“…Recent perspectives papers and reviews have advanced a strong rationale for considering the combined effects of diet and stress in pregnancy with respect to fetal programming of offspring health outcomes, including brain development, immunity, and obesity risk [ 43 , 44 , 45 , 46 ]. This is based on a combination of evidence from non-pregnant populations and animal models of pregnancy, wherein an interactive effect of diet and stress has been found to affect metabolic [ 47 , 48 , 49 ] and inflammatory [ 50 , 51 , 52 ] pathways. While a handful of human pregnancy studies have reported associations between maternal psychosocial state and diet/nutritional status [ 53 , 54 , 55 , 56 , 57 , 58 , 59 ], there are, to the best of our knowledge, no published studies that have investigated the interactive effects of maternal diet and stress on the inflammatory milieu during pregnancy.…”