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Is it safe? · Pregnancy Smart

Are clams safe during pregnancy?

Assigned clinical reviewerMichael Yuzefovich· MD, FACOGDraft · pending clinical reviewUpdated

What does the evidence say about clams during pregnancy?

  1. Clams average 0.009 parts per million of mercury in FDA sampling, the second-lowest entry on a table sorted from lowest to highest. 1
  2. Clams are a Best Choice at 2 to 3 servings a week, and they also make the shorter list of species low enough in mercury to be fed to young children in larger amounts. 2
  3. Three ounces of cooked clams supply 17 mcg of vitamin B12, which is 708 percent of the Daily Value, against a pregnancy recommended intake of 2.6 mcg a day. 3
  4. Clams, mussels, and oysters open their shells during cooking and any that stay closed should be thrown out, and shellfish with cracked or broken shells should be discarded before cooking, with a live clam closing when its shell is tapped. 4
  5. Raw shellfish carries Vibrio parahaemolyticus, which produces cramping, nausea, vomiting, and fever roughly 17 hours after the meal, and thorough cooking is what removes that route. 5

Is clams safe in each trimester?

  • First trimester. Clams are one of the densest B12 sources in the food supply, which is useful early if you are queasy and eating small amounts. Buy them alive with unbroken shells, keep them cold, and cook them the day you buy them. Raw clams on the half shell are the version to skip throughout.
  • Second trimester. The shell is your doneness indicator, which makes clams easier to judge than most seafood. Steam until they open, then discard any that refused. This is also a good trimester to be picky about the source, since bivalves filter the water they sit in and where they came from matters.
  • Third trimester. Clams stay a Best Choice to the end. The one practical note late in pregnancy is that clam dishes are often salty, from the shellfish liquor as much as from added salt, so if you are watching swelling or blood pressure that is worth a mention at a visit rather than a reason to skip them.

Frequently asked questions

Can you eat clams while pregnant?

Yes, cooked. Clams are a Best Choice at two to three 4-ounce servings a week and sit near the bottom of the mercury table. Raw clams on the half shell are the exception, since raw bivalves are where Vibrio shows up.

Is clam chowder safe during pregnancy?

Yes. Chowder is simmered, so the clams in it are cooked through, and canned clams are cooked during processing. Serve it hot rather than lukewarm, and refrigerate leftovers promptly rather than leaving the pot on the stove.

What if a clam does not open when cooked?

Throw it out. FDA's guidance is explicit: shells open during cooking, and the ones that stay shut go in the bin. Same for any clam that arrived with a cracked or broken shell, which should be discarded before it ever hits the pot.

Are clams high in mercury?

No, they are among the lowest at 0.009 parts per million on average, just behind scallops. Bivalves filter feed rather than eating other fish, so they never accumulate the way large predatory species like swordfish do.

References

  1. Mercury Levels in Commercial Fish and Shellfish (1990-2012), FDA

    FDA · https://www.fda.gov/food/environmental-contaminants-food/mercury-levels-commercial-fish-and-shellfish-1990-2012

  2. Advice about Eating Fish, FDA and EPA

    FDA · https://www.fda.gov/food/consumers/advice-about-eating-fish

  3. Vitamin B12, Health Professional Fact Sheet, NIH Office of Dietary Supplements

    NIH ODS · https://ods.od.nih.gov/factsheets/VitaminB12-HealthProfessional/

  4. Selecting and Serving Fresh and Frozen Seafood Safely, FDA

    FDA · https://www.fda.gov/food/buy-store-serve-safe-food/selecting-and-serving-fresh-and-frozen-seafood-safely

  5. Vibrio parahaemolyticus Infection, StatPearls

    NCBI Bookshelf · https://www.ncbi.nlm.nih.gov/books/NBK459164/

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.