Polychlorinated biphenyls and dioxins. These are lipophilic substances that accumulate in fats.
The main dietary sources are oily fish (salmon, trout, carp, herring) and fish liver. Expectant
mothers should not, however, discontinue eating fish; it is recommended that oily fish be eaten
at least once a week.
Lead. If exposure is high, lead may cross the placental barrier and enter the fetus. Intake of lead
is associated with increased risks for hypertension and spontaneous abortion in the mother and
low birth weight and impaired neural development in the infant. Lead can be absorbed from
low-‐quality enamel vessels, lead-‐containing glass crockery or obsolete Teflon-‐coated cookware.
Vitamin A. Pregnant women should avoid liver or liver products and formulations containing
retinol, including fish oil. Products of plant origin that contain carotenes (pro-‐vitamins of
vitamin A) are red and orange vegetables and fruit; they are not teratogenic to the fetus and
are safe for consumption during pregnancy.
Mercury. Mercury accumulates in large ocean fish, such as shark, marlin, tuna, swordfish and
king mackerel. As the Baltic Sea is exceedingly polluted, it is not advisable to consume fish from
the Sea during pregnancy. Furthermore, mercury accumulates in pike and other large
freshwater fish (perch, pike perch and freshwater cod); however, only pike should be avoided,
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and such fish should not be eaten more often than once a week. No more than 140 g of tuna
should be eaten per week.
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