food choices helps foster a calm and confident pregnancy experience.

### Why Raw Fish is Generally Avoided in Pregnancy

The U.S. Food and Drug Administration (FDA) consistently recommends that pregnant people avoid all raw fish. This guidance applies to a wide range of popular dishes, including sashimi, ceviche, poke, and raw oysters. The core reason for this recommendation is the significant, evidence-based risk of foodborne illnesses that can arise from uncooked seafood. While you might enjoy these foods normally, pregnancy brings a heightened need for caution regarding potential pathogens.

### Understanding the Specific Risks: Listeria and Parasites

The most significant risk associated with raw fish is *Listeria monocytogenes*, a bacterium that can cause listeriosis. For pregnant individuals, listeriosis can lead to serious complications, including miscarriage, stillbirth, preterm labor, or severe illness in the newborn. Beyond Listeria, parasites such as anisakis are a secondary concern. These parasites can cause gastrointestinal distress and, in rare cases, more severe issues. It's helpful to understand these specific risks when navigating your food choices, similar to the considerations for other foods like [Cured Meats and Charcuterie During Pregnancy](/foods/cured-meats) where Listeria is also a factor.

### How Cooking Eliminates These Risks

The good news is that cooking fish thoroughly to an internal temperature of 145°F effectively kills both Listeria bacteria and any potential parasites. This simple step transforms raw fish into a safe and nutritious option for pregnancy. If you're craving the flavors of fish, opting for cooked versions—whether baked, grilled, or pan-fried—allows you to enjoy the benefits without the associated risks of raw preparation. This is a key distinction from concerns like [High-Mercury Fish During Pregnancy](/foods/high-mercury-fish), where the issue is the type of fish itself, not its preparation.

### The Role of Freezing in Raw Fish Safety

Some sushi-grade fish, particularly in Japan, is deep-frozen specifically to kill parasites. While this freezing process can be effective against parasites like anisakis, it's crucial to understand that it does *not* eliminate the risk of Listeria. Therefore, even if raw fish has been previously frozen, the Listeria risk remains. This is why the general recommendation to avoid all raw fish during pregnancy stands, regardless of whether it was labeled as "sushi-grade" or previously frozen. Similar considerations apply to other raw seafood, such as [Raw Oysters During Pregnancy](/foods/raw-oysters), where cooking is the most reliable method for safety.

### Making Calm, Informed Choices

Ultimately, you get to decide what feels right for your body and your pregnancy. However, the evidence-based guidance points towards avoiding raw fish to minimize potential risks. If you have any specific concerns or questions about your diet during pregnancy, your care provider is always your best resource for personalized advice.