Every pregnancy has its risks. Pregnancies are labeled "high risk" when there are complications with either the mother or the baby that need careful monitoring and observation. Objective: The purpose of this study to determined the nutrition challenges that facing pregnant women at Hail/KSA community. Concerning the lack of information available on Hail/KSA, the present study was designed to fulfill these purposes. Material and Method: 100 questionnaires was submitted to collected information about general characteristics of the study group, nutrition challenges, and dietary intake. Results: Most participants 41% educate to university level, 58% are work, 44% are obese. The common problems during pregnancy are heart burn 59%, vomiting 52% and anemia 32%. There are significant relationship between stage of pregnancy and nutritional challenges, heartburn (p-value 0.048), Edema (p-value 0.026). Also the finding show significant relationship between nutritional challenges and nutrition supplementation.( P-value 0.00 for vomiting with vitamin).( P-value 0.001for heartburn with vitamin).( p-value 0.000 for morning sickness with vitamin and calcium). Conclusion: There are nutrition challenges facing women during pregnancy at Hail/KSA community. There are significant relation between these challenges and stage of pregnancy, nutrition supplementation and health problems before pregnancy.