Objective To understand the iodine nutrition status of pregnant women in Qingpu District of Shanghai from 2015 to 2023,and to provide the evidence for intervention strategies in the region.Methods A total of 20-30 pregnant women,amount of 1 152 pregnant women,were randomly selected from each town,and their edible salt samples and urine samples were collected to detect iodine content,and analyzed with statistical methods.Results The salt iodine content of the investigated subjects was 24.40 mg/kg;the edible rate of qualified iodized salt was 61.37%;the qualified rate of iodized salt was 84.67%;and the coverage rate of iodized salt was 72.48%.In recent years,the qualified rate of iodized salt,the coverage rate of iodized salt and the consumption rate of qualified iodized salt in Qingpu District showed a downward trend(P<0.01).There was a positive correlation between the consumption rate of qualified iodized salt and the coverage rate of iodized salt(P<0.05).Conclusion The iodine nutritional status of pregnant women is generally at an appropriate level,but nearly half of pregnant women still lack iodine.Health education should be strengthened,and iodine should be supplemented scientifically and as needed.