Every year, more than 200 million women become pregnant, and some of them 15% are likely to develop complication that will require skilled obstetric care to prevent death or serious ill health. The aim of this study was to evaluate the ongoing activities of antenatal care services and also mothers satisfaction about services provided at all maternal and child health center in Assuit City (MCH). The total number of the study sample was 971 pregnant women attended to five MCH during one month for each MCH as (260, 221 , 195, 182 & 113 from) EI-Willidia, EI-Arbaeen, EI-Hamara, Kolta and Kidwany respectively). Two tools were designed by the investigators to collect the relevant information. The first tool included an interview questioner for collect the sociodemographic characteristics of mothers, Care provided for him. The second tool was an interview questioner to know mother satisfaction about facilities and care given. The result indicated that the majority of the sample in different MCH calculate the expected date of delivery from the last menstrual period was (100 % , 91.9 %,91.3%, 85.2 %& 100 %) at El- Willidia, EI-Arbaeen, EI-Hamara, Kulta and Kidwany MCH respectively with highly statistical significant difference( p 0.0001). Also about general examination, it was found that only (13.5 %, 39 .4%, 19%, 17, % & 31 %) respectively at El-Willidia, EI -Arbaeen, EI-Hamara, Kolta and Kidwany done breast examination, while majority of him done fundal grip. Also found (100%) in all MCH centers give mother tetanus immunization. More ever the majority of the pregnant mother adviced regarding the schedule of ante natal care visit as (94.5%, 84.2 %, 89.2 %, 95.6 %& 84.1 %) respectively at El- Willidia, EI-Arbaeen, El Hamara, Kulta & Kidwany. While about mother satisfaction it was found that in some MCH the mothers not satisfied about services given as (71%, 39.4%, 38.5%, 31.3 %, 59.3%) in ElWillidia, EI-Arbaeen, EL- Hamara , Kulta and Kidwany respectively. The present study concluded that their are lack of services which produce in the different MCH in Assuit city, with different variation in mother's satisfaction for MCH services and facilities. For that investigator recommended that in-services education program for nurses working in MCH centers. Equipped all MCH centers by necessalY equipment for give a good care. Improve the quality of care by evaluate care regularly for quality antenatal services.