Can Pregnant Women Eat Ceviche Safely?

There are a wide variety of seafood dishes that are enjoyed by people around the world. However, when it comes to pregnancy, you have to be extra careful about your food choices. Many women may be concerned about whether these dishes are a safe option for them and their unborn baby. Ceviche, a popular dish from Latin America, is praised for its fresh and vibrant flavors, but its main ingredient – raw fish – gives many expectant mothers pause. So, can pregnant women eat ceviche? Let’s take a look at this question and provide the clarity all soon-to-be moms are looking for.

This article is for informational purposes only and does not give medical advice.  Pregnant women should always check with your healthcare provider with any questions or concerns.

What is Ceviche?

Ceviche, also known as cebiche or seviche, is a seafood dish typically made from uncooked seafood that has been marinated in citrus juice. The acid in the citrus juice “cooks” the fish, giving it a texture similar to cooked fish. Ceviche is usually served with vegetables, such as onions, tomatoes, and peppers, and can also include herbs and other seasonings. It is a popular dish in Latin American countries, particularly in countries like Peru, Mexico, and Ecuador.

Shrimp ceviche and fish ceviche are the most common types, but other seafood such as octopus or squid can also be used.

For the general population, ceviche is considered a healthy and nutritious dish. It is high in protein, low in calories, and contains beneficial nutrients such as omega-3 fatty acids, vitamin C, and potassium.  But the question still stands, is it safe to eat this dish during pregnancy?

Ceviche sits on a blue plate topped with avocado.  A basket of tortilla chips sits next to the plate.

Is Ceviche Safe to Eat During Pregnancy?

Now, let us get to the big question – is it safe for pregnant people to eat ceviche? We can break this question down into different aspects. Basic food safety precautions should always be followed during pregnancy, including wash your hands, cleaning all utensils and countertops before cooking, and properly storing all perishable foods. Always check any meat or seafood with a meat thermometer to make sure it reaches the correct internal temperature.

When you are pregnant, your immune system is typically weaker, making you, and your unborn child, more susceptible to foodborne illnesses. Therefore, it is essential to take extra precautions when preparing and consuming certain foods, including dishes like ceviche. 

Raw Fish

The main concern about ceviche during pregnancy is the raw seafood. Raw fish can contain harmful bacteria and parasites, such as listeria monocytogenes and salmonella, that can cause foodborne illnesses. These infections can be especially dangerous for pregnant women as they can lead to miscarriage, preterm labor/early labor, or even premature birth.

Fish needs to be cooked to an internal temperature of 145°F (63°C) to kill any potential bacteria or parasites. However, in ceviche, the fish is not cooked with heat but rather “cooked” by the acid in the citrus juice. While this method may be effective in some cases, it cannot guarantee that all harmful bacteria and parasites are killed.  Due to this, it is not safe for you or your growing baby to consume the raw fish.

Citrus Juice

Citrus, such as lime juice or lemon juice, is the key ingredient in ceviche. The citric acid in these juices has been shown to kill bacteria and parasites, which can make raw fish safer to eat. However, it is important to note that this method may not completely eliminate all potential risks.

The acid in citrus juice used in ceviche may help “cook” the fish, but it is not a foolproof method. The acid may not reach all parts of the fish, leaving some areas uncooked and potentially unsafe to eat. The only safe way to eat fish is if it has been cooked to the right temperature.  This cooking process is not reliable enough to protect you and your baby.

Mercury Levels

Another concern is the high mercury content in certain types of fish used in ceviche. High levels of mercury can be harmful to a developing baby’s nervous system. Pregnant women are advised to avoid high-mercury fish, such as swordfish and king mackerel.

Some seafood options that do not contain as much mercury are shrimp, tilapia, and cod. These options may be safer for pregnant women to consume in ceviche.


The vegetables included in ceviche, such as onions and chili peppers, are safe for pregnant women to eat. Sweet potatoes or corn can also be included in ceviche, providing additional nutrients and safe options for pregnant women.

However, it is essential to properly wash and prepare these vegetables before adding them to the dish. Even raw foods like produce can contain the listeria bacteria, so always take proper precautions.

Ceviche During Pregnancy: The Verdict

Considering the potential health risks, the safest bet is to avoid ceviche while pregnant. 

The United States Federal Drug Administration (FDA) recommends that pregnant women avoid eating raw or undercooked fish, including ceviche, due to the risk of foodborne illnesses such as listeriosis and toxoplasmosis. These can be harmful to both the mother and the unborn baby.

Signs of food poisoning can include nausea, vomiting, diarrhea, fever, and abdominal cramps. If you experience any symptoms of food poisoning while pregnant, seek medical attention immediately. If your health care provider is unavailable, do not hesitate to go to the nearest emergency room or urgent care center.  You always want to be proactive when it comes to taking care of both you and your baby during your pregnancy.

The good news is if you are still craving this delicious dish, there are a few precautions you can take:

  • Ensure that the seafood used in the ceviche is good quality fresh fish and from a reputable source.
  • Opt for cooked ceviche instead of raw.
  • Ask for the acid (citrus juice) to be heated before it is used in the dish.
  • Choose low-mercury types of seafood, such as shrimp or tilapia, over high-mercury ones.
  • Make your own ceviche at home, where you can control the ingredients and preparation methods. You can find plenty of ceviche recipes online and in cookbooks.
  • Discuss any concerns or questions with your healthcare professionals before consuming ceviche during pregnancy. 

Ultimately, the important thing is to err on the side of caution during pregnancy and avoid foods that may pose a risk. There are plenty of other delicious and safe options for seafood lovers to enjoy during pregnancy, such as grilled fish, like salmon or sea bass, or shrimp tacos. And remember, moderation is always key even with cooked ceviche!  

Other Seafood Dishes to Avoid While Pregnant

Though it may be best to avoid ceviche during pregnancy, you are probably wondering what other seafood dishes you should also steer clear of. 

Besides ceviche, there are a few other things a pregnant woman should avoid when it comes to seafood during pregnancy.  

These include:

  • Raw or undercooked seafood, including sushi and sashimi.
  • Refrigerated smoked seafood.
  • Shark, swordfish, king mackerel, and tilefish due to their high mercury levels.
  • Raw shellfish such as raw oysters and clams. 
  • Shrimp cocktail that includes raw shrimp. You can eat if the shrimp has been cooked thoroughly. 
  • Anything that also contains uncooked fish, uncooked meat, raw meat, or undercooked meat.
  • Dishes that contain unpasteurized milk or raw eggs, such as Caesar salad dressing.
  • Pre-made deli seafood salads.

Again, the reason to avoid these dishes is to minimize your risk of common parasites, such as the listeria infection and the risk of food poisoning. This will help offer maximum protection for both you and your developing fetus.

Ceviche sits on top of a tortilla and is topped with radish slices.  It is on a white plate that sits on a red surface.


Pregnant women should always take extra precautions when it comes to food safety. While ceviche can be a tasty and nutritious dish for the general population, it may pose risks for pregnant women due to the potential presence of harmful bacteria and parasites. It is generally recommended to avoid ceviche during pregnancy, but if you do choose to consume it, make sure to take necessary precautions and discuss any concerns with your healthcare provider beforehand. It is always better to err on the side of caution for the health and well-being of both the mother and baby. 

Always remember to follow basic food safety precautions and listen to your body during pregnancy. If you have any concerns or doubts about a particular seafood dish, it is best to avoid it altogether. Your health and the health of your baby should always be a top priority.  So, savoring those delicious ceviche flavors can wait until after your pregnancy!  

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