In this paper, we examine factors affecting maternal health care seeking behavior in Rwanda using three rounds of Rwanda Demographic and Health Survey (RDHS) data (1992, 2000, and 2005). We pool the three cross-sectional data sets to construct a wealth index based on household assets that are available in all the three rounds of data. Results show that women who gave birth in the five years preceding the 2000 and 2005 RDHS are less likely to deliver in a health facility than those who gave birth in the five years preceding the 1992 RDHS. We also find that women are more likely to deliver at home with professional assistance in 2000 and 2005 compared to 1992. The findings of this study provide insight that progress towards increasing the share of assisted deliveries has been slow. There has been no significant increase in the proportion of women seeking antenatal care. This could partially explain why a large proportion of women continue to deliver at home without professional assistance.