Karawang district had maternal death cases increasing from 2010 to 2011 with total of 47 maternal deathsand 51 maternal deaths respectively. Bleeding, pre-eclampsia, infection, abortion and others are the maternal causes of death. Maternal mortality remains a strategic health care issue in Karawang districtbecause inaccurate data and information related with maternal health and also lack of antenatal care pattern in community health' centers. This study aimed to identify the antenatal care pattern in five communityhealth centers (CHC) with basic emergency obstetric neonatal services in Karawang district. This study used cross sectional design by using quantitative and qualitative approach. Fifty mother informants and sixmidwives in CHC and Karawang District Hospital were involved from April to October 2011. This studyfinds that the pattern of antenatal care visits increased for fourth trimester but first trimester was low, whilegeographical conditions as well as technical competence of midwives were lacking behind. Technicaltraining and counseling for the family became a priority recommendation from this study.The antenatalcare pattern in five community health centers with basic emergency obstetric neonatal services increasedfor fourth trimester with majority of delivery assisted by midwives.