Abstract: Objective To know the situation of antenatal care in Anhui rural areas in different years.Methods In the project counties of Anhui province random sampling in cluster was used to select study population and face to face interview was carried out.SPSS version 9.0 software was used to carry on the statistical analysis.Trend chi-square test and multilevel Logistic regression were used to analyze the data.Results The coverage rate of antenatal care and hospital delivery rate were increasing over time and in 2000's it arrived at 84.9% and 80.6% respectively.Only 64.1% of the pr egnant women had received first checkup during the first three months.43.6% of the women received 5 times or more checkups.The tow nship hospital delivery rate continuously increased from 17.1% to 60.2%.The analysis of Logistic regression showed that age,de livery year and antenatal checkup had significant relations to the hospital delivery.Conclusion The situation of antenatal care in Anhui was improved.