Abstract: Objective To explore the utilization of pre-pregnant health care and its determinants among rural women of child-bearing age. Methods With multiple stage sampling method,1 227 rural women of child-bearing age were selected and surveyed to collect information about utilization of pre-pregnant health care. Results The proportion of the women who utilized pre-pregnant health care was 37.5%.The utilizing proportion of gynecological examination,leucorrhea check,blood type check,blood routine examination,ultrasound check,pathogen check includling Toxoplasma gondii,rebella virus,cytomegalovirus,and herpes simplex virus,maternal and child transmitted diseases check(hepatitis,syphilis,AIDs),and chromosome check was 36.6%,35.4%,30.1%,31.5%,28.4%,24.0%,19.2%,and 1.2%,respectively.The results of logistic regression showed that the utilization of pre-pregnant health care was significantly affected by age,income,medical insurance,availability of medical service,cognition of pre-pregnant health care,and know ledge and acquirability of pre-pregnant health care among the women(P<0.05). Conclusion The rate of utilizing pre-pregnant health care among rural women of child-bearing age is low.Demographic factors,know legde,cognition and acquirability of pre-pregnant health-care are determinants of pre-pregnant health care utilization among the women.