Pregnancy can be a joyous time, but it is also filled with a lot of sacrifices. Growing a baby inside you for nine months comes with a lot of responsibility, so it’s important to err on the side of caution to keep you and your growing baby healthy.

Here are four things you should avoid during pregnancy.

What should I avoid during pregnancy?

1. Eating raw meat and shellfish. Most of the pregnancy do’s and don’ts involve food, and one of the biggest no-nos during pregnancy is eating uncooked seafood, including oysters, mussels, and clams. It is also important to avoid undercooked beef or poultry because they can be contaminated with toxoplasmosis or salmonella.
2. Changing cat litter. It’s best to avoid this task, but if you can’t avoid it, wear gloves and wash your hands immediately afterward. Cat feces can carry toxoplasmosis, the same disease that can be present in raw meat or through gardening. It’s not the biggest risk, but if you can get someone else to do it, you should.
3. Breathing in second-hand smoke. Obviously, you shouldn’t smoke during your pregnancy, but you also shouldn’t breathe in second-hand smoke either. Second-hand smoke is almost just as bad as smoking yourself, and there are roughly 4000 chemicals in second-hand smoke. Exposure to second-hand smoke can cause miscarriages, premature delivery, low birth weight, or even sudden infant death syndrome.
4. Alcohol. Finally, it’s important to avoid wine, beer, and liquor during pregnancy. Alcohol can pass quickly from your bloodstream through the placenta and umbilical cord to your baby. This can cause premature birth, fetal alcohol spectrum disorders, brain damage, congenital disabilities, or even a miscarriage or stillbirth.

Staying healthy during pregnancy comes with a lot of responsibility and a lot of sacrifices. On top of the morning sickness and your changing body, there are also some things you should avoid during pregnancy to stay healthy during the process.