Can Pregnant Women Have Queso? | The Facts About Safety

Yes, pasteurized queso dip is generally safe, but pregnant women should avoid soft Mexican-style cheeses made from unpasteurized milk due.

Picture a bowl of warm, creamy queso at a taco night or restaurant appetizer. The craving hits hard during pregnancy, and skipping chips feels unfair when everyone else is dipping. The catch is that “queso” can mean two very different things: a cooked, melty dip and the crumbly, fresh cheese called queso fresco.

The honest answer is that safety depends entirely on which version ends up on your plate. Pasteurized queso dip is generally fine, but unpasteurized soft cheeses can carry a risk of listeriosis that matters more during pregnancy.

Understanding the Difference Between Queso Dip and Queso Fresco

When most people say “queso,” they mean a warm, orange or white cheese sauce used as a dip. Restaurants typically make this from melted processed cheese, which is almost always pasteurized and cooked at high temperatures.

Queso fresco is a completely different product. It’s a soft, crumbly Mexican-style cheese traditionally made from unpasteurized cow’s milk or a mix of cow and goat milk. The FDA notes that queso fresco is high in moisture and low in acidity, which creates an ideal environment for Listeria bacteria to grow.

That moisture content matters because Listeria can thrive even at refrigeration temperatures. This makes queso fresco a higher-risk food than harder, aged cheeses.

Why Unpasteurized Soft Cheeses Carry Listeria Risk

Listeriosis is a serious infection caused by eating food contaminated with the bacterium Listeria monocytogenes. The FDA warns that pregnant people are 10 times more likely than the general population to get a listeria infection. This increased vulnerability is why the advice around queso fresco is stricter for pregnancy.

  • Higher risk per serving: For soft-ripened cheeses, the risk for listeriosis per serving can be 50 to 160 times greater for cheese made from unpasteurized milk compared to pasteurized milk, according to a peer-reviewed study.
  • How listeria grows: Unlike many bacteria that stop growing in cold environments, Listeria can multiply even in the refrigerator. Queso fresco’s high moisture and low acidity give it a perfect home.
  • Potential pregnancy complications: Listeriosis can cause miscarriage, stillbirth, premature delivery, or life-threatening infection in the newborn, as public health sources explain.
  • Specific population risk: Pregnant Hispanic women in the U.S. face higher exposure because of traditional use of queso fresco, which is why the FDA has targeted educational materials toward this community.
  • Updated FDA guidance: The FDA reinforced its recommendation in January 2025, advising high-risk groups to avoid queso fresco-type cheeses entirely.

These risks are real, but they are almost entirely tied to soft cheeses made from raw, unpasteurized milk. Pasteurized versions follow a different safety profile.

How to Safely Enjoy Queso During Pregnancy

You don’t have to swear off queso completely. The key is choosing the right type and preparation. Fully cooked queso dip is generally safe because the cooking process kills Listeria bacteria. The CDC notes that cooking deli meat and hot dogs to 165°F kills listeria, and the same principle applies to cooking soft cheeses into a dip.

For fresh queso fresco, the safest approach is to check the label for “pasteurized milk.” The FDA makes it clear that pregnant women should avoid queso fresco-type cheeses whether store-bought or homemade unless pasteurization is confirmed. Read the FDA queso fresco warning for full details.

Cheese Type Typical Preparation Pregnancy Safety
Queso dip (cooked, processed) Heated to high temperatures Generally safe
Queso fresco (unpasteurized) Raw, soft, crumbly Avoid
Queso fresco (pasteurized) Pasteurized milk Safe if label confirms pasteurization
Queso blanco Soft, fresh cheese Avoid unless pasteurized
Cotija Aged, crumbly cheese Usually safe if pasteurized; check label
Feta (pasteurized) Brined soft cheese Safe with pasteurization

Most commercially available soft cheeses in the U.S. are pasteurized, but it’s never safe to assume. Always read the ingredient label or ask your server directly.

The Role of Pasteurization in Keeping Cheese Safe

Pasteurization heats milk to a temperature that kills harmful bacteria, including Listeria, without significantly changing the cheese’s texture or flavor. When cheese is labeled “made with pasteurized milk,” the listeria risk drops dramatically.

The CDC advises that pregnant women should not eat soft cheeses like queso fresco unless the label says they were made with pasteurized milk. This is the simplest rule: no label = no assumption of safety.

At restaurants, you can ask whether the queso fresco or other soft cheese is pasteurized. Many large chains and grocery store brands use pasteurized cheese as a standard. If the staff doesn’t know, it’s better to choose a cooked queso dip or another dish.

  1. Check the package label for the phrase “made with pasteurized milk.” If it’s missing, consider it unsafe.
  2. Ask at the restaurant whether the queso fresco or crumbly cheese is pasteurized. Many servers can confirm from the kitchen.
  3. Choose cooked queso dip when in doubt. The heat from cooking kills any potential bacteria.
  4. Avoid homemade queso fresco unless you’re sure the milk was pasteurized. Traditional recipes often call for raw milk.

Tips for Ordering Cheese at Restaurants and Stores

Pregnancy food guidelines can feel overwhelming, but soft cheese safety comes down to one question: pasteurized or not? The NHS includes certain cheeses, milk, and dairy in its list of pregnancy foods to handle with caution. Their guidance aligns with U.S. recommendations.

When ordering, don’t be shy about asking. Many restaurants source their cheese from large distributors that use pasteurized milk. If you’re at a Mexican restaurant, queso dip is typically a safe bet, while the crumbled cheese topping on your dish might be queso fresco or cotija. Check the NHS pregnancy food safety page for further reassurance.

Situation What to Ask
Queso dip at a restaurant “Is this made from pasteurized cheese?” (likely yes)
Queso fresco topping “Is this queso fresco pasteurized?”
Cheese purchase at store Look for “pasteurized milk” on the ingredient list

The Bottom Line

Pasteurized queso dip is generally safe during pregnancy. The real risk comes from soft, unpasteurized cheeses like queso fresco, which can harbor Listeria bacteria. Check labels, ask questions, and when in doubt, go for the cooked version. Your obstetrician or midwife can help you personalize these guidelines based on your overall diet and any other health factors.

For specific questions about your unique situation and risk factors, your prenatal care provider is the best person to guide you — especially if you have a history of pregnancy complications or work in a setting with higher listeria exposure.

References & Sources

  • FDA. “Avoid Queso Fresco Type Cheeses If Youre High Risk Groups” The FDA recommends that pregnant women, adults over age 65, and people with weakened immune systems avoid queso fresco-type cheeses to help prevent serious illness.
  • NHS. “Foods to Avoid” Most foods and drinks are safe to have during pregnancy, but there are some things you should be careful with or avoid, including certain cheeses, milk, and other dairy.