Losing SNAP could mean more pregnancy complications as food insecurity grows

Idaho resident Lynlee Lord said she used nutrition assistance programs that helped ease some of the stress she was dealing with while pregnant in the aftermath of her partner’s death. Food insecurity can bring heightened risks of preeclampsia, preterm birth and NICU admission, research shows. (Courtesy of Lynlee Lord)

Without action from Congress before Saturday, millions nationwide will be cut off from access to government food assistance, including those who are pregnant or have babies and young children.

That possibility brings back a lot of difficult memories for Lynlee Lord, a mom of three in rural Idaho. In 2014, when Lord was 24, her partner died by suicide. She was 11 weeks pregnant with his daughter and already had a 2-year-old son.

“I went from building my life with my best friend to not having anything, and having to move into income-based apartments,” Lord said.

She was also going to cosmetology school full-time in Boise, Idaho, nearly an hour away from where she lived, spending more than 12 hours away from home each day. She worked on her dad’s ranch and cleaned houses to earn gas money. She tried to keep her stress levels down, but the one thing she didn’t worry about was food, because she had benefits from the U.S. Department of Agriculture’s Supplemental Nutrition Assistance Program, or SNAP.

“It took a lot of pressure off of me,” she said.

Many studies have shown adequate nutrition is essential for a developing fetus, and a January study published in the Journal of the American Medical Association found food insecurity in pregnancy is associated with medical complications. The researchers defined food insecurity as being worried about running out of food before there’s money for more. Risks include preeclampsia, preterm birth and NICU admission. 

Those who did not have access to food assistance had the highest risk of complications, according to the January study. The increased rate was alleviated by food assistance. 

It’s unclear how many pregnant people use SNAP benefits on average, but the program helped feed 42 million Americans in 22 million households in the 2025 fiscal year, according to the USDA.

The Trump administration has so far declined to use emergency funds to keep SNAP solvent while the government shutdown continues. Republican Senate Majority Leader John Thune said he won’t consider a Democrat-led standalone funding bill to keep the program going during the shutdown.

Though officials in some states are making moves to boost food assistance temporarily, others — including in Indiana and Tennessee — have refused to step in.

Lord doesn’t need food assistance anymore, but about 130,000 Idahoans still do and are set to lose their benefits on Saturday, Nov. 1. The Women, Infants and Children program, which helps families afford formula and other supplemental foods, could also soon run out of funds in certain states, including Idaho, the Idaho Capital Sun reported.

Instability and hard choices

Gestational diabetes — one of the more severe complications that can result from food insecurity — affects up to 10% of all pregnancies on average. The condition occurs when the placenta produces hormones that decrease insulin sensitivity, creating unstable blood sugars that necessitate a more strictly controlled diet and potentially the use of insulin or other medication to keep glucose levels in a normal range. Most cases are diagnosed in the third trimester, when the amount of insulin needed to keep blood sugars normal is at its peak.

Blood sugar can also be affected by stress, poor sleep, irregular meals and other physiological factors. If left untreated, or if glucose remains unstable through the last trimester of pregnancy, it can cause the fetus to grow too quickly, increasing the risk of stillbirth and other complications, like high blood pressure and low blood sugars in the baby after delivery.

Dr. Chloe Zera, chair of the Health Policy and Advocacy Committee for the Society of Maternal-Fetal Medicine, specializes in gestational diabetes and said she saw a patient on Tuesday who was worried about losing her SNAP benefits.

“Adding that on top of what is already a stressful diagnosis is incredibly challenging for people,” Zera said. “There’s so much guilt and shame and blame that goes along with gestational diabetes and diabetes in general in pregnancy.”

People with gestational diabetes who already have children and who are food insecure will also most often feed their children before themselves, Zera added.

“They’re going to make really hard choices that mean they have even less control over their nutrition,” she said.

Dr. Andrea Shields, an OB-GYN and maternal-fetal medicine specialist at the University of Connecticut, said uncontrolled gestational diabetes can cause low blood sugar in babies after delivery, which has been linked to neurodevelopmental issues later in life. If the SNAP benefits stop, she said, more people will have to get creative about finding ways to help pregnant patients without assistance from the federal government.

“This is a perfect example of why we pay taxes and why we want to help society in general, because we don’t need to create generational issues, which this will, because it impacts the unborn fetus,” Shields said.

Lord said if she was in the same situation today that she was 10 years ago, she might have had to consider an option that never crossed her mind at the time — an abortion. Even though it was her partner’s only child, and abortion is now banned in Idaho, Lord said she may have needed to find a way to end the pregnancy out of necessity, especially considering the costs of rent, child care, food and other expenses today.

“I would’ve probably picked my child that was living,” she said. “It was really scary for me back then, and I can’t even imagine in today’s world if that happened.”