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Background: Provision of antenatal care is regarded as a cornerstone of maternal health care and is expected to improve the health of mothers. Aim: To assess the quality of antenatal care (ANC) services being provided at the maternal and child healthcare (MCH) centers in Aden with a view to improve ANC services. Methodology: A descriptive cross-sectional study was conducted from March to May 2010 in 7 MCH centers providing antenatal health care in Aden governorate. Results: Adolescents' pregnancy (age < 19 years) comprised (9.4%). The majority (62.7%) was between the ages of 20 and 29 years. 1.6% of the women were illiterate and 81.2% were housewives. Two-thirds 66.9% were multiparity and nearly two-thirds (63.9%) were in the last trimester of pregnancy. Most women (56.2%) used the antenatal care 1-3 visits. (30.8%) reported that waiting time was long and (63%) received antenatal care from midwives. (56.5%) of the study women answered \"good\" to the relationship with the medical staff (understanding, courteous, informative, and respectful for privacy), and (35.4%) answered \"excellent\". One third (31.2%) did not received tetanus immunization, and about (91.9%) got their blood pressure checked. Routine weight measurements were noted for (91.6%). Urine test for protein and glucose were carried out among (79.2%). Haemoglobin estimations were checked and recorded for (92.9%). Blood group, Rh-factor, and blood sugar test were checked for (85.1%), (85.1%) and (62.7%), respectively. Conclusions: We conclude that antenatal care and visits in Aden governorate should be improved and used more effectively.