Integrated antenatal care aims to enhance childbirth experiences and outcomes by providing comprehensive support during pregnancy. This quantitative, quasiexperimental design study was conducted in selected hospitals and antenatal centres of Nadiad (Gujarat) to assess the effect of integrated antenatal care on maternal and neonatal outcomes, and to examine its associations with selected demographic variables. Sixty antenatal mothers were selected using non-probability consecutive sampling and divided into experimental (n = 30) and control (n = 30) groups. The experimental group received integrated antenatal care sessions until delivery, while the control group received routine antenatal care. Data were collected using a structured questionnaire and assessment tools including APGAR scoring, covering demographic details, obstetric history, and maternal and neonatal outcomes. Mothers who received integrated antenatal care demonstrated improved outcomes, including shorter hospital stays (2.80 ± 0.66 vs 3.27 ± 0.98 days, p = 0.035) and higher five-minute APGAR scores in new-borns (8.37 ± 1.35 vs 7.67 ± 1.03, p = 0.028). No significant differences were observed in total labour duration, gestational age, newborn weight, or one-minute APGAR scores. Maternal factors such as BMI, haemoglobin level, and parity were significantly associated with labour outcomes, while higher birth weight was associated with better neonatal APGAR scores. Integrated antenatal care improves maternal recovery and neonatal outcomes, supporting safer deliveries and emphasising the importance of a holistic antenatal care approach.