Abstract Background: Diet is an important and modifiable lifestyle behavior that can affect risk factor development for optimal health and well-being. Aim: The aim of this study was to examine the effect of nutritional counseling on nutritional practices and dietary health habits of pregnant women. Research design: Quasiexperimental study design (pre/posttest). Setting: The study was conducted at Al-Ibrahemia health units in Sharkia, Governorate, Egypt. Sample: 75 pregnant women from their fourth month of pregnancy till their seventh month were included in this study. Tool: Structured interviewing questionnaire which included two parts; Part one: personal variables of the studied sample, Part two: Assessment of nutritional practices and dietary health habits. Results: a highly statistically significant difference in nutritional practices and dietary health habits was found in the studied sample post application of the nutritional counseling.