Care during pregnancy is a major issue of women's health. The objective of such care is the birth of a healthy baby without any complications to mothers. However, adequate antenatal care can have serious impact on the current and future health of the mother and her off springs. This study aimed at assessing pregnant women utilization of antenatal care facility in maternity hospitals in Alexandria. This study was carried out in four maternity hospitals in Alexandria. The hospitals represent the different agencies involved in the provision of antenatal care. Ministry of health (Alexandria Governorate Hospital), University (El-Shateby Maternity Hospital), Medial Care Organization (Dar Elwelada Hospital), Health Insurance Organization (Gamal Abd El-Naser Hospital). A simple random sample consisting of 200 women were selected, 50 pregnant women from each hospital.  The result of the present study revealed that in spite of improvement in antenatal care services, pregnant women utilization of antenatal care facility was still low. Poor quality of care was the most commonly reported reason (49%), followed by the cost of service (39.5%) and long waiting time (11.5%).