Introduction: One of the MDG5 tactical goals is to improve access to prenatal and postpartum programs that effectively reduce the morbidities associated with postpartum maternal health. Proper antenatal care is a very few of the pillars of Harmless Motherhood Initiatives, an international effort thrown by the World Health Organization (WHO) and other cooperating agencies in 1987 intended to lessen the quantity of deaths related to pregnancy and childbirth. Aim of the Study: the aim of this study is to identify the factors associated with antenatal care among women in rural area. Material & Methods: This is a cross sectional study conducted in Rajshahi Medical College Hospital, Rajshahi, Bangladesh during the period from January 2018 to December 2018. A total number of 174 ever-married reproductive aged women with at least one child were selected for this study. In this study the method of direct interview was used for data collection. Attention was given to record factual and true statement made by the respondents. The fieldwork was commenced on from 1^st November 2016 and was completed 10^th February 2018. Results: Age range of the study participants were from 16 to below 40 years, where almost half of the respondents (44.82%) were aged 20-24 years, 10.91% were aged <=19 years and only 8.04% are aged <40 years. The socio-demographic characteristics of the study participants shows, majority (60.92%) were aged between 16-19 years at the time of their marriage, and 39.65% of the total participants were aged between 18-20 years at their first delivery; 72.41% have one child; 82.76% of the total participants were from rural area and the rest 17.24% were from urban area. Of the total patient 87.94% have currently used contraceptive and 74.13% have previously used contraceptive; majority (33.9%) had been on oral pill, 32.18% were using condoms, and 25.31% had no adopted methods; no. of antenatal visits shows that, 82.7% had visited less than 4 times and the rest 17.3% had visited more than 4 times; majority (60.9%) selected hospital as the place of antenatal visits and only 1.18% selected NGO as the place of antenatal visits; 67.24% had normal delivery and most of the patients (93.11%) continued breastfeeding. Conclusion: public health policies intended to reduce maternal morbidities and mortalities in Bangladesh should consist of strategies that will advance maternal health care service (MHCS).