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2000
Volume 21, Issue 6
  • ISSN: 1573-4048
  • E-ISSN: 1875-6581

Abstract

Background

Assessment of women's satisfaction with the quality of prenatal care (PNC) services leads to identifying the needs and planning the appropriate interventions for quality improvement. This study aimed to assess women's satisfaction with the provision of prenatal service by the midwife and non-midwifery PNC providers and the related factors.

Methods

This was an analytical cross-sectional study on 200 pregnant women for prenatal care services. The participants were recruited using a multi-stage sampling method. The tools for data collection were a demographic and fertility questionnaire and a questionnaire for the assessment of clients' satisfaction with the quality of prenatal care services. The questionnaires were completed by the participants in their last weeks of pregnancy and following six PNC visits. T-tests, ANOVA, Pearson's correlation, and multiple linear regression tests were conducted using SPSS-24 to analyze the data.

Results

The total score of satisfaction with the quality of PNC services was 68.99 ± 9.54 percent. There was no significant correlation between the women's satisfaction with demographic and fertility variables (>0.05). However, the T-test showed that women’s satisfaction with the care provided by midwives is significantly higher than that provided by non-midwifery personnel. Multiple linear regression showed that providing PNC by the midwives substantially increases the total satisfaction score by 42.48 compared to the non-midwifery personnel.

Conclusion

Providing PNC by midwives increases satisfaction compared to non-midwife PNC providers. Therefore, the provision of care during pregnancy by midwives who are specifically trained for perinatal care services is emphasized to improve women's satisfaction and the quality of PNC services, which is necessary to reduce mortality and maternal and neonatal complications.

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2025-09-27

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References

  1. DingX.X. WuY.L. XuS.J. ZhuR.P. JiaX.M. ZhangS.F. HuangK. ZhuP. HaoJ.H. TaoF.B. Maternal anxiety during pregnancy and adverse birth outcomes: A systematic review and meta-analysis of prospective cohort studies.J. Affect. Disord.201415910311010.1016/j.jad.2014.02.027 24679397
     [Google Scholar]
  2. HansonB. JohnstoneE. DoraisJ. SilverB. PetersonC.M. HotalingJ. Female infertility, infertility-associated diagnoses, and comorbidities: A review.J. Assist. Reprod. Genet.201734216717710.1007/s10815‑016‑0836‑8 27817040
     [Google Scholar]
  3. OrganizationW.H. Maternal mortality: evidence brief. World Health Organization.Eur. J. Obstet. Gynecol. Reprod. Biol.2019
     [Google Scholar]
  4. SimbarM. RahmanianF. NazarpourS. RamezankhaniA. EskandariN. ZayeriF. Design and psychometric properties of a questionnaire to assess gender sensitivity of perinatal care services: A sequential exploratory study.BMC Public Health2020201106310.1186/s12889‑020‑08913‑0 32631281
     [Google Scholar]
  5. NeinavaeiM. Jamaledin TabibiS. RaeissiP. Ashkan NasiripourA. A comparative study of maternity care service models among selected developed countries and Iran.Eur. Online J. Nat. Soc. Sci.201541 (s)732740
     [Google Scholar]
  6. SimbarM. NahidiF. DolatianM. AkbarzadehA. Assessment of quality of prenatal care in Shahid Beheshti Medical Science University centers.Int. J. Health Care Qual. Assur.201225316617610.1108/09526861211210394 22755472
     [Google Scholar]
  7. FakariF.R. SimbarM. Coronavirus pandemic and worries during pregnancy; A letter to editor.Arch. Acad. Emerg. Med.202081e2110.22037/aaem.v8i1.598
     [Google Scholar]
  8. DonabedianA. The quality of care. How can it be assessed?JAMA1988260121743174810.1001/jama.1988.03410120089033 3045356
     [Google Scholar]
  9. DonabedianA. An Introduction to Quality Assurance in Health Care.New YorkOxford University Press200210.1093/oso/9780195158090.001.0001
     [Google Scholar]
  10. DonabedianA. Evaluating the quality of medical care.Milbank Mem. Fund Q.196644316620610.2307/3348969 5338568
     [Google Scholar]
  11. SantryH.P. StrasselsS.A. IngrahamA.M. OslockW.M. RicciK.B. ParedesA.Z. HehV.K. BaseliceH.E. RushingA.P. DiazA. DanielV.T. AyturkM.D. KiefeC.I. Identifying the fundamental structures and processes of care contributing to emergency general surgery quality using a mixed-methods Donabedian approach.BMC Med. Res. Methodol.202020124710.1186/s12874‑020‑01096‑7 33008294
     [Google Scholar]
  12. GalleA. Van ParysA.S. RoelensK. KeygnaertI. Expectations and satisfaction with antenatal care among pregnant women with a focus on vulnerable groups: A descriptive study in Ghent.BMC Womens Health201515111210.1186/s12905‑015‑0266‑2 26627054
     [Google Scholar]
  13. MehataS. PaudelY.R. DariangM. AryalK.K. PaudelS. MehtaR. KingS. BarnettS. Factors determining satisfaction among facility-based maternity clients in Nepal.BMC Pregnancy Childbirth201717131910.1186/s12884‑017‑1532‑0 28946851
     [Google Scholar]
  14. WongP.C. KitsantasP. A review of maternal mortality and quality of care in the USA.J. Matern. Fetal Neonatal Med.202033193355336710.1080/14767058.2019.1571032 30646778
     [Google Scholar]
  15. HajifoghahaM. NahidiF. SimbarM. NasiriM. Development and psychometric properties of pregnant women’s decision-making questionnaire for choosing a prenatal care provider (CPCP-60): A research from southwest of Iran.Med. J. Islam. Repub. Iran2022361910.47176/mjiri.36.19 35999916
     [Google Scholar]
  16. Imtithal AdnanF. NoorN.M. Mat JunohN.A. Associated factors of labor satisfaction and predictor of postnatal satisfaction in the north-east of Peninsular Malaysia.PLoS One2020158e023831010.1371/journal.pone.0238310 32857816
     [Google Scholar]
  17. AdeyinkaO. JukicA.M. McGarveyS.T. Muasau-HowardB.T. FaiaiM. HawleyN.L. Predictors of prenatal care satisfaction among pregnant women in American Samoa.BMC Pregnancy Childbirth201717138110.1186/s12884‑017‑1563‑6 29145810
     [Google Scholar]
  18. International day of the midwife and international nurses day: Accelerate region-wide improvements in the nursing and midwifery workforce.2023Available from: https://www.who.int/southeastasia/news/detail/12-05-2023-international-day-of-the-midwife-and-international-nurses-day-accelerate-region-wide-improvements-in-the-nursing-and-midwifery-workforce
    [Google Scholar]
  19. MotlaghM. TorkestaniF. AmiriH.A. RabieeS.M. RadpooyanL. ShirvaniS.D.N. RostamiZ.H. Factors affecting maternal satisfaction from the services of the first level of network system in Iran.Iran. J. Epidemiol.2018134Pe273Pe282
     [Google Scholar]
  20. NahidiF. HajifoghahaM. SimbarM. NasiriM. The viewpoint of Iranian gynecologists and midwives on the expectations of pregnant women: A content analysis study.Iran. J. Nurs. Midwifery Res.202025541942510.4103/ijnmr.IJNMR_182_19 33344214
     [Google Scholar]
  21. NahidiF. HajifoghahaM. SimbarM. NasiriM. Assessment of prenatal care providers’ competencies from the perspective of pregnant women: An Iranian study.J. Patient Exp.202292374373522109255910.1177/23743735221092559 35450090
     [Google Scholar]
  22. KavosiZ. SiavashiE. A study of the performance of referral system in urban family physician program in fars province, Iran.J. Health Manag. Info.2018538895
     [Google Scholar]
  23. Ministry of Health DoHPhcsappfeasthcn, areas Iu2015Available from: https://phc.umsu.ac.ir/uploads/instruction.pdf
    [Google Scholar]
  24. BaxterS. JohnsonM. ChambersD. SuttonA. GoyderE. BoothA. The effects of integrated care: A systematic review of UK and international evidence.BMC Health Serv. Res.201818135010.1186/s12913‑018‑3161‑3 29747651
     [Google Scholar]
  25. Al-AbriR. Al-BalushiA. Patient satisfaction survey as a tool towards quality improvement.Oman Med. J.20142913710.5001/omj.2014.02 24501659
     [Google Scholar]
  26. TomlinsonJ.S. KoC.Y. Patient satisfaction: An increasingly important measure of quality.Ann. Surg. Oncol.200613676476510.1245/ASO.2006.01.904
     [Google Scholar]
  27. SimbarM. KianiZ. NazarpourS. BabaeiF. Development and validation of the code of ethics for midwives in Iran.BMC Med. Ethics20232417610.1186/s12910‑023‑00963‑4 37794351
     [Google Scholar]
  28. HakimiS. Midwives’ capacity for improvement of preterm newborns’ health.Eur. J. Midwifery202263110.18332/ejm/147445
     [Google Scholar]
  29. WangX. ChengZ. Cross-sectional studies: Strengths, weaknesses, and recommendations.Chest20201581S65S7110.1016/j.chest.2020.03.012 32658654
     [Google Scholar]
  30. SimbarM. GhafariF. Tork ZahraniS. Alavi MajdH. Assessment of quality of midwifery care in labour and delivery wards of selected Kordestan Medical Science University hospitals.Int. J. Health Care Qual. Assur.200922326627710.1108/09526860910953539 19537187
     [Google Scholar]
  31. IPPF strategic framework: 2005 - 2015.2015Available from: https://www.ippf.org/resource/ippf-strategic-framework-2005-2015
    [Google Scholar]
  32. FikreR. EshetuK. BerhanuM. AlemayehuA. What determines client satisfaction on labor and delivery service in Ethiopia? systematic review and meta-analysis.PLoS One2021164e024999510.1371/journal.pone.0249995 33886623
     [Google Scholar]
  33. EskandariN. RaisiM. AbbasiM. RahbarA. Customers’ satisfaction with the Iranian health system reform plan.J. Educ. Health Promot.20198117010.4103/jehp.jehp_33_19 31867355
     [Google Scholar]
  34. OnyeajamD.J. XirasagarS. KhanM.M. HardinJ.W. OdutoluO. Antenatal care satisfaction in a developing country: a cross-sectional study from Nigeria.BMC Public Health201818136810.1186/s12889‑018‑5285‑0 29554885
     [Google Scholar]
  35. AkbariS. ChangaeiF. IrajpourA. SimbarM. Effective factors in the quality of care during childbirth and promoting strategies.Greek e J. Perioper. Med201614a4559
     [Google Scholar]
  36. FakariF.R. SimbarM. Satisfaction assessment tool for obstetrics triage (SATOT): Development and psychometric properties.Res. Sq202010.21203/rs.3.rs‑75608/v1
     [Google Scholar]
  37. Reinventing the toilet for 2.5 billion in need.Bull. World Health Organ.201492747047110.2471/BLT.14.020714
     [Google Scholar]
  38. SimbarM. NahidiF. AkbarzadehA. Assessment of quality of prenatal care in Shahid Beheshti University of Medical Sciences health centers.Payesh2012114529544
     [Google Scholar]
  39. NejadP.E. NajarS. AfshariP. YaralizadehM. CheginiS.N. Evaluation of pregnant women’s satisfaction of presented prenatal care at Ahvaz health care centers.Majallah-i Zanan, Mamai va Nazai-i Iran201619311322
     [Google Scholar]
  40. MoridiM. PazandehF. HajianS. PotrataB. Development and psychometric properties of Midwives’ Knowledge and Practice Scale on Respectful Maternity Care (MKP-RMC).PLoS One20201511e024121910.1371/journal.pone.0241219 33141835
     [Google Scholar]
  41. Rajabi NaeeniM. SimbarM. Effect of child birth preparation classes on empowering Iranian pregnant women: A systematic review.J. Educ. Commun. Health201851617110.21859/jech.5.1.61
     [Google Scholar]
  42. MehranN. HajianS. SimbarM. Alavi MajdH. Spouse’s participation in perinatal care: A qualitative study.BMC Pregnancy Childbirth202020148910.1186/s12884‑020‑03111‑7 32842984
     [Google Scholar]
  43. EskandariN. SimbarM. VadadhirA. BageriA. Paternal adaptation and affecting factors in men: A meta-synthesis.Iranian J. Health Sci.20186310.18502/jhs.v6i3.197
     [Google Scholar]
  44. BaasC.I. ErwichJ.J.H.M. WiegersT.A. de CockT.P. HuttonE.K. Women’s suggestions for improving midwifery care in the Netherlands.Birth201542436937810.1111/birt.12185 26467657
     [Google Scholar]
  45. TalebiF. JavadifarN. SimbarM. DastoorpoorM. ShahbazianN. AbbaspoorZ. Effect of the parenting preparation program on maternal role competence: A systematic review and meta-analysis.Iran. J. Nurs. Midwifery Res.202328438439010.4103/ijnmr.ijnmr_159_22 37694197
     [Google Scholar]
  46. YousefiF. ArastehM. NazemiA. BahramiM. The effect of the combination therapy, family therapy, group therapy and methadone therapy on patients with substance abuse.Family Counseling and Psychotherapy.2015512441
     [Google Scholar]
  47. BaileyB. Partner violence during pregnancy: Prevalence, effects, screening, and management.Int. J. Womens Health2010218319710.2147/IJWH.S8632 21072311
     [Google Scholar]
  48. KianiZ. SimbarM. FakariF.R. KazemiS. GhasemiV. AzimiN. MokhtariyanT. BazzazianS. A systematic review: Empowerment interventions to reduce domestic violence?Aggress. Violent. Behav.20215810158510.1016/j.avb.2021.101585
     [Google Scholar]
  49. TaherkhaniS. NegarandehR. SimbarM. AhmadiF. Effect of contextual factors on women coping strategies against domestic violence: A qualitative study.Koomesh2015164
     [Google Scholar]
  50. DebessaiY. CostanianC. RoyM. El-SayedM. TamimH. Inadequate prenatal care use among Canadian mothers: findings from the Maternity Experiences Survey.J. Perinatol.201636642042610.1038/jp.2015.218 26796126
     [Google Scholar]
  51. BagheriA. NasiriS. SimbarM. SaberiF. Challenges of midwifery services in the health reform plan in Iran: A qualitative study.Health Science Monitor202211536310.52547/hsm.1.1.53
     [Google Scholar]
  52. MoghasemiS. VedadhirA. SimbarM. Models for providing midwifery care and its challenges in the context of Iran.J. Holist. Nurs. Midwifery20182816474
     [Google Scholar]
  53. BagheriA. SimbarM. SamimiM. NahidiF. AlavimajdH. SadatZ. Comparing the implications of midwifery-led care and standard model on maternal and neonatal outcomes during pregnancy, childbirth and postpartum.J. Midwifery Reprod. Health202193110.22038/jmrh.2021.55639.1678
     [Google Scholar]
  54. KhajeahmadiM. JahanpourF. Investigating the privacy practices of patients among trainees and interns of the Faculty of Nursing and Midwifery of Bushehr University of Medical Sciences in 1395. Iran.J. Med. Ethics Hist. Med.2017101141154
     [Google Scholar]
  55. FullertonJ.T. GhérissiA. JohnsonP.G. ThompsonJ.B. Competence and competency: Core concepts for international midwifery practice.Int. J. Childbirth20111141210.1891/2156‑5287.1.1.4
     [Google Scholar]
  56. VarneyH. BurstH.V. KriebsJ.M. GegorC.L. Varney’s Midwifery.Jones & Bartlett Learning2004
     [Google Scholar]
  57. Masoumi GanjgahP. GeranmayehM. HaghaniS.H. The influential factors in the job motivation among midwives as the healthcare providers in the Iranian health sector evolution plan.Iran J. Nurs.202033125132710.29252/ijn.33.125.13
     [Google Scholar]
  58. LohrK.N. Medicare: A Strategy for Quality Assurance, Volume II: Sources and Methods; National Academies Press: Washington, DC1990
     [Google Scholar]
  59. EsmailzadehH. RajabiF. RostamigooranN. MajdzadehR. Iran health system reform plan methodology.Iran. J. Public Health201342Suppl. 11317 23865010
     [Google Scholar]
  60. Moradi-LakehM. Vosoogh-MoghaddamA. Health sector evolution plan in Iran; equity and sustainability concerns.Int. J. Health Policy Manag.201541063764010.15171/ijhpm.2015.160 26673172
     [Google Scholar]
  61. RiemmaG. De FranciscisP. TesoroneM. CoppaE. SchiattarellaA. BilloneV. LopezA. CucinellaG. GulloG. CarotenutoR.M. Obstetric and gynecological admissions and hospitalizations in an Italian tertiary-care hospital during COVID-19 pandemic: A retrospective analysis according to restrictive measures.J. Clin. Med.20231222709710.3390/jcm12227097 38002709
     [Google Scholar]
  62. MarantoM. GulloG. BrunoA. MinutoloG. CucinellaG. MaioranaA. CasuccioA. RestivoV. Factors associated with anti-SARS-CoV-2 vaccine acceptance among pregnant women: Data from outpatient women experiencing high-risk pregnancy.Vaccines (Basel)202311245410.3390/vaccines11020454 36851330
     [Google Scholar]
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Women’s Satisfaction with the Provision of Prenatal Service by the Care Providers: A Cross-Section Analytical Study
Curr Womens Health Rev. 21, e15734048320197 (2025); https://doi.org/10.2174/0115734048320197241114052641
/content/journals/cwhr/10.2174/0115734048320197241114052641
/content/journals/cwhr/10.2174/0115734048320197241114052641
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  • Article Type:     Research Article
Keyword(s): health provider; maternal and neonatal complications; midwife; Prenatal care; quality of care; satisfaction

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