evidence: This is among the few studies conducted to assess the Pradhan Mantri Surakshit Matritva Abhiyan programme in terms of antenatal identification of congenital anomalies, especially NTD on the antenatal ultrasonography. [...] In July 2016, the Government of India launched the Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) to provide essential antenatal care services to pregnant women in their second and third trimesters on the 9th of each month.5 6 This initiative also focuses on early identification of fetal anomalies and high-risk pregnancies through obstetric USG services. Despite the availability of such guidelines and programmes, many debilitating NTD are not detected antenatally and we continue to see many of these cases in our daily practices.