Pregnant women are particularly vulnerable to caries and periodontal diseases due to their specific physiological conditions, as well as nutritional and hormonal changes. The purpose of this study was to assess the factors influencing oral and dental health in pregnant mothers in Rural Konkan, Maharastra. Methods: Cross-sectional Data was collected from 60 cases of ANC. This study was carried out in the department of Dentistry at BKL walawalkar hospital, diagnostic and research centre, dervan, Maharashtra. The prevalence of dental caries, gingivitis & periodontitis were studied in the oral cavity of antenatal care patients and to find associations of these with oral hygiene status, dental care knowledge, socioeconomic status and daily cleaning habit among pregnant women. Result: The prevalence of dental caries in the present study was found to be 4.5 where as mean DMFT INDEX 6.17.The mean OHI-S was 2.79. Periodontitis in ANC cases were found to be highly significant. Conclusion: The present study demonstrates poor oral hygiene and high prevalence of periodontal diseases. Therefore improving the oral health of pregnant women will prevent the complications of pregnancy associated dental disease.