OBJECTIVES: The study sought to estimate the waiting time and assess its implications on the utilization of antenatal services in the Asante Akim North Municipal, Ghana. METHODS: The study was a cross sectional descriptive type using both qualitative and quantitative methods. In all 200 pregnant women presenting at the Konongo Odumasi Government Hospital and the Agogo Presbyterian Hospital were randomly selected for the study. Structured questionnaires were used to obtain data from respondents. Key informant and household heads interviews were also conducted and used to augment the information obtained. Descriptive and inferential statistics were used in the data analysis; statistical differences were set at 0.05 or less and at 95% confidence interval. RESULTS: Of the 200 respondents 35.5% (71) made four visits and 64.5% (129) made one or more visits. Pregnant mothers had to forego GH¢ 31(US$ 22.14) and GH¢ 15(US$10.17) as their incomes whenever they attended ANC. Significant differences existed between national health insurance policy holders and antennal clinic (ANC) visits (p=0.022), trimester of pregnancy and ANC visits (p<0.001), and place of residence (indicating distance to health facility and ANC visits (p=0.017). CONCLUSIONS: Long waiting is associated with high opportunity cost and are likely to reduce utilisation of ANC services in a free services provision setting. Further studies on feasibility of creating of separate pharmacy, laboratory and records units for antenatal clinic users and effects of waiting time on service utilization may be helpful to improve utilization of ANC services and reduction in pregnancy related maternal mortality.