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Is it safe? · Pregnancy Smart

Is mayonnaise safe during pregnancy?

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

What does the evidence say about mayonnaise during pregnancy?

  1. Pregnant women are among the groups at highest risk for listeriosis, so keep ready-to-eat foods like deli meat refrigerated at or below 40°F and never left out for more than two hours. 1
  2. Fully cooking eggs and meat lowers your chance of Salmonella infection, which is rare but can lead to complications including miscarriage. 2
  3. Salmonella outbreaks are mostly linked to raw eggs and raw egg products like homemade mayonnaise, while pasteurized eggs and controlled acidity are what keep the manufactured jarred version safe. 3
  4. Mayonnaise and aioli made with raw egg are frequently identified as sources of Salmonella during foodborne outbreaks. 4
  5. One outbreak investigation traced a cluster of Salmonella infections to a restaurant's shell egg-based Caesar dressing and mayonnaise, both of which tested positive for the bacteria, after kitchen staff didn't realize raw shell eggs could be risky. 5

Is mayonnaise safe in each trimester?

  • First trimester. Mayonnaise guidance doesn't change by trimester, but first-trimester nausea and food cravings often bring cold sandwiches, egg salad, or coleslaw into the picture. Check whether the mayo is a refrigerated jarred product or something freshly made with raw egg, the same way you would later in pregnancy.
  • Second trimester. Appetite typically picks back up in the second trimester, and cravings for creamy dressings, tuna salad, or a mayo-heavy sandwich are common. Store-bought mayonnaise is still fine to eat. Just keep the same caution around fresh aioli, house-made Caesar dressing, and deli salads that have been sitting out.
  • Third trimester. The guidance doesn't loosen as delivery gets closer. Potato salad, pasta salad, and sandwich spreads at a shower, cookout, or buffet are exactly the kind of food that can sit out too long, so keep checking refrigeration and freshness right through the third trimester.

Frequently asked questions

Can I eat mayonnaise while pregnant?

Yes. Standard jarred mayonnaise from the grocery store is made with pasteurized eggs and is considered safe during pregnancy. The caution is around fresh, homemade mayonnaise or aioli made from raw eggs, and around any mayo-based dish that's been sitting out at room temperature.

Is Caesar salad dressing safe during pregnancy?

Bottled, shelf-stable Caesar dressing is fine. Restaurant or homemade versions are traditionally made with raw egg, and outbreak investigations have found Salmonella in exactly this kind of freshly made dressing. Ask whether it's made with raw egg, or consult your healthcare provider if you're unsure.

Can I eat chicken salad or egg salad made with mayonnaise?

The mayonnaise itself isn't the concern. How the finished salad has been stored is what matters. Mayo-based deli salads need to stay refrigerated at or below 40°F and be eaten promptly, since foods like this are exactly what Listeria guidance for pregnancy warns about.

Is homemade mayonnaise or aioli safe during pregnancy?

Be cautious. Homemade mayonnaise and aioli are traditionally made by whisking raw egg yolk with oil, and raw egg-based sauces are a well-documented source of Salmonella outbreaks. If you want to make it at home, use a pasteurized egg product and consult your healthcare provider about any remaining concerns.

References

  1. Listeria Infection (Listeriosis)

    MotherToBaby · https://mothertobaby.org/fact-sheets/listeriosis-pregnancy/

  2. Salmonella

    MotherToBaby · https://mothertobaby.org/fact-sheets/salmonella-pregnancy/

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.