In July 2019, the FDA revised its advice on fish consumption for women who are pregnant, considering pregnancy, breastfeeding or have young children. The FDA continues to encourage women to eat fish, 2-3 servings of lower-mercury fish per week (or 8 to 12 ounces). In addition, the fish chart remains unchanged. However, there is concern that women may be limiting their diets due to mercury concerns. The purpose of this revision is to highlight benefits of fish consumption. The FDA states that
The FDA’s revised advice highlights the many nutrients found in fish, several of which have important roles in growth and development during pregnancy and early childhood. It also highlights the potential health benefits of eating fish as part of a healthy eating pattern, particularly for improving heart health and lowering the risk of obesity.
Note: ACOG has also released a practice advisory in support of the FDA and EPA guidance with an important addition
“Recommendations for women of childbearing age (about 16-49 years old), especially pregnant and breastfeeding women, and for parents and caregivers of young children”
The FDA and EPA fish chart covers 62 types of fish and recommendations for consumption are based on the following categories
Note: The chart also includes a category titled “Choices to Avoid” due to highest mercury levels
CHART TO HELP CHOOSE FISH AND HOW OFTEN TO EAT,
BASED ON THEIR MERCURY LEVELS
(Credit: FDA and EPA)
FDA In Brief: FDA revises 2017 fish advice for pregnant and breastfeeding mothers and young children
ACOG Practice Advisory: Update on Seafood Consumption During Pregnancy
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