Pastrami
Pastrami is considered safe by the NHS, but heating it before eating is the safest approach during pregnancy to eliminate any Listeria risk from cold deli meats.

Pastrami is cured, seasoned, and smoked beef — typically made from brisket or round. It is a popular deli meat used in sandwiches and wraps. Like other cured and smoked meats, pastrami is not cooked at high enough temperatures during production to eliminate all bacteria, which is why it falls under general deli meat guidance. NHS guidance states that deli meats including pastrami are safe to eat during pregnancy, but many health professionals recommend heating it until steaming hot as an extra precaution against Listeria. Listeria monocytogenes can grow in cold, ready-to-eat meats stored in the fridge, and infection during pregnancy can cause miscarriage, premature birth, or serious illness in the newborn — even when the mother feels only mildly unwell. Heating pastrami in a hot sandwich, on a panini press, in a wrap in the microwave, or as part of a hot dish eliminates this risk. If you want to eat it cold in a deli-style sandwich, the NHS says this is acceptable. The US FDA advises heating all deli meats first, which is a more cautious position than the NHS. Pastrami is high in sodium — most sliced portions contain significant salt, so it is best enjoyed as an occasional food.
What to be aware of
- NHS guidance allows pastrami to be eaten cold, but heating until steaming hot is the safest option.
- Heating pastrami in a hot sandwich or on a panini press eliminates any Listeria concern.
- Eat within the use-by date and keep refrigerated.
- Pastrami is high in sodium — enjoy in moderation.
NHS guidance: https://www.nhs.uk/pregnancy/keeping-well/foods-to-avoid/
US guidance
The FDA and USDA advise all pregnant women in the US to heat deli meats including pastrami until steaming hot (74°C / 165°F) before eating. UK NHS guidance is less restrictive.