This study was conducted to assess the food consumption pattern and nutrient intakes of pregnant women residing in Maku-the west north of Iran. In this cross-sectional study, 284 pregnant women (142 from urban area and 142 from rural areas) participated. Subjects were interviewed privately, face-to-face. Dietary intake data was collected using two 24 h recalls and a food frequency questionnaire for 3 months. Mean consumption of grains and dairies was higher in rural women compared to their counterparts in urban areas. Women in urban areas consumed 140 g fruits compared to 248 g consumed by rural women. There were no significant differences regarding consumption of vegetables, pulses, fat and oils between these two groups. All women consumed adequate amount of energy, protein, thiamin and niacin (> 75% RDA). Intake of vitamin B6, folate, vitamins A and D, iron, phosphorus, calcium, magnesium and zinc was not sufficient in these women. Inadequate intake of vitamin C and riboflavin was also reported in urban women. Percentage of energy from carbohydrate, fat and protein was 66, 23 and 11% for urban women, respectively and 68, 20 and 12% for rural women, respectively. Iron intake was lower in urban women compared to rural women. The findings indicated that rural women have better nutritional status than urban women. Future studies should determine factors associated with food consumption pattern in these women.