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Is it safe? · Pregnancy Smart

Is string cheese safe during pregnancy?

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

What does the evidence say about string cheese during pregnancy?

  1. String cheese is made from mozzarella, and standard mozzarella sold in the US is produced from pasteurized milk, the starting point that keeps the finished cheese in the lower-risk category for pregnancy. 1
  2. During mozzarella manufacturing, the curd is stretched in hot water running from about 60 to 69 degrees Celsius, a heat step shown to reduce Listeria counts by roughly 4 to 6 log, on top of the earlier pasteurization step. 2
  3. A review of cheese-related risk assessments found that hard cheese and semi-soft cheese generally don't support listeria growth, and specifically grouped pasteurized mozzarella with processed and hard cheeses in the lower-risk category, distinct from high-moisture soft cheeses like queso fresco, feta, brie, and camembert. 3
  4. High moisture content is what lets listeria multiply in cheese, and string cheese's firmer, lower-moisture texture compared with fresh soft cheeses is part of why it carries less risk. 1
  5. Listeriosis can cause diarrhea, fever, muscle pain, and headache, and during pregnancy it raises the chance of miscarriage, preterm delivery, and serious newborn infection, which is why food-safety guidance is more cautious for pregnant people than for the general population. 4

Is string cheese safe in each trimester?

  • First trimester. String cheese is a normal, safe snack from the very start of pregnancy. It's a convenient source of calcium and protein if food aversions are making bigger meals harder to manage early on.
  • Second trimester. As appetite often improves in the second trimester, string cheese stays an easy, portable snack, whether from a lunch box, a diaper bag, or your own bag between errands. No special handling beyond normal refrigeration is needed.
  • Third trimester. Keep favoring sealed, individually wrapped string cheese over anything left sitting out at room temperature for long stretches, since your immune system is less able to fight off listeria all the way to delivery. Standard US string cheese made from pasteurized milk stays a fine choice.

Frequently asked questions

Is all string cheese made from pasteurized milk in the US?

Commercially produced string cheese sold in US grocery stores is made from pasteurized milk. That starting point is what keeps standard mozzarella and mozzarella-based string cheese in the lower-risk category for pregnancy.

Is string cheese a good pregnancy snack?

Yes, from a food-safety standpoint it's a solid choice: sealed, individually wrapped, and made from pasteurized, low-moisture mozzarella. It's also a convenient source of calcium and protein, useful if bigger meals feel harder to manage.

Does string cheese need to be refrigerated after opening?

Yes. Like any dairy product, string cheese should stay refrigerated and be eaten within the manufacturer's suggested window once opened, rather than left out at room temperature for extended periods.

Is mozzarella string cheese different from other mozzarella?

Not in any way that matters for safety. String cheese is mozzarella processed into its stretchy, fibrous texture and individually wrapped, going through the same pasteurization and heat-stretching steps as block or shredded mozzarella.

References

  1. For the Love of Cheese: Why Are Pregnant People Told to Avoid Soft Cheese?

    MotherToBaby · https://mothertobaby.org/baby-blog/for-the-love-of-cheese-why-are-pregnant-people-told-to-avoid-soft-cheese/

  2. Cheese Microbial Risk Assessments: A Review

    PMC · https://pmc.ncbi.nlm.nih.gov/articles/PMC4811779/

  3. Listeriosis Infection: MotherToBaby Fact Sheet

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