This paper examines utilization of antenatal and delivery care in the slums in Mumbai on the basis of standard of living index constructed from household amenities, housing quality, electricity and toilet facilities and sources of drinking water. The study uses primary data of sample size of 346 reproductive women who have given at least one live birth prior to the survey, on frequency of antenatal check-ups, iron folic supplementation, receiving two doses of tetanus toxoid injection and skill of delivery attendant from the Ramabai Nagar slum located on hill at Bhandup, Greater Mumbai. The primary data was collected using cluster sampling during the period of June – August 2005. The findings using logistic regression reveals unimaginable low level of maternal care among illiterate women in this slum. Besides that there is evidence of concentration of women without adequate maternal care amongst the poorest of economic stratum. The need for maternal care services is suggested for illiterate and low standard of living category women of inaccessible hill area of Greater Mumbai.