Objective To understand health education needs of pregnant women in Shannan city of Tibet, and to provide reference for construction of sexual health education mechanism. Methods A questionnaire was designed based on Kano′s model, then 367 pregnant women were investigated to determine the quality attributes of their health education needs. Results Among the 28 items, 14.29% were must-be requirement, 32.14% were one-dimensional requirement, 46.43% were attractive requirement, and 7.14% were indifferent requirement. Teaching ability and related teaching contents were one-dimensional quality attributes, remote service contents and auxiliary teaching methods were attractive quality attributes. Conclusion On the basis of ensuring must-be requirements, we should enhance one-dimensional requirements and popularize attractive requirements, and construct health education contents and teaching forms meeting needs of pregnant women in Shannan city, thus to promote popularization and awareness of health education for pregnant women.