Pregnancy is an anabolic process and a woman's normal nutritional requirement increases during pregnancy to meet the needs of the growing fetus and the maternal tissues associated with pregnancy. Since the nutritional status of the expectant mother is one of the most important determinants affecting pregnancy outcomes good maternal nutrition is important for the health and reproductive performance of women and the health, survival, and development of their children. One main key indicator is Malnutrition resulting from inadequate dietary intake is associated with growth failure and development of protein-energy malnutrition, especially during the gestation, It was recognized that poor growth results not only from a deficiency of protein and energy but also from inadequate intake of micronutrients that are vital during pregnancy. Pregnant women need additional protein for initial deposition of pregnancy related tissue and to maintain new tissue Maternal iron requirements are higher than average absorbable iron intakes. If a woman’s diet does not contain enough iron to meet these needs, the body can meet fetal requirements only by drawing upon maternal iron stores. The demands of the developing fetus may cause the mother to develop nutritional iron deficiency anemia.