Background: Low iron stores were discovered in newborns born to moms who were iron deficient, suggesting that the fetus's ability to store iron from mothers with low stores is limited. Therefore, determining the risk factors for maternal iron insufficie.ncy may be useful in creating preventative measures to enhance the health of the kids. Objective: The aim of the study was to improve the pregnancy outcomes by determining the prevalence of IDA and its risk factors among the pregnant females attending antenatal care clinic in Zagazig University Hospitals. Patients and methods: This cross-sectional study included 354 pregnant females attending the antenatal care clinic in Zagazig University Hospitals during the period from September 1^st, 2019, to the end of April 2020. Results: There was statistically significant difference regarding age and socio-economic level between studied groups. Normocytic normochromic anemia was more among women with higher age group as 67.8% of anemic women had age group more than 28 years versus 53.5% of iron deficiency anemic women had age group less than 28 years. Regarding socio-economic level, there was statistically significant difference between iron deficiency anemic patients and normal CBC pregnant females with most of IDA pregnant females (56%) were of low socio-economic level and no one (0.0%) had high class. While, 47.5% & 52.5% of NNA pregnant females were of low and moderate socio-economic level respectively. All high class women were with normal CBC. Conclusion:  Low socioeconomic standard, multiparity and recurrent pregnancy are considered high risk factors and should be considered.