Antenatal care is provided during pregnancy to save lives of mother and foetus. The World Health Organization recommends
four focused visits as sufficient for normal pregnancy. The objective of this study was to find out the antenatal care practices
and its impact on birth outcome.The cross-sectional study was conducted from 28th March to 10th April, 2013 among the
residents of Dhankuta municipality where 246 households were taken as subjects. Convenient purposive sampling technique
was applied. Semi-structured questionnaire was used and face to face interview was conducted. Chi-square test was applied
to find out the significant difference between sociodemographic characteristics and outcome variable i.e. birth outcome &
antenatal care visits. Almost eighty eight percent of respondents attended ANC visits.The findings revealed that even though
the fourth ANC visit was (82.4%), almost 82.5% of the pregnant women took the tetanus toxoid (TT) injections, about
81.7% received iron tablets and nearly 57.7% received albendazole. Women with School Leaving Certificate and higher education
level are more likely to ANC visits (95.4%) than women with below SLC (87.9%) and no education (66.7%). Hindu
women are more likely to have ANC visits (91.2%) compared to women of other religion (47.4%) (P<0.001). Furthermore,
economic variable shows stronger association with ANC visits (P<0.001). We conclude that the women of the surveyed
communities have placed antenatal care as priority. Lack of money and education led some of the respondents not to attend
the recommended antenatal care visits. Antenatal care checkup is important for favourable birth outcome.