This study aims to improve the delivery and management of antenatal care (ANC) services in resource-limited settings by developing a digital Antenatal Medical Records System integrated with SMS alert and live support functionalities. The general objective is to reduce maternal and neonatal health risks caused by inefficient manual record systems, missed appointments, and poor communication between patients and healthcare providers. The research employed the Agile software development methodology, incorporating requirement gathering, iterative system design, and incremental module testing. The system was built using PHP, MySQL, JavaScript, and integrated with the Twilio SMS API and Tawk.to live chat for communication features. Usability testing and simulated data were used to assess system functionality and user interaction. Key findings indicate that the system effectively reduces missed appointments through automated SMS reminders, improves access to accurate patient records, and facilitates real-time support for pregnant women. It also enhances provider workflow and decision- making by ensuring timely data access and structured communication. The implications of these findings suggest that implementing such a digital solution can significantly strengthen ANC delivery in developing regions. It is recommended that healthcare providers adopt scalable, low-cost digital systemsto improve maternal health outcomes and align with SustainableDevelopment Goal 3 (Good Health and Well-being). Further studies are encouraged to expand the system for broader maternal and child healthcare services.