Open Journal of Obstetrics and Gynecology, 2018, 8, 559-571 http://www.scirp.org/journal/ojog ISSN Online: 2160-8806 ISSN Print: 2160-8792 DOI: 10.4236/ojog.2018.86063 Jun. 6, 2018 559 Open Journal of Obstetrics and Gynecology Quality of Antenatal Care: Comparison between Secondary and Tertiary Health Facilities in Ibadan, Nigeria Oluwasomidoyin Olukemi Bello Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Oyo State, Nigeria Abstract Background: Patient satisfaction is related to the quality of services received and the extent to which specific needs are met. Satisfied patients are likely to come back for the health services and recommend it to others. Objective: To assess and compare patients’ satisfaction with the quality of prenatal/antenatal care (QPC) services received at a tertiary and secondary health facility in Iba- dan, Nigeria. Methods: A comparative cross sectional study used an inter- viewer administered questionnaire to assess and compare the quality of ante- natal care among women who had antenatal care and delivered live baby in two government health facilities—Adeoyo Maternity Hospital (secondary health facility) and University College Hospital (tertiary health facility). A to- tal of 500 women were interviewed within 48 hours post delivery and data ob- tained was analyzed with SPSS version 20. Results: The mean age was 29.7 (SD = 4.95) years. About half of the respondents had more than four antenatal visits, almost two-thirds (61.4%) were primipara, and 55.6% delivered per va- gina. Almost all (98.4%) the women were very satisfied with the QPC received while a little above half (54.0%) received high QPC. Health facility and mode of delivery were found to be significantly associated with the satisfaction of the QPC. Factors predicting high QPC comparing the tertiary and secondary health facility are “availability” (OR = 0.341, 95%CI = 0.173 - 0.672) and “support and respect” (OR = 5.599, 95%CI = 3.621 - 8.659) of health care workers. Conclusion: Though the women were very satisfied with the QPC rendered barely half of them reported high quality QPC and this should be the ultimate aim. Promoting and ensuring high quality of antenatal care in our hospitals will improve the antenatal attendance and hospital deliveries with subsequent reduction in maternal morbidity and mortality. Keywords Quality, Antenatal Care, Satisfaction How to cite this paper: Bello, O.O. (2018) Quality of Antenatal Care: Comparison be- tween Secondary and Tertiary Health Facili- ties in Ibadan, Nigeria. Open Journal of Obstetrics and Gynecology, 8, 559-571. https://doi.org/10.4236/ojog.2018.86063 Received: April 23, 2018 Accepted: June 3, 2018 Published: June 6, 2018 Copyright © 2018 by author and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access