A large number of women are dying due to factors related to pregnancy and child birth inrndeveloping countries. Antenatal care and delivery care is potentially the most effective healthrnin tervention for prevent ing maternal morbidity and mortality particu larly in Ethiopia where therngeneral hea lth status of women is poor. However, the uti lization of anten atal care and deli veryrncare IS low. In light of this consideration, a community based cross-sect ional study on thernut il ization and determinant of antenatal and delivery care services was conducted in Bahir Darrnspecial zone, Amhara National Regional State. The study was undertaken on samp le of 660rnwomen who give bi rth in the last fi ve years preceding the survey. Quantitative as well asrnqu alitative clata co ll ection method was employed.rnThe study fo und that the prevalence of delivery and antenatal care service utili zat ion was abo utrn46% and 32% respect ively. The bi vari ate and the multivari ate ana lys is showed signi ficantrnassociat ion between ut ili zat ion of the serv ices and socio-cultural and demographic variab les.rnResidence, decision-making power, media, awareness, marital status and education has showedrnsigni ficant association with the ut ili zation of antenatal care. Ut ilization of safe ch ild del ivery carernwas also significantly assoc iated with parity, deci sion-making power, med ia, age at last birth ,rnawareness and ed ucat ion.rnSome of the rea sons for not using the service were responsibility in the household , absence ofrnserious il lness. financia l constraint, absence of awareness, long wait ing time to get the services,rnbad ex perience with the health care system and di stance to the health care system.rnIn co nclu sion , utili zation of antenatal and de livery care services was positi ve ly affected withrnedu cat ion, women deci sion-mak ing power, exposure to media, and awareness about the benetit ofrnthe se rvice. Moreover, antenata l care was found to have a positive effect in utili zing deli veryrncare.rnBased on the above findin gs, it has been recommended that planners must give attention tornmothers in creating awareness about its essentiality and positive attitude towards the service byrnincreasing its quality. Bes id es, enhancing women decision-making power and th eir educationalrnlevel has been suggested to make women use the matern ity care serv ices.