This study assessed mothers' knowledge and satisfaction with services provided under the Pradhan Mantri Surakshit Matritya Abhiyan (PMSMA) in a selected hospital in Bhubaneswar, Odisha. A quantitative, cross-sectional descriptive research design was employed, utilizing a convenience sampling technique. Data were collected from a total of 300 mothers using a structured questionnaire. The analysis focused on sociodemographic factors, knowledge levels, and satisfaction with PMSMA services. Findings showed that a significant proportion of the participants between 26–30 years of age, were satisfied with the services provided under the PMSMA. Approximately 93.3% of the mothers reported average knowledge of PMSMA. There was a statistically significant difference between the age group and the source of information about the program (P < 0.05). However, no associations were found between mothers' satisfaction levels with PMSMA services and the selected sociodemographic variables. The study highlights that while mothers had satisfactory knowledge and positive experiences with PMSMA services, regular antenatal check-ups by medical officers or specialists are critical for reducing maternal deaths and high-risk pregnancies. Enhancing awareness and access to these services can further improve maternal and child health outcomes.