Background: Nutritional statue during pregnancy is essential for the growth and development of the fetus and The immediate and future health of a woman and her infant can be affected by the amount of weight gained throughout the course of a pregnancy. Aim: to assess nutritional patterns for pregnant women to control weight gain. Design : descriptive design study was followed Setting : The study was conducted in the two maternal and child health centers in Kafer Eldawar through using a purposive sample technique. Three tools of data collection were used named interview questionnaire sheet and assessment sheet for Physiological measurement of pregnant women and review of medical record to obtain data about lab analysis. The main result of the study illustrated that pregnant women had average level of knowledge regarding nutritional patterns. In contract pregnant women reported practices was unsatisfactory so there was statistically significant difference observed between knowledge and practices regarding nutritional patterns.The current study concluded that there was a negative correlation between knowledge and reported practices of pregnant women and weight gain rate during pregnancy. Based on this finding, the investigator recommended that health care provider should offer preconception counseling to help women achieve normal pre pregnancy BMI then continue to work with women during pregnancy to gain weight within the recommended range.