Pregnancy SmartShop formulas

Is it safe? · Pregnancy Smart

Is salami safe during pregnancy?

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

What does the evidence say about salami during pregnancy?

  1. Dry, fermented sausages like salami need to be heated until steaming, about 165 degrees Fahrenheit, before they count as a safe bet in pregnancy, the same standard that applies to deli meat and hot dogs. 1
  2. Listeriosis symptoms, including fever, muscle aches, headache, and a stiff neck, can begin days to weeks after eating contaminated food, and in pregnancy the infection is linked to a higher chance of preterm delivery, low birth weight, and pregnancy loss. 2
  3. Testing of Italian salami specifically found Listeria monocytogenes in 13.3 percent of samples, and researchers note that curing and drying alone are not consistently enough to clear the bacteria, since it tolerates the low pH and high salt of fermented sausage well. 3
  4. The toxoplasmosis parasite spreads through raw or undercooked meat, and an active infection during pregnancy is linked to a higher chance of miscarriage, with up to 90 percent of infants born with the infection going on to develop problems like vision loss or developmental delays over time. 4
  5. Unlike Listeria, the toxoplasmosis parasite is inactivated quickly during sausage fermentation, within about 6 hours once salt content reaches 1.3 percent, which is why standard dry-curing practices are more reliable against toxoplasmosis than they are against Listeria. 5

Is salami safe in each trimester?

  • First trimester. Cravings for a salami sandwich are common early on, and the fix is simple: heat it until it is steaming hot rather than eating it cold from the fridge or deli case. If nausea makes hot food unappealing some days, that is normal, and it does not change the temperature rule for later.
  • Second trimester. Appetite typically picks back up, so a hot salami pizza or a warmed-through panini stays an easy, safe choice. Save cold salami from a charcuterie board or antipasto plate for after you deliver, or ask that it be heated first.
  • Third trimester. The same steaming-hot rule holds right up to delivery. If heartburn is an issue this late in pregnancy, a smaller portion of a less fatty topping might sit better, though that is a comfort choice rather than a safety one.

Frequently asked questions

Do you have to cook salami during pregnancy?

Yes, or at least heat it until steaming. Curing and fermentation alone do not reliably clear Listeria from salami, so the same 165-degree rule that applies to deli meat and hot dogs applies here too.

Is pepperoni the same risk as salami?

Very similar: both are dry, fermented sausages, and both are fine once heated until steaming. Pepperoni usually gets there naturally on a hot pizza, while salami is more often served cold, which is the version to warm up first.

Is salami on pizza safe since it's baked?

Yes, as long as the whole slice comes out of the oven steaming hot rather than warm. A pizza that has cooled to room temperature should get a quick reheat before eating.

What temperature kills listeria in salt-aged meats?

About 165 degrees Fahrenheit, or steaming hot, is the benchmark used for deli meats and fermented sausages like salami. Curing and salt alone are not a reliable substitute for that heat.

Is dry-aged salami different from wet-salt-aged deli salami?

Both fall under the same guidance. Whatever the curing method, salami is a ready-to-eat product that has not been cooked through, so the steaming-hot rule applies whether it is a whole dry-aged stick or sliced from the deli counter.

References

  1. Eating Raw, Undercooked, or Cold Meats and Seafood

    MotherToBaby · https://mothertobaby.org/fact-sheets/eating-raw-undercooked-or-cold-meats-and-seafood/

  2. Listeria Infection (Listeriosis)

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

  3. Presence of Listeria monocytogenes in Mediterranean-Style Dry Fermented Sausages

    PMC · https://pmc.ncbi.nlm.nih.gov/articles/PMC5302228/

  4. Toxoplasmosis

    MotherToBaby · https://mothertobaby.org/fact-sheets/toxoplasmosis-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.