The purpose of this study was to examine the extent of utilization of available HIV and AIDS management strategies among pregnant women attending antenatal clinic in maternal Child Health Midim, Abak Local Government Area in Akwa Ibom State, Nigeria. Four research questions and four hypotheses were formulated respectively to guide the study. The targeted population for the study comprised all pregnant women that attended antenatal clinic at Maternal Child health Midim, Abak from 2013-2016. According to the Hospital records, the number estimated was 2304 pregnant women that registered for antenatal within the period under study constituted the sample size for the study. Purposive sampling technique was used to select the sample size. A preview of the hospital records for the period under study was the main instrument used to collect data for the study. The research questions were answered and the hypotheses were tested. Simple percentage was adopted ton answer the research questions while Chi-square was adopted to test the hypotheses to determine theirsignificance at 0.5 Alpha levels. The result from the study revealed that 413 representing 17.93 percent was the total number of pregnant women that utilized the available HIV and AIDS management strategies from January 2013 to December 2016 out of the total number of 2304 pregnant women who visited Maternal Child Health Midm, Abak for antenatal. The study also revealed that maternal age, occupation of women, educational level of the women and parity significantly influence the utilization of available HIV and AIDS management strategies by pregnant women in Abak Local Government Area. It was recommended among others that there is need to plan and implement new strategies of educating women particularly in rural areas who are at the lower education levels about HIV and AIDS modes of transmission and preventions.