Introduction: Pakistan is among the countries with high rates of maternal mortality and morbidity. Arguably, the utilization of maternal health care services reduces maternal mortality and improves women's reproductive health. Nonetheless, determinants of maternal health care services utilization are not the same across socio-economic strata. This paper investigates the association of maternal health care services utilization with individual, household, and community-level factors. Methods: The study used data from 2006–07 Pakistan Demographic and Heath Survey (DHS), a nationally representative sample of 10,023 women aged 15–49 years. Our analysis was limited to the last live birth during the five years preceding the survey, n=5724. Multivariable logistic regression analysis was applied to assess the association between maternal health care utilization and socio-demographic variables. Results: About 64% women received some antenatal care (ANC) for their last born child and among them about half received ANC in the first trimester. About 42% received health professionals' assistance during delivery; only 36.9% delivered in a healthcare facility. We found that urban place of residence than rural (Adjusted Odds Ratio [AOR] 1.41, 95%CI 1.20–1.64), higher level of education versus no schooling (AOR 5.16, 95%CI 3.18–9.98), high socioeconomic status than low (AOR 5.69, 95%CI 4.27–7.58), having two or less children than five or more children (AOR 2.08, 95%CI 1.83–2.38), and history of abortion vs. no abortion (AOR 1.51, 95%CI 1.25–1.82) were significantly associated with ANC utilization. Similarly, all these variables were significantly associated with ANC utilization in the first trimester, delivery assistance by health professionals, and delivery in a medical facility. Conclusions: We found that women with high education, high socioeconomic status, having fewer children, and a history of abortion were more likely to use maternal health care services. Literatur: Bloom, S., Wypij, D., & Das Gupta, M. (2001). Dimensions of women's autonomy and the influence on maternal health care utilization in a North Indian city. Demography, 38(1), 67–78. Celik, Y. & Hotchkiss, D. R. (2000). The socio-economic determinants of maternal health care utilization in Turkey. Social Science & Medicine, 50, 1797–1806. Fikree, F. F., Ali, T., Durocher, J. M., Rahbar, M. H. (2004). Health service utilization for perceived postpartum morbidity among poor women living in Karachi. Social Science & Medicine, 59, 681–694. Macro, O. C. (2002). Utilization of maternal health care services in Ethiopia. Maryland, USA. Mumtaz, Z. & Salway, S. (2009). Understanding gendered influences on women's reproductive health in Pakistan: Moving beyond the autonomy paradigm. Social Science & Medicine, 68, 1349–1356.