Background: Antenatal care (ANC) aims to prevent complications for expectant moms, newborns, and women by early detection, alleviation, and/or treatment of health issues that affect expectant mothers and babies. It also helps women become ready for birth and parenthood. The aim of this study is to assess the quality of ANC services provided for women in early months of pregnancy in MCH center in Zagazig city, during the first trimester among pregnant women. Methods: This study a cross-sectional study conducted in MCH center in Zagazig city from March 2021 to January 2022. Two hundred ninety nine pregnant women in the first trimester were given a 3 part questionnaire: First part; sociodemographic data, Second part; Obstetric and gynecological history, Third part; Factors related to the perceived quality of ANC was included. The women's ages ranged from 16 to 45 years at the time of their previous child's birth, with a median age of 32.34 years. Results: There was statistically significant difference between the 2 groups as regards pregnancy related illnesses (p=0.021). Adequate ANC was satirically higher if the pregnancy is wanted and planned (p=0.001). Significant difference between the two groups as regards the physical examination variable, the medical staff treated patients with dignity and respect. Providers' explanations were easily to understand and consultation time (p=0.001). Conclusion: Adequate ANC in the form of at least 4 visits starting from the first trimester improves the outcome of pregnancy and helps in prevention of negative outcome.