Can consuming raw or undercooked beef during pregnancy cause a miscarriage?

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Can Consuming Raw or Undercooked Beef During Pregnancy Cause a Miscarriage?

Yes, consuming raw or undercooked beef during pregnancy can cause miscarriage due to the risk of Toxoplasma gondii infection, which is specifically associated with pregnancy loss and fetal harm. 1

The Mechanism of Risk

Raw and undercooked beef poses a significant threat during pregnancy because it can harbor Toxoplasma gondii, a parasitic organism that causes toxoplasmosis. 2, 1 When a pregnant woman becomes infected with this parasite, it can:

  • Cross the placenta and infect the developing fetus 2
  • Lead to miscarriage or severe fetal complications 3, 1
  • Cause congenital toxoplasmosis with devastating long-term consequences including visual impairment (85%), cognitive impairment (27%), and significant IQ reduction 2

Safe Cooking Guidelines to Prevent Infection

To eliminate the risk of toxoplasmosis from beef, pregnant women must cook meat to specific internal temperatures:

  • Whole cuts of beef: minimum 63°C (145°F) 2
  • Ground beef: minimum 71°C (160°F) 2
  • As a practical guideline, meat should be cooked until no pink remains inside, which typically corresponds to an internal temperature of 165°F-170°F 3

The American College of Obstetricians and Gynecologists explicitly recommends that pregnant women avoid undercooked meats throughout all trimesters to reduce foodborne infection risks that can cause miscarriage. 1

Additional Food Safety Measures

Beyond proper cooking, pregnant women should implement these protective practices:

  • Freezing alternative: Meat frozen at -20°C for at least 48 hours can kill T. gondii tissue cysts 2
  • Avoid processed meats: Smoked, salted, or dried meats can remain infectious and should be avoided 2
  • Hand hygiene: Wash hands thoroughly after handling raw meat 3
  • Prevent cross-contamination: Keep raw meat and its juices away from other foods; wash cutting boards, knives, and surfaces after contact with raw meat 3
  • Restaurant dining: Only order meat cooked well-done when eating out 1

Important Caveats

While one recent research article 4 suggested that improved food safety standards may reduce risks, this contradicts established guideline recommendations from multiple authoritative sources 3, 2, 1. The consensus across U.S. Public Health Service, Infectious Diseases Society of America, American Academy of Pediatrics, and American College of Obstetricians and Gynecologists is clear: pregnant women should avoid undercooked meat.

The risk is particularly concerning because many pregnant women have poor knowledge of these guidelines—research shows 83% of pregnant women incorrectly identify unsafe foods as safe, and only 30% are aware that T. gondii may be found in raw or undercooked meat. 5, 6

Beyond Beef: Other High-Risk Foods

Pregnant women should also avoid:

  • Raw or unpasteurized dairy products and soft cheeses (risk of Listeria monocytogenes, also associated with miscarriage) 3
  • Raw shellfish, oysters, and clams 2, 1
  • Unheated deli meats 3, 1
  • Unpasteurized goat's milk 2

References

Guideline

Food Safety Guidelines for Pregnant Women

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Prevention of Toxoplasmosis during Pregnancy

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Food-borne illnesses during pregnancy: prevention and treatment.

Canadian family physician Medecin de famille canadien, 2010

Research

Toxoplasmosis-related knowledge and practices among pregnant women in the United States.

Infectious diseases in obstetrics and gynecology, 2003

Research

Diet during pregnancy: Women's knowledge of and adherence to food safety guidelines.

The Australian & New Zealand journal of obstetrics & gynaecology, 2017

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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