
Essential Guide: Foods and Medicines to Avoid During Pregnancy

At Complete Healthcare for Women, we understand how crucial it is for expectant mothers to know exactly what to avoid to ensure a safe and healthy pregnancy. Here is a comprehensive guide on foods and medicines you should avoid while expecting.
Foods to Avoid During Pregnancy
1. Raw or Undercooked Seafood and Fish
Raw seafood, including sushi, oysters, and clams, carries a risk of bacterial and viral contamination. Pregnant women should avoid these foods to reduce the risk of infections like salmonella and listeriosis, which can severely affect pregnancy outcomes.
2. High-Mercury Fish
Certain fish species contain high mercury levels, harmful to a developing baby's nervous system. Avoid shark, swordfish, king mackerel, and tilefish. Instead, opt for safer choices like salmon, catfish, shrimp, and canned light tuna.
3. Raw or Undercooked Meats
Undercooked meat can harbor harmful bacteria and parasites such as toxoplasma, which pose serious health risks. Ensure all meat and poultry are fully cooked.
4. Unpasteurized Dairy Products
Unpasteurized milk and dairy products, including soft cheeses like feta, brie, blue cheese, and queso fresco, can contain harmful bacteria like listeria. Always choose pasteurized products to reduce these risks.
5. Raw or Undercooked Eggs
Raw eggs can carry salmonella, causing food poisoning. Avoid foods that may contain raw eggs, such as homemade mayonnaise, Caesar dressing, or raw cookie dough.
6. Unwashed Fruits and Vegetables
Fresh fruits and vegetables are excellent sources of nutrients but can harbor harmful bacteria if unwashed. Thoroughly rinse all produce under running water and peel or cook them if necessary.
7. Deli Meats and Hot Dogs
Processed meats like deli meats and hot dogs carry a higher risk of listeria. If you choose to eat these, make sure they are reheated until steaming hot.
8. Excessive Caffeine
Moderation is key with caffeine. Excessive intake has been linked to increased risks of miscarriage and low birth weight. Limit your caffeine intake to less than 200 milligrams daily, about one 12-ounce cup of coffee.
9. Alcohol
No amount of alcohol is safe during pregnancy, as it can cause fetal alcohol syndrome, resulting in developmental problems and birth defects.
Medicines to Avoid During Pregnancy
1. Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
Medications like ibuprofen, aspirin, and naproxen should be avoided, especially in the third trimester, due to risks of heart problems in the baby and bleeding issues during delivery. Acetaminophen is generally considered safe but always consult your healthcare provider first.
2. Certain Antibiotics
Antibiotics like tetracycline and doxycycline should be avoided, as they can affect fetal bone and teeth development. Always check with your healthcare provider about safe antibiotic options.
3. Antihistamines and Decongestants
Many over-the-counter cold and allergy medications contain ingredients unsafe for pregnancy. Always consult your healthcare provider before using these medications. Saline nasal sprays and natural remedies may be safer alternatives.
4. Acne Medications
Avoid retinoids and other acne medications, such as isotretinoin, due to a high risk of severe birth defects. Discuss safer skin care alternatives with your provider.
5. Herbal Supplements
Not all herbal supplements are safe during pregnancy. Avoid herbs like black cohosh, dong quai, and goldenseal, which can have harmful effects on pregnancy. Always discuss herbal supplements with your healthcare provider before use.
6. High-dose Vitamins
Excessive vitamin intake, particularly vitamins A and E, can cause developmental issues. Stick to prenatal vitamins recommended by your healthcare provider.
7. Certain Prescription Medicines
Always review all prescription medications with your healthcare provider. Drugs like certain blood pressure medications (ACE inhibitors and ARBs), anti-seizure drugs, and psychiatric medications can pose risks to fetal development.
Safe Practices and Alternatives
Hygiene and Food Safety
Practice good hygiene by regularly washing your hands, thoroughly cooking food, and carefully storing perishables. Safe food handling significantly reduces the risk of infections.
Dietary Alternatives
Substitute unsafe foods with nutritious alternatives:
Replace high-mercury fish with salmon or trout.
Substitute soft cheeses with hard cheeses like cheddar and Swiss.
Opt for cooked eggs instead of raw preparations.
Medication Alternatives
Always speak with your healthcare provider to identify safe alternatives for managing pain, allergies, and infections. Acetaminophen can be considered safe for pain relief, and certain antibiotics like penicillin and amoxicillin are generally safe if prescribed by a doctor.
Consult Your Healthcare Provider
Every pregnancy is unique, and recommendations may vary based on individual health needs. At Complete Healthcare for Women, our experienced providers, including Dr. Richard Lorenzo and Kortney Jones ARNP, are here to guide you through every step of your pregnancy journey, ensuring your safety and that of your developing baby.
Remember, when in doubt, it's always safest to consult your healthcare provider. Prioritize your health and your baby's well-being by staying informed and proactive about your pregnancy choices.
Complete Healthcare for Women - Obstetrics and Gynecology
509-392-6700
Richard Lorenzo, D.O.
Kortney Jones ARNP
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