Objective To study the level of 25-hydroxyvitamin D [25(OH)D] in women at the first and second trimesters of pregnancy in Shanghai,and to provide a reference for the supplement of vitamin D(Vit D) for pregnant women.Methods A total of 13 440 pregnant women [10 400 cases at the first trimester(<12 weeks) and 3 040 cases at the second trimester(12-27 weeks)] and 205 healthy subjects(healthy control group) were enrolled. The level of serum 25(OH)D was determined by enzyme-linked immunosorbent assay(ELISA). Serum 25(OH)D levels <25,25-<50,50-<75,75-<250,250-375 and >375 nmol/L were as Vit D famine,deficiency,insufficiency,sufficiency overdose and poisoning. Results The level of serum 25(OH)D in healthy control group was(58.07±14.64) nmol/L,and the proportions of Vit D famine,deficiency,insufficiency and sufficiency were 1.95%(4 cases),47.32%(97 cases),41.95%(80 cases) and 8.78%(18 cases),respectively. The level of serum 25(OH)D in pregnancy group was(45.05±15.79) nmol/L,and the proportions of Vit D famine,deficiency,insufficiency and sufficiency were 7.66%(1 029 cases),55.69%(7 485 cases),33.81%(4 544 cases) and 2.84%(382 cases).The level of serum 25(OH)D in healthy control group was higher than that in pregnancy group(P<0.05). The serum 25(OH)D levels at the first and second trimesters of pregnancy were(44.66±15.36) and(46.40±17.05) nmol/L. In the 2 groups,the proportions of Vit D famine were 7.72% and 7.43%,the proportions of deficiency were 56.67% and 52.34%,the proportions of insufficiency were 33.17% and 36.02%,and the proportions of sufficiency were 2.44% and 4.21%. The differences of Vit D deficiency,insufficiency and sufficiency proportions were significant statistically between the 2 groups(P<0.05). The level of serum 25(OH)D in winter-spring [(44.27±15.98) nmol/L] was lower than that in summer-autumn [(45.76± 15.55) nmol/L](P<0.01). Conclusions The deficiency or insufficiency of Vit D is common in women at the first and second trimesters of pregnancy.The Vit D deficiency at the first trimester of pregnancy is more serious compared with that at the second trimester of pregnancy,which is more common in winter-spring. It would be good for pregnant women to have a determination of serum 25(OH)D at the first trimester of pregnancy,and the determination can provide a scientific and appropriate Vit D supplement.