Pregnant women in developing countries face plenty of challenges with a very high morbidity and mortality due to lack of primary health care settings, health professional resource and basic infrastructure. Moreover, they are not adequately counseled for their nutritional requirements and appropriate weight gain. Situation gets even more complicated with huge illiteracy, lower socioeconomic status, lack of antenatal check by a trained or even skilled health professionals leading to high morbidity both for the mother and for their baby. In this study, we investigated 163 pregnant women of lower socioeconomic class in a tertiary care hospital from September 2013 to January, 2014. After taking informed consent, they were interviewed for basic socio-demographic features, their daily dietary intake and a plenty of medical history with body measurements, e.g. weight, height, pulse, blood pressure etc. The status of counseling was studied, whether or not provided with regards to ideal weight gain, dietary advice, balanced diet, iron supplementation, which foods to take more or what to avoid, particularly the time taken for antenatal examination and physical examination and we found that 39.3 % females were overweight . We conclude that counseling is a critical component of the management of women during pregnancy. In this study, we found that, it is not being carried adequately. The healthy and safe outcome of the pregnancy is highly dependent on the nutrition of the mother. The service of a dietitian or nutritionist may be made mandatory in the care of pregnant women.