Purpose: The purpose of this study was to analyze the changes and current status of maternal-child health services of North Korea shown in the periodic reports of North Korea, and provided data for development of North Korea’s maternal-child health services. Methods: This study analyzed the contents of the periodic reports(first to fifth) of North Korea. 153 paragraphs were used for the analysis through keyword extraction as‘women’, ‘pregnant’, ‘childbirth’, ‘medical’, ‘hospital’, ‘public health’, ‘health’, and ‘nutrition’. The characteristics of 153 paragraphs were identified and compared with domestic and international maternal-child health services. Results: The number and proportion of health and maternal-child health related paragraph by each report gradually increased, and as the definition of maternal-child health appeared from the 5th report, a mid-to long-term maternal-child health strategy was established. The maternal- child health services in the 5th report meets most of the essential health services for women and children’s health, but there was no content related to the advanced maternal-child health services. Conclusion: Maternal-child health services of North Korea, as shown in the periodic reports, has developed into an internationally accepted level. To promote advanced maternal-child services in the future, North Korea is needed close cooperation with the international community.