Abstract: Objective To study the status quo of antenatal cares of pregnant women at different-level hospitals in different regions of Shanxi Province. Method A multi-stage stratified-cluster random sampling method was adopted to make a survey questionnaire of 4149 pregnant or lying-in women at 11 cities of Shanxi Province. The contents of questionnaire included the following four aspects:basic situation, understandings and attitudes of health-care knowledge in pregnancy, health-care situations in pregnancy and health situations in the gestation period or the stage of labor. Result There were a total of 3801 valid questionnaires. A total of 2744 women had established the Health Management Manual for Pregnant or Lying-in Women. It accounted for 72.2%. A total of 2584 women had received prenatal examinations more than five times, accounting for 68.0%. And, 190 women had received prenatal examinations that conform to or exceed requirements by Health Management Service Specifications for Pregnant or Lying-in Women (2011), accounting for 5.0%. The gestational weight gain (GWG) of 2385 women was lower or exceeded the normal range. It accounted for 62.7%. A total of 1556 women chosen to make a cesarean delivery and it accounted for 40.9%. 609 women had postpartum hemorrhage, accounting for 16.0%.Conclusion There was still a gap between the number of pregnant women who establish the Health Management Manual for Pregnant or Lying-in Women and the proportion required by the national basic public health. For example, antenatal examination times were not enough. Testing items didn't meet the requirements. An unreasonable GWG was relatively obvious. The cesarean delivery rate was still higher. The postpartum hemorrhage rate was still relatively higher. It is necessary to further enhance and intervent to ensure the maternal-baby safety.