ShePrep

Can I eat seaweed while pregnant?

Written by Andy Hendrick
6 sources cited

Safe in moderationNo UK seaweed limit exists. ANSES advises not exceeding 600 micrograms of iodine a day for adults; the NHS says supplements of 0.5mg a day or less are unlikely to cause harm

The sheet of nori around a sushi roll is not the problem. Concentrated brown seaweeds such as kombu and kelp are, because their iodine content is extraordinarily high and variable. France's food safety agency advises pregnant women against seaweed foods and supplements without medical advice. The UK sets no seaweed rule at all.

The verdict

It depends entirely on which seaweed and how much, and the range between the answers is enormous.

A sheet of nori wrapped around a cooked sushi roll, a sprinkle of furikake, or a few strands of wakame in a miso soup are small quantities of relatively low-iodine seaweeds. No authority anywhere restricts these in pregnancy.

Kombu, kelp, and dried brown seaweed sold in bulk or as capsules are a different proposition. France's food safety agency, ANSES, advises against the consumption of food and food supplements containing seaweed by pregnant or breastfeeding women without seeking medical advice. That is the most explicit national position that exists on this question.

The UK has no seaweed guidance in pregnancy at all. Neither does Australia, the United States or Ireland. What the NHS publishes is a general statement about iodine, which is the thing that actually matters.

Why iodine, and why seaweed specifically

Iodine is not optional. It is used to make thyroid hormones, and thyroid hormone is central to fetal brain development. Adults need 140 micrograms a day according to the NHS, and most people get that from a varied diet: cows' milk and dairy, eggs, sea fish and shellfish.

The problem with seaweed is not that it contains iodine. It is that some species concentrate it to a degree no other food does, and the amount in any given piece is wildly unpredictable.

ANSES identified the species that carry most of the risk by name: the brown kelps Laminaria and Saccharina, and the red alga Gracilaria verrucosa. These are exactly the seaweeds used in stock, in dashi, in kelp granules sold as a salt substitute, and in most seaweed supplements.

What too much iodine does

The NHS states that taking high doses of iodine for long periods could change the way your thyroid gland works, and that this can lead to a wide range of symptoms. ANSES describes regular excessive intake as capable of causing thyroid dysfunction along with certain adverse effects, particularly cardiac or renal ones.

The pregnancy-specific concern is that both too little and too much maternal iodine can disturb fetal thyroid function. A fetal thyroid exposed to a large iodine load can shut down temporarily, a response known as the Wolff-Chaikoff effect, and there are case reports of neonatal hypothyroidism after heavy maternal seaweed consumption. This is not a common event, and it is associated with sustained high intake, not with a sushi lunch.

The numbers, and who set them

Every figure below carries the body that published it, because they are not interchangeable.

  • The NHS says adults need 140 micrograms of iodine a day, and that taking 0.5mg a day or less of iodine supplements is unlikely to cause any harm. It does not publish a separate pregnancy figure.
  • ANSES recommends not exceeding 600 micrograms of iodine a day for adults, which is the European tolerable upper intake level for adults derived by EU scientific bodies.
  • Nobody publishes a milligram-per-gram figure for seaweed, because the content varies by species, harvest site, season and drying method by more than an order of magnitude. That variability is the whole problem, and it is why ANSES asks for iodine content to be declared on seaweed products rather than issuing a portion size.

This site will not invent a number of sheets of nori per week. No food safety body has published one and there is no honest way to derive one from what is available.

What is actually on your plate

Rough orders of magnitude help more than a rule here.

Nori, the thin dark sheet used for sushi and onigiri, is a red alga and is among the lower-iodine seaweeds. It is also used in tiny quantities: a sheet weighs about three grams.

Wakame, the soft green seaweed in miso soup and seaweed salad, sits in the middle. Portions are small.

Kombu and kelp are the high end. Kombu is used to make dashi stock, which means the iodine leaches into the liquid you then drink. Kelp powders, kelp granules and kelp tablets marketed for thyroid support or as a mineral supplement are the products ANSES is most concerned about, and the ones where an unlucky batch can deliver many times the daily upper level in a single serving.

Supplements are the sharp end

ANSES draws no distinction between seaweed foods and seaweed supplements in its advice to pregnant women, but supplements are where the doses are largest and least controlled. It also makes a specific point that people with an iodine deficiency should not use seaweed products to correct it, which rules out the most common reason someone would start taking kelp in the first place.

If you are vegan and worried about iodine, the NHS route is different: it suggests considering foods fortified with iodine or an iodine supplement, taken on advice from a healthcare professional, and notes that some plant-based drinks such as soya or oat are fortified with iodine. That is a controlled dose on a label, which kelp is not.

If you have been eating a lot of it

If you have eaten sushi through this pregnancy, there is nothing to act on. If you have been taking kelp capsules, or using kombu stock daily, or eating seaweed salad most days, that is worth raising at your next appointment, and it is a reasonable thing to ask a midwife or GP about. Thyroid function can be measured.

ANSES's own framing is not "you have done harm", it is "get advice first". That is the practical version of the answer.

Where guidance differs

France is the only country with an explicit position. ANSES advises against seaweed foods and supplements in pregnancy and breastfeeding without medical advice, names the high-iodine species, and asks manufacturers to declare iodine content.

The UK addresses iodine, not seaweed. The NHS gives a 140 microgram requirement and a 0.5mg supplement ceiling, and warns that high doses over long periods can change thyroid function. Seaweed is not mentioned in NHS pregnancy advice.

No authority restricts nori on sushi. The NHS sushi rule is about raw fish, not about the seaweed wrapper, and cooked sushi is explicitly allowed.

Nobody publishes a portion limit. Because iodine content varies so widely between species and batches, the guidance that exists is about product type and medical advice rather than grams per week.

Guidance by country

France's national food safety agency advises against the consumption of food and food supplements containing seaweed by pregnant or breastfeeding women without seeking medical advice, placing them in the same at-risk group as people with thyroid dysfunction, heart disease or kidney failure. It states that regular excessive intake of iodine can cause thyroid dysfunctions as well as cardiac or renal effects, recommends not exceeding 600 micrograms of iodine a day for adults, and names Laminaria, Saccharina and Gracilaria verrucosa as species particularly rich in iodine. It also says people with an iodine deficiency should not use seaweed products to correct it.

Showing guidance from ANSES (France)read the source.

Sources

  1. Seaweed consumption: remain vigilant to the risk of excess iodine intake ANSES (French Agency for Food, Environmental and Occupational Health and Safety), accessed
  2. Iodine NHS, accessed
  3. Foods to avoid in pregnancy NHS, accessed
  4. Pregnancy and healthy eating Food Standards Australia New Zealand, accessed
  5. Dietary reference values European Food Safety Authority, accessed
  6. Pregnancy vitamins and supplements NHS, accessed