Antenatal care (ANC) is a key strategy to improve maternal and infant health. However, survey data from sub-Saharan Africa indicate that women often only initiate ANC after the first trimester and do not achieve the recommended number of ANC visits. The health care that a mother receives during pregnancy is important for the survival and wellbeing of - both the mother and the child. The importance areas to maternal health care service: antenatal care service; problems in accessing health care and awareness and attitudes concerning maternal health care service are Progress in the coverage of early antenatal care visits has been achieved but coverage is still far from universal. Substantial inequity exists in coverage both within regions and between income groups. The absence of data in many countries is of concern and efforts should be made to collect and report coverage of early antenatal care visits to enable better monitoring and evaluation. In theory, antenatal care reduces maternal and perinatal mor- bidity and mortality directly through the detection and treat- ment of pregnancy-related or intercurrent illness or indirectly through the detection of women at increased risk of complica- tions of delivery by ensuring that they are cared for in a suitably equipped facility (1). Definition of indicators. Antenatal care coverage (at least one visit) is the percentage of women aged 15 to 49 with a live birth in a given time period that received antenatal care provided by skilled health personnel (doctor, nurse or midwife) at least once during pregnancy. Skilled health personnel refers to workers/attendants that are accredited health professionals - such as a midwife This paper is a report of a systematic review to identify and analyse the main factors affecting the utilization of antenatal care in developing countries. Background. Antenatal care is a key strategy for reducing maternal mortality, but millions of women in developing countries do not receive it. Data sources. of antenatal care attends reported suspicious more than half quarterly worried. Conclusion: - most antenatal care attendees are warned about possible abnormalities & often lead to further investigations & cause considerable worries. Samuel Oginni 2, Kayoed sung bade (2008) conducted a study on "Antenatal care services in secondary health care The pooled prevalence of utilization of antenatal care services in Ethiopia was 63.77% (95CI 53.84-75.54). awareness of women through mass media and making services more accessible would likely to increase utilization of antenatal care. Further research is needed on accessibility and availability of the service at the individual and antenatal care (e.g. substance use, domestic violence) • Interventions outside of the scope of typical antenatal care, (e.g., teeth cleaning at antenatal care visit, psychiatric care) • Specialist visits • Unplanned office or emergency department visits , other ancillary or risk /complaint-driven care visits • Preconception care • Abstract Background: Antenatal care (ANC) and delivery by skilled providers have been well recognized as effective strategies to prevent maternal and neonatal mortality. ANC and delivery services at health facilities, however, have been underutilized in Kenya. Ensure that antenatal care can be started in a variety of straightforward ways, depending on women's needs and circumstances, for example, by self-referral, referral by a GP, mid