This book was written as a result of extensive research carried out in Kitui district, Kenya. The focus was to determine the influence of prenatal care on pregnancy outcome. It covers broad topics on knowledge of prenatal care, utilization of prenatal care services and factors contributing to maternal and prenatal complications by women attending prenatal clinics in rural areas. In general women's perception of prenatal care, knowledge on when to start attending prenatal clinic and it's effectiveness in preventing pregnancy complications was found to be inadequate. Prenatal care services should be decentralized to communities to enable pregnant mothers access skilled birth attendants while health facilities should be properly equipped and well staffed with skilled birth attendants This book is intended to help policy makers in establishing policies on how prenatal care services in rural areas should be managed. It is presented in simple language and a straightforward manner, easy to be understood by the reader. The author of this book is a former Chief Nurse of Moi Teaching and referral Hospital