The cover has had a lasting societal impact. Since the cover was released, several celebrities have posed for photographs in advanced stages of pregnancy, although not necessarily as naked as Moore. This trend has made pregnancy photos fashionable and created a booming business.
The picture has been parodied several times, including for advertising The Final Insult (1994). This led to the 1998 Second Circuitfair use case Leibovitz v. Paramount Pictures Corp. In addition to being satirically parodied and popularizing pregnancy photographs, there was also backlash. Critics rated it grotesque and obscene, and it was also seriously considered when internet decency standards were first being legislated and adjudicated. Others thought it was a powerful artistic statement.