This study focusses on the use of maternity care services in Egypt, namely antenatal care, delivery care, and postnatal care trends are explored. Women who less utilize the services are identified. Provider choice perspective and determinants are also investigated. Data on the use of maternity care services in this study is drawn from information collected in the 2000 Egypt Demographic and Health Survey and 2003 Egypt Interim Demographic and Health survey for the births occurring during the five years preceding each of the two surveys. The study confirms the fact that there are marked differences to which Egyptian women use maternity care services and rely on public or private providers for reproductive care depending on the type of services they are seeking. A typical woman who is expected not to be using maternity care services has more children (4 or more), lives in rural areas specifically in rural Upper Egypt, is less educated i.e. with no or with some primary education or is relatively poor. The majority of antenatal care services are provided at private sector facilities, public sector facilities are the source for almost all tetanus toxoid injections, while the provision of delivery services is more evenly divided between public and private facilities.