Is It Safe To Eat Liver During Pregnancy?

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When you’re pregnant, what you eat may directly influence fetal growth and development. Therefore, your doctor may suggest you eat some nutrition-rich foods more while completely avoiding other foods. However, some foods are tricky; for example, eating liver during pregnancy may have both beneficial and negative impacts on the fetal development.

Although the liver is a good source of many essential nutrients, consuming it in excess may have negative consequences.

This post tells you the ways and forms in which liver is consumed and the benefits and negative impacts of consuming liver during pregnancy.

In This Article

Forms Of Liver

Liver can be eaten as liver sausage.

Image: Shutterstock

The liver is eaten in many forms in different parts of the world:

  • Liver Pâté
  • Chopped liver
  • Liver sausage

Whatever be the form of the liver that you are consuming, the impact is almost the same. Some difference lies in the source from where the liver is coming.

protip_icon Point to consider
Be cautious with all types of pâté, not just liver-based ones. Even vegetarian varieties can pose risks, as they may contain listeria or raw eggs, which could lead to salmonella (9).

Benefits Of Eating Liver During Pregnancy

The liver has many nutrients that are good for maternal health as well as fetal health. It contains (1) (2):

  • iron, which helps deliver oxygen to the fetus using red blood cells.
  • vitamin A, which helps in the development of healthy skin and vision of the fetus.
  • protein, which supports the growth of the fetus.
  • folic acid, which helps prevent congenital abnormalities.

According to gynecologist & obstetrician Dr. Nisarg Patel, “The liver can be healthy for the baby if consumed in moderation and cooked thoroughly. The liver can provide essential nutrients such as protein, iron, folic acid, zinc, copper, and vitamin B12. These nutrients can support the baby’s brain, immune system, and metabolism.”

While protein and folic acid are important for supporting your baby’s growth, iron ensures the formation of adequate hemoglobin in the blood. It is the Vitamin A part that may cause problems.

Negatives Of Eating Liver During Pregnancy

Excess vitamin A causes fetal nervous system development issues.

Image: Shutterstock

The liver contains the most concentrated form of Vitamin A (1). The exact amount found in various sources will differ. For example, beef liver will have a higher degree of Vitamin A than chicken liver. But even in small quantities, it can cause harm because vitamin A in the liver is in the form of retinol. Excessive intake of vitamin A during pregnancy in this form can lead to congenital disabilitiesiPhysical abnormalities existing right from birth (3).

  • The Vitamin A in the liver is in the form of retinol.
  • Excessive intake of vitamin in this preformed version can lead to birth defects.
  • The defects can be in the form of mutationsiThe alteration of the structure or sequence of genes which may result in a changed phenotype and can even lead to development of cancerous cells. According to reports released by the Centers for Disease Control and Prevention (CDC), about one in every 33, which translates to about 120,000 babies, are born with birth defects in the US every year.
  • So retinol is considered harmful for pregnant women and should be avoided in any form.

According to the Royal College of Obstetricians and Gynecologists (RCOG), women in developed countries rarely have vitamin A deficiency, so eating high amounts of liver and liver products can cause increased vitamin A levels resulting in issues with the fetal nervous system development (4). Moreover, the liver is also high in cholesterol, which is unhealthy for pregnant and non-pregnant people.

protip_icon Caution
Avoid consuming raw or undercooked meat to reduce the risk of toxoplasmosis, an infection caused by a parasite (9).

How Much To Consume?

There is no clear evidence that prescribes a certain quantity of liver that can be consumed while you are pregnant. So, it all depends on your personal judgment. However, avoiding it will be the best course of action due to higher concentrations of vitamin A which is a fat soluble vitamin and its excess quantity doesn’t get excreted easily. You can have other forms of vitamin A which are safer(5).

It is said that about 2500 international units of Vitamin A can be safely consumed per day during pregnancy. Women who take a higher amount are at risk of facing birth defects and complications(6).

What To Avoid?

Pregnant women should avoid supplements with cod liver oil.

Image: Shutterstock

When you are abstaining from having liver, you must also try and stay away from these products:

  • Spreads or sauces that contain traces of the liver.
  • Supplements having Cod liver oil or shark liver oil.
  • Medicines or supplements which have a high concentration of Vitamin A in the retinol form.
  • Skin care products that have retinol as a component.

Other Sources Of Vitamin A

Carrots and pumpkins are good for the development of the baby.

Image: Shutterstock

Now that you know about the ill effects of eating liver, you need to find some alternative sources of Vitamin A that are good for your baby’s development. Some of them can be (6):

  • Carrots
  • Sweet potatoes
  • Pumpkin
  • Spinach
  • Collards
  • Kale
  • Turnip Greens
  • Beet Greens
  • Red peppers
  • Mango
  • Papaya
  • Apricots
  • Cheese
  • Egg
  • Oily fish

These sources are great for building good vision and immunity and act as effective antioxidants. The best part is that Vitamin A in these vegetables is in the form of beta carotene, which is good for your body and can be easily introduced to your maternal diet.

Frequently Asked Questions

1. Does beef liver have folate?

Yes, 100g raw beef liver contains around 290µg of folate (7).

2. Is liver sausage or chopped liver safe in pregnancy?

The NHS recommends that pregnant women avoid consuming any food containing liver and liver products (8).

You should be wary of foods to eat during pregnancy since those foods will affect your unborn baby, too. Liver consumption during pregnancy can be beneficial since it is a protein, folic acid, and iron rich food. However, the liver also contains high amounts of vitamin A in the form of retinol, which may increase the risk of congenital abnormalities. Hence, some doctors recommend against consuming liver and liver products such as cod liver oil supplements and sauces containing liver. Instead, foods like carrots, pumpkin, spinach, etc., can be added in a diet chart for pregnant women for a healthy dose of vitamin A. However, if you are craving liver during pregnancy, consult your gynecologist to know if you can safely consume it and add it in your balanced diet.

Infographic: Vegetarian Alternatives To Liver And Meat

Although you enjoy eating liver during pregnancy, there may be moments when you may not crave it. During such situations, you may consider the following vegetarian options packed with a lot of nourishment. Check out this infographic that will help you with some vegetarian alternatives for liver or meat.

What to have when you can’t have liver (infographic)

Illustration: Momjunction Design Team

Key Pointers

  • Liver is a rich source of folic acid and essential nutrients that are beneficial during pregnancy.
  • Consuming excessive quantities of the liver during pregnancy might increase the risks of problems associated with the baby’s nervous system.
  • It is also advised to avoid other food sources that might contain liver, such as cod oil or liver sauces and spreads.
  • Consult with a healthcare professional to learn about proper liver intake amount during pregnancy.

Illustration: Is It Safe Eating Liver During Pregnancy?

liver during pregnancy_illustration

Image: Dall·E/MomJunction Design Team

References

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Priyanka Sagar
Priyanka SagarRDN, LD, CLT
Priyanka is the founder of Ginger Spice Health, Minnesota, US, through which she provides nutrition counseling and medical nutrition therapy for prediabetes, cardiovascular health, food sensitivities and inflammation, and chronic and auto-immune diseases.

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  • Dr. Nisarg Patel
    Dr. Nisarg PatelMBBS, MS Dr. Nisarg Patel is a gynecologist, obstetrician, and laparoscopic surgeon from Ahmedabad, India, with over 13 years of experience in the field. He did his post graduation in Obstetrics and Gynecology from Pravara Institute of Medical Sciences, Ahmednagar, and holds a fellowship of Reproductive Medicine.
    Dr. Nisarg Patel is a gynecologist, obstetrician, and laparoscopic surgeon from Ahmedabad, India, with over 13 years of experience in the field. He did his post graduation in Obstetrics and Gynecology from Pravara Institute of Medical Sciences, Ahmednagar, and holds a fellowship of Reproductive Medicine.
Anshuman Mohapatra
Anshuman MohapatraM.Tech (Biotechnology)
Anshuman Mohapatra is a biotechnology scientist with more than six years of research experience in analytical chemistry and biotechnology. He has submitted his PhD thesis at the Indian Institute of Technology Guwahati (IIT Guwahati) and served as a research fellow (JRF/SRF) during his PhD tenure.

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Swati Patwal
Swati PatwalM.Sc. (Food & Nutrition), MBA
Swati Patwal is a clinical nutritionist, a Certified Diabetes Educator (CDE) and a toddler mom with more than a decade of experience in diverse fields of nutrition. She started her career as a CSR project coordinator for a healthy eating and active lifestyle project catering to school children.

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Dr. Joyani Das
Dr. Joyani DasM.Pharm, PhD
Dr. Joyani Das did her post-graduation from Birla Institute of Technology, Mesra and PhD in Pharmacology. Previously, she worked as an associate professor, faculty of Pharmacology, for two years. With her research background in preclinical studies and a zeal for scientific writing, she joined MomJunction as a health writer.

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