While I don’t want to overstate the risks, I would be very uncomfortable giving that advice. While most bacterial food poisonings are indeed limited to the surface of steaks and other solid meats, salmonella (for one) has been known to cause problems in pregnant women, even on steaks that are cooked well on the outside.
More worrying (albeit a bit less common) is toxoplasmosis, a fairly common parasitic infection that may have no symptoms or cause a mild self-limited illness in adults, but can cross the placenta and seriously harm or damage the infant.
Since the late 70s until recently, pregnant women have been urged not to eat rare meat or clean cat litter boxes (the commonest exposure). Though some are urging that these warning be weakened or downplayed (I’ve gotten publicity release from humane societs and meat industry organizations, which I found rather insultingly ill informed; most such releases are more balanced) the Toxoplasmosis warning remain on the official guidelines of several major specialty organizations (e.g. the American Academy of Pediatrics, the American College of Obstetrics and Gynecology, the American Academy of Family Practitioners, etc.). Toxoplasmosis can also be contracted, less commonly, from unwashed fruit and vegetables, some cured meats (e.g. the curing of Parma ham doesn’t kill toxo) and even in soil (e.g. from a neighbor’s cat or contamnation from racoons raiding the trash)
Some feel that previous exposure to toxoplasmosis (there’s a blood test for residual antibodies) is sufficient protection for your unborn child, so cat-owners, gardeners in affected soil, rare-meat eaters, etc. have usually had the disease (and fought it off). While it’s true that second (documented) infections with toxo are fairly rare, I feel the same argument would have applied back in the 70s, when toxoplasmosis was a significant unheralded risk. As much as I love rare meat, I’d say that the fact that toxo is known to cause fetal problems means toxo is known to cause fetal problems. Period. The risk is documented, so why risk it.
The figure I see most often is 3000 US cases/yr of congenital cases (i.e. infected fetuses that survive to birth). Congenital toxoplasmosis can have severe sequelae, including mental retardation, blindness, and epilepsy in infancy or much later in life. That’s a greater number of affected fetuses/children than the risk of not using carseats, yet we’ve made car seats a legal requirement, and you can actually have your kids taken away if you regularly don’t use them.
It should be noted that many doctors (and common wisdom) recommended rare meat for pregnant women up to the 70s (to assure adequate iron, and other nutrients). This suggests that our mothers may have had more exposure than pregnant women today, especially since toxo was not monitored, and meat handling was a bit laxer. It also suggests that it’s easy to overlook the rather uncommon toxo cases, unless you’re looking for them.
My advice? Don’t panic, but if you are concerned enough to ask the question, then definitely cook your steaks a bit longer until delivery day.
“Congenital Toxoplasmosis” (American Family Physician May 15, 2003)