Background: Weight at birth is the most important factor determ ining neonatal survival and wellbeingrnboth duri ng early life and in adulthood. Globa lly, about 17% of infants are born with small weight forrntheir age. The incidence is particularly higher in developing nat ions. Weight at bi rth is determined byrnseveral factors including li fe style of the mother, physical condi tion, and weight gain during pregnancy. Inrnadd ition, mi cronutri ent de fi ciency, nutri tion of the mother affects bi lth weight and bi lth outcomes inrngenera l.rnMethodology: In a prospect ive cohort des ign 341 pregnant women (all at first trimes ter) palticipated inrnthe study and fo llowed until del ivery. Socio-demographic, dietary pattern, maternal morbidi ty, andrnanthropometry characteristics were assessed. In addition, intake of Iron folic acid supplementat ion wasrncaptured. Hemoglobin concentration of participati ng women was measured at first and th ird trimester.rnMoreover, serulll zinc concentration was determined at first trimes ter. Birth weight of new born werernmeas ured at del iveryrnRes ult: Respondents were in the age range of 17-40 with mean 26±4.S years and The mean weight ofrnstudy palticipants were 56.9 ±9.9, 59.9± 9.8 and 62.5± 10.0 kg at first, second and third trimester,rnrespectively. One in ten ( 10.9%) of women were underweight (BMI < IS.5 kg/m') and 11.7 % of womenrnwere MUAC