other <div style="text-align: justify;"><span style="font-family:Times New Roman;"><span style="font-size:14px;"><span style="line-height:normal"><b><span style="color:black">Introduction:</span></b><span style="color:black"> Proper nutrition during pregnancy plays a vital role in the health of the mother and fetus, providing essential nutrients for their growth and development. The present study aimed to determine the prevalence of food insecurity in pregnant women and its relationship with pregnancy and fetal outcomes. </span></span><br> <span style="line-height:normal"><b><span style="color:black">Methods and Materials:</span></b><span style="color:black"> This cross-sectional study was conducted on 11,615 pregnant mothers with an average age of 29.53 years and a standard deviation of 6.66. The study focused on service centers affiliated with Mashhad University of Medical Sciences. The data collected by the Sina System were analyzed using SPSS software version 25.</span></span><br> <span style="line-height:normal"><b><span style="color:black">Results:</span></b><span style="color:black"> Among the pregnant mothers studied, 444 (3.8%) had gestational diabetes, and 7987 (68.8%) had food security. Also, data analysis revealed that infant head circumference (<i>p</i> = 0.032), gestational diabetes (<i>p</i> = 0.001), and the mother&#39;s weight gain pattern (<i>p</i> = 0.046) had a significant relationship with food security, as well as with the BMI of mothers who had food security. Compared to mothers experiencing food insecurity, the probability of increased pregnancy blood pressure was significantly higher (<i>p</i> = 0.001). However, this difference was not statistically significant between the two groups. Of note, with the increase in food insecurity, the likelihood of stillbirth and pregnancy complications increased marginally. </span></span><br> <span style="line-height:normal"><b><span style="color:black">Conclusion and Discussion:</span></b><span style="color:black"> Based on the findings of this study and the significance of food insecurity in pregnant women, it is essential to identify women experiencing food insecurity during their initial pregnancy visit to provide the necessary care and education. We can also take steps to improve the health of these women by providing nutritional support, especially during pregnancy. Due to the lack of control over potential confounding factors, it is essential to establish a clear relationship between food insecurity during pregnancy and the occurrence of various pregnancy complications. Therefore, further studies are necessary.</span></span><br> <br> <img alt="" src="./files/site1/images/888.jpg" style="width: 1000px; height: 36px;" ></span></span></div> Food security, Gestational diabetes, Mothers, Pregnancy outcomes 406 406 http://ibj.pasteur.ac.ir/browse.php?a_code=A-10-4696-426&slc_lang=other&sid=1 Yeganeh Barati Yes Atefeh Sadat Yazdani Asl No Monavvar Afzalaghaee No