To evaluate the awareness of women associated to antenatal care at Asian Institute of Medical Sciences Hyderabad. Observational study. This study was conducted at Gynae/Obs Outpatient Department of Asian Institute of Medical Sciences Hyderabad and LUMHS Hyderabad from 1 [st] January 2014 to June 30 [th] , 2014. Total 150 women were selected in the study. All the awareness regarding antenatal care of the women was documented on Performa. Total 150 women were selected in the study, mostly cases 53.3% were more than 31 years of the age. Majority of the women 64.4% were uneducated.69% chose doctors as primary provider for antenatal care, 11% nurses, 19% trained birth attendants.52% women wished to receive care at home while 47% said at hospital.70% responded yes to understanding what antenatal care was while 30% had no awareness.89% of women responded yes it is necessary to have antenatal care while 11% responded that no it is not necessary. Awareness regarding antenatal is very rare in the women. Women seek antenatal care only when they are symptomatic and not as a preventive or screening measure. The time of pregnancy is a necessary time period during which the promotion of healthy behaviours is imperative. Participation of the family members and the community can perform a very important role for healthy women during pregnancy