Objective. To analyze the sociomedical features of pregnant women from the middle town of Russia (in case of Ivanovo). Subjects and methods. A continuous method using a special schedule including questions on social, living, and material conditions, professional characteristics, obstetric/gynecological and somatic histories was employed to question 225 first-trimester pregnant women who had been followed up in the woman's clinics of Ivanovo. Results. Most asked women were in active reproductive years, had a first registered marriage, a good family relationship, higher education, stable earnings above the living wage, their own apartment with good living conditions, their own transport, and lived a healthy life. The pregnant women in the first trimester had a high medical activity, were aware of the methods to preserve their health and the need to take measures on pregnancy planning. At the same time, a significant number (25.8%) of the women had an unregistered marriage or were single (6.7%), had family conflicts (21.2%) or lived together with other family members. In adolescence, regular menstrual function occurred in less than 50% of those questioned. The study demonstrated that on planning a pregnancy and in early gestation, the women experienced a negative influence of social, occupational, and material factors that may cause different complications during pregnancy. Conclusion. The tasks of a woman's clinic should include health education work on modification of lifestyle, elimination of bad habits, and the need for compliance with a physician's recommendations on pregnancy planning.