Is Pepperoni Pizza Safe During Pregnancy

Status

caution Last reviewed: 2026-05-16 · Confidence: high

Reason

Cold cured pepperoni is a listeria risk in pregnancy; fully cooked or steaming hot pepperoni is safer.

Safe Amount

No established safe limit — consult your provider.

Effects

Pregnancy
Food safety depends on preparation; cold cured meats carry higher listeria risk.
Mother
May increase the chance of foodborne illness; pregnancy raises listeria risk.
Baby
Unsafe forms can raise the risk of listeria infection, which can harm the baby.

Trimester Notes

1st Trimester
Same caution in all trimesters; avoid cold deli pepperoni unless heated until steaming hot.
2nd Trimester
Same caution in all trimesters; avoid cold deli pepperoni unless heated until steaming hot.
3rd Trimester
Same caution in all trimesters; avoid cold deli pepperoni unless heated until steaming hot.

Conditions & Warnings

  • Only if fully cooked and served hot.
  • Cold deli pepperoni and other cured meats should be avoided unless cooked thoroughly.
  • Choose pasteurized, well-heated foods when possible.

Alternatives

  • Hot, freshly cooked meats
  • Fully reheated deli meats until steaming hot
  • Pasteurized cheese or other low-risk protein options

References

  • NHS
    https://www.nhs.uk/pregnancy/keeping-well/foods-to-avoid/
  • FDA
    https://www.fda.gov/food/health-educators/listeria-food-safety-moms-be
  • CDC
    https://www.cdc.gov/listeria/outbreaks/delimeats-7-24/index.html
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