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Focused Antenatal Care is antenatal care that provides individualized counseling, targeted assessment and provides safe, cost effective, and evidence-based intervention. This study aimed at investigating utilization of Focused Antenatal Care and maternal complications among pregnant women in selected public county hospitals in Nairobi City County, Kenya. The study was specifically conducted in postnatal wards of Mbagathi, Mama Lucy Kibaki and Pumwani Maternity Hospitals. The study adopted a cross-sectional descriptive study design. The study used quantitative and qualitative data collection methods. Quantitative data was collected using questionnaires, a total of 397 postnatal women were interviewed for the study. Qualitative data was collected using Key Informant Interview guides with 12 health care providers who were involved in provision of focused antenatal care services to clients. Quantitative data was analyzed using Statistical Package for Social Sciences (Version 17. Qualitative data from key informants was triangulated with quantitative data as direct quotes and narrations. Inferential statistics were done using Chi Square tests to determine the association between study variables at 95% confidence interval (p Keywords: Antenatal Care, Uptake, Utilization, maternal complications.