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Simple Summary: Larger litter size (born alive) and higher uniformity of piglets' birth weight are the most desired characteristics in pig production. Application of N-carbamylglutamate (NCG) was shown to increase litter size and decrease the coefficient of variation of piglets' birth weight from sows after conventional artificial insemination. In this study, we report that, in sows after fixed-time artificial insemination (FTAI), NCG improved the number of piglets born alive and the coefficient of variation of birth weight through direct effects (increased serum NCG levels) and indirect effects (altered intestinal microbiome and serum metabolites). These findings indicate that NCG can improve reproductive performance by improving both the number of piglets born alive and the uniformity of piglets' birth weight in sows after FTAI. N-carbamylglutamate (NCG) supplementation during gestation improves reproductive performance in sows after conventional artificial insemination. However, whether NCG can improve reproductive performance and change fecal microbiota and serum metabolite levels during pregnancy in sows after fixed-time artificial insemination (FTAI) remains unclear. Two hundred multiparous sows were assigned a diet from mating until farrowing: control (corn–soybean meal) or NCG supplementation (0.05% NCG). At days 30, 70, and 110 of gestation and after farrowing, maternal microbial diversity and serum metabolites were studied. Supplementation of NCG increased the number of piglets born alive and the litter weight (all p < 0.05) and altered the fetal microbial community during gestation. Some genera were particularly abundant at different time points during gestation and after farrowing, but none were commonly abundant across all four time points. Metabolic analysis revealed that NCG supplementation significantly increased the serum concentrations of NCG, ferulic acid, cinnamoylglycine, 3-phenyllactic acid, and gamma-glutamylglutamic acid in the NCG group compared with levels in the control group. Our results reveal that NCG supplementation during gestation improves reproductive performance in sows after FTAI, exerting both direct (increased serum NCG levels) and indirect effects (altered intestinal microbiome and serum metabolites) on sow reproduction and, ultimately, improving placental and fetal development. [ABSTRACT FROM AUTHOR]