Introduction: Magnetic resonance imaging (MRI) is a widely used diagnostic tool, but its safety during pregnancy remains a topic of concern. This study aimed to assess the current practices and attitudes towards MRI safety during pregnancy in Egypt. Methods: A survey was conducted among 41 MRI facilities across the country, with a response rate of 85%. The survey assessed patient load, safety protocols, screening procedures, administration of contrast agents, follow-up assessments, and consent requirements for MRI during pregnancy. Results: The majority of facilities (45%) reported a patient load between 100 and 200 exams per month. Regarding safety protocols, only 28% of facilities had a written policy on the exposure of pregnant patients to magnetic fields, while a mere 12% had a written policy on the exposure of pregnant health workers to MRI. Although 86% of facilities had a special MRI screening form, 27% did not consistently inquire about pregnancy during the screening procedure. Only 32% of facilities administered MRI contrast agents to pregnant patients when necessary. None of the facilities conducted regular follow-up assessments for babies exposed to the magnetic field in utero. Approximately 62% of facilities required special consent for MRI during pregnancy, with the patient herself (38%) and the husband (28%) being the common signatories. Conclusion: The study highlights the need for enhanced awareness and implementation of MRI safety guidelines during pregnancy in Egyptian healthcare facilities. Standardized protocols, improved screening procedures, regular follow-up assessments, and informed consent are crucial to ensure the safety and well-being of pregnant patients and healthcare workers. These findings provide a basis for future research and policy development to optimize MRI safety practices in Egypt.