Deli ham carries the same Listeria risk as other cold cuts. It must be heated to 165°F before eating during pregnancy. Ham is also high in sodium and often contains nitrates.
A "Use Caution" rating means this food is generally fine during pregnancy but comes with a specific factor worth managing — a daily limit, a preparation requirement, or a moderation guideline — rather than a reason to avoid it outright. These ratings reflect general guidance from the FDA, ACOG, CDC, and USDA. The goal of the "caution" label is to flag what to pay attention to, not to suggest the food is unsafe when that factor is properly managed.