Can I eat pasta carbonara while pregnant?

Quick Answer

Pasta carbonara can be safely eaten in moderation during pregnancy. It provides beneficial nutrients like protein, iron, and B vitamins. However, its high calories, fat, sodium, and nitrates from bacon may need limiting for some women. Discuss portion sizes and ingredients with your doctor.

Can You Eat Pasta Carbonara When Pregnant?

Yes, pasta carbonara can be part of a healthy pregnancy diet when consumed in moderation. Pasta provides carbohydrates for energy, while eggs offer protein for baby’s growth and development. The bacon or pancetta add flavor and nutrients like iron, zinc, and B vitamins.

However, carbonara is a high calorie, high fat, and high sodium dish. The American College of Obstetricians and Gynecologists (ACOG) recommends 25-35 pounds of weight gain during pregnancy. Consuming too many high calorie foods can contribute to excessive gains. The high sodium content can also cause fluid retention in some women.

The nitrates and nitrites used to cure bacon and pancetta can form nitrosamines, which may increase cancer risk. But occasional small portions are unlikely to be harmful. Discuss appropriate portion sizes with your healthcare provider.

Nutritional Value of Pasta Carbonara

A 300 gram serving of pasta carbonara provides approximately:

  • Calories: 800
  • Total fat: 49 g
  • Saturated fat: 18 g
  • Cholesterol: 425 mg
  • Sodium: 1,800 mg
  • Total carbohydrates: 57 g
  • Dietary fiber: 3 g
  • Protein: 32 g

Pasta carbonara is high in calories, fat, saturated fat, cholesterol and sodium. It provides substantial protein and some fiber.

Beneficial Nutrients

  • Protein – Eggs and bacon provide protein needed for baby’s cell growth and maternal breast tissue development.
  • Iron – The bacon boosts iron intake, which prevents pregnancy anemia and aids oxygen circulation.
  • Zinc – In bacon, this assists fetal brain development and maternal immunity.
  • B vitamins – Eggs supply B12, important for nerve function. Bacon provides B6, which eases morning sickness.

Nutrients to Limit

  • Saturated fat – High intakes may increase gestational diabetes and preeclampsia risks.
  • Sodium – Excess sodium can cause fluid retention and increased blood pressure.
  • Nitrates/nitrites – Preservatives in cured meats may form carcinogenic nitrosamines when cooked.

Pasta Carbonara Ingredients and Pregnancy


Pasta provides an energy boost from carbohydrates. Opt for whole grain or protein-enriched versions to add fiber, B vitamins, and iron. Limit portion to 1-1.5 cups cooked pasta.


Eggs provide high-quality protein and choline for fetal brain development. Cook eggs thoroughly to avoid risk of salmonella food poisoning. Limit to 2-4 eggs per week.


Cured pork adds fat, sodium, and potentially harmful nitrates. Opt for reduced sodium bacon or prosciutto. Limit to 1-2 slices per serving a few times per month.


Parmesan cheese provides calcium for maternal and baby’s bones and protein. Use reduced fat versions and keep portions small, around 1-2 tablespoons. Avoid unpasteurized soft cheeses.


Butter adds flavor and calories. Use modestly and select low-sodium varieties if available. Limit to 1 teaspoon per serving.

Olive Oil

Olive oil provides healthy fats. Drizzle lightly over pasta to avoid excess calories. 1-2 teaspoons is sufficient.

Healthy Pasta Carbonara Alternatives When Pregnant

To lighten up pasta carbonara:

  • Use whole wheat or veggie pasta
  • Replace bacon with turkey bacon, prosciutto or sautéed mushrooms
  • Use just egg whites or one whole egg plus 2 whites
  • Choose reduced fat cheese and limit to 1-2 tablespoons
  • Sauté veggies like spinach, broccoli or tomatoes into the dish
  • Flavor with lemon juice instead of heavy cream or butter
  • Top with fresh parsley or basil instead of Parmesan

Tips for Eating Pasta Carbonara While Pregnant

If you want to enjoy pasta carbonara during pregnancy, consider these tips:

  • Watch portion sizes – 1 cup of pasta and 2 oz bacon is reasonable
  • Limit high-fat ingredients like butter, cream and cheese
  • Choose whole grain or veggie pasta for more nutrients
  • Add veggies like broccoli, spinach or tomatoes
  • Use lean turkey bacon or prosciutto if available
  • Cook bacon thoroughly and let it drain on paper towels
  • Use just 1 teaspoon olive oil to toss the pasta
  • Serve with salad and veggies on the side
  • Discuss any diet concerns with your prenatal provider

Moderating portions of pasta carbonara along with plenty of fruits, vegetables, lean proteins and whole grains throughout your weekly diet can help keep your pregnancy on track.

Is Pasta Carbonara Safe During Pregnancy?

In moderation, pasta carbonara is generally safe to consume during pregnancy. However, it is high in fat, sodium, and calories, so large portions or frequent indulgence can be problematic.

Here are some of the safety considerations with carbonara ingredients:

Raw Eggs

Raw or undercooked eggs may contain salmonella bacteria. Be sure to cook eggs thoroughly until yolks and whites are firm. Avoid recipes with raw or slightly cooked eggs like homemade Caesar dressing.

Cured Meats

The nitrates and nitrites in bacon, pancetta and prosciutto may convert to nitrosamines during high heat cooking. These compounds can increase cancer risk. Limit portions to 2-3 times per month. Opt for no-nitrate bacon when possible.

Unpasteurized Cheese

Soft cheeses made from unpasteurized (raw) milk can harbor Listeria and other pathogens. Stick to pasteurized hard cheeses like Parmesan or use reduced fat versions.

Excess Calories

Carbonara’s high calorie and fat content can contribute to excessive weight gain if eaten frequently or in large portions. Work with your doctor to determine appropriate portions and balance with other nutrient-dense foods.

High Sodium

The cured pork and Parmesan cheese add a lot of sodium, which some women are sensitive to. Fluid retention or increased blood pressure may occur. Opt for low-sodium ingredients when possible.

When to Avoid Pasta Carbonara in Pregnancy

Here are some circumstances when it may be best to avoid carbonara:

  • If you have gestational diabetes or are at high risk, due to the dish’s high calorie, fat and carb content
  • If you have elevated blood pressure, to limit sodium intake
  • If you experience heartburn, as fatty foods can trigger symptoms
  • If you are vegetarian or avoid pork products for religious reasons
  • If you have food allergies to any of the ingredients
  • If you have a history of Salmonella or Listeria food poisoning

Always check with your prenatal care provider about any special dietary needs or restrictions you may have.

Healthy Pregnancy Diet Guidelines

While occasional pasta carbonara is permissible for most women, here are some healthy overall pregnancy eating guidelines:

  • Emphasize fruits, vegetables, whole grains, lean proteins, low-fat dairy
  • Choose a variety of nutrient-rich foods each day
  • Drink plenty of water to stay hydrated
  • Take a prenatal vitamin with folic acid daily
  • Gain weight gradually within recommended ranges
  • Avoid raw meat, fish and eggs to reduce infection risk
  • Wash all produce thoroughly before eating
  • Limit caffeine, alcohol, high mercury fish
  • Satisfy cravings in moderation with reasonable portions

Focusing on a balanced diet high in vitamins and minerals will help support a healthy pregnancy and baby. The occasional pasta indulgence can fit into this framework when portion-controlled. Discuss any concerns with your healthcare provider.


Pasta carbonara can be part of a healthy pregnancy diet when enjoyed in moderation. It provides protein, iron, zinc, and B vitamins. But the high calorie, fat, and sodium content requires caution with portion sizes, especially for women prone to excess weight gain or swelling. Limit high-fat ingredients, cure meats with nitrates, and unpasteurized soft cheeses. Balance out the meal with vegetable sides and other wholesome foods. Check with your doctor about any dietary restrictions. With some modifications and restraint, pasta carbonara can still be appreciated during pregnancy alongside an otherwise balanced diet.

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