Nutritional intake during pregnancy is important for maternal well-being and optimal fetal outcome. The nutritional, caffeine, cigarette and alcohol intake of 308 women registering for their first prenatal visit in an urban clinic was surveyed. Twenty-four hour dietary recalls were coded, computer analyzed, and compared to the RDA for pregnant women for calories, protein, calcium, phosphorus, iron, vitamins A and C, thiamin, riboflavin and niacin. The nutritional intake was inadequate in calories, calcium, and iron. Forty percent of the sample reported smoking at this point in their pregnancy and the mean number of cigarettes smoked was 10 (one-half a pack) per day. Thirteen percent of the sample acknowledge regular alcohol consumption and 83% of those consuming alcohol also smoked. The mean caffeine intake was 65 mg, a level lower than the reported mean daily intake for a nonpregnant adult.