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Common Dietary Problems During Pregnancy 73

Table 3.2.6  Food-borne illnesses

Food-borne illness                Foods/materials to avoid                Precautions to take

Listeriosis – a flu-like illness  Pâté – meat, fish or vegetable unless   Avoid pâté, soft cheeses and
caused by the bacteria Listeria   tinned or pasteurized                   unpasteurized milk products
monocytogenes                     Mould-ripened soft cheeses (e.g. Brie,  Reheat ready meals to piping hot
                                  Camembert, blue-veined cheeses)         right through
                                  Unpasteurized milk and milk products
                                  Ready meals especially those
                                  containing chicken that are not
                                  reheated before consumption

Salmonella – a bacteria which     Raw or partially cooked eggs and foods  Poultry should be thoroughly
is the major cause of food        containing them such as mayonnaise      defrosted in the fridge and cooked
poisoning in the UK               and mousse                              until piping hot right through
                                  Undercooked poultry and other meat      Eggs should be cooked so both white
Toxoplasmosis – a disease                                                 and egg are solid
caused by the parasite            Raw or undercooked meat
Toxoplasma gondii found in        Unpasteurized milk and milk products    Wash vegetables and salad
raw meat, soil and cat faeces     Soil                                    thoroughly to remove any soil or dirt
                                  Cat litter trays                        Wash hands after handling raw meat
Campylobacter – a bacteria                                                Thoroughly cook meat
that commonly causes food         Undercooked poultry                     Wear rubber gloves when emptying
poisoning in the UK               Unpasteurized milk and milk products    cat litter trays
                                  Untreated water                         Wash hands after handling cats
                                  Domestic pets                           Wear gloves while gardening
                                  Soil                                    Do not help with lambing or milking
                                                                          ewes that have recently given birth

Certain food-borne illnesses can cause miscarriage,         ●● honey may be eaten during pregnancy, but is not
stillbirth, abnormalities in the developing fetus or           suitable for infants until over 12 months of age
severe illness in the newborn (Table 3.2.6).
                                                            ●● many cheeses including hard cheese, such as
   Raw shellfish (e.g. prawns, cockles and mussels)            cheddar and parmesan, feta, ricotta, mascarpone,
can cause food poisoning and should only be eaten              cream cheese, mozzarella, cottage cheese,
if they are bought packaged and stamped with a                 processed cheese, such as cheese spreads.
‘use-by’ date.
                                                            Allergy Prevention Advice
   Foods that are safe to eat during pregnancy
include:                                                    Avoiding foods during pregnancy will not reduce the
                                                            risk of the fetus developing a food allergy following
●● cooked shellfish, including prawns that are              birth or later in life. As a consequence, the Department
   part of a hot meal and have been cooked                  of Health changed their advice on peanuts in 2009 to:
   thoroughly                                               ‘there is insufficient evidence to advise any pregnant
                                                            women to avoid eating peanuts and peanut products
●● live or bio yogurt                                       during pregnancy and breastfeeding’.

●● probiotic drinks                                         Common Dietary Problems During
                                                            Pregnancy
●● fromage frais
                                                            Nausea and vomiting
●● crème fraîche
                                                            Nausea in pregnancy is reported in 50–80 per cent
●● soured cream                                             of pregnant women; 52 per cent of pregnant women

●● spicy food

●● mayonnaise, ice cream and salad dressing made
   with pasteurized egg (home-made versions may
   contain raw eggs and must be avoided)
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