Abstract

Every pregnant women has a right to get respectful maternal care, positive pregnancy experience and best possible health services during her antenatal period. It has been established that by implementing timely and appropriate evidence-based practices, antenatal care reduce maternal mortality by 20% if given of good quality and regular attendance. Clients’ satisfaction is a measure of the quality of care of health system performance.1 Global evidence has shown that the introduction of midwifery care has historically translated into the increased availability of quality maternal and newborn health services, and significantly aided the reduction of maternal and newborn mortality and morbidity. Therefore, this study aimed to assess maternal satisfaction among pregnant women regarding midwife led antenatal care services in Public health facility of Dehradun. Methods: A facility based cross-sectional study was conducted among pregnant women attending midwife led antenatal care services in public health facility of Dehradun. 145 low risk pregnant women were selected using a non probability purposive sampling method. Data was collected using a self structured satisfaction rating scale andanalysed using SPSS software. The level of significance was determined at a p-value of less than 0.05. Results: Overall, 62.8% of pregnant women were satisfied with antenatal care services provided by midwives in public health facility. Most of the respondents were satisfied with skills and competency of midwives, respect and dignity provided, care approaches, cleanliness and hygiene. Initiating ANC services within 1sttrimester, frequency of antenatal visits, educational status of partner, number of previous pregnancy have shown significant association with the maternal satisfaction. Conclusion: Majority of the respondents were satisfied with the service. It concludes that pregnant women expressed positive satisfaction with antenatal care provided by midwives. Midwives can provide women centered care which promotes positive pregnancy experience and thus provides high quality of antenatal care.

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Funding