Satisfaction levels with antenatal care services among postnatal women attending public hospitals in Sana`a City Yemen

Background Women`s satisfaction with antenatal care (ANC) is an important indicator of maternal healthcare quality and is associated with the utilization of maternal health services. Identifying factors associated with satisfaction can help inform improvements in ANC service delivery. The study aims to assess women's satisfaction and examine factors associated with ANC satisfaction among postnatal women attending public hospitals in Sana`a City, Yemen. Methods A descriptive cross-sectional study was conducted among 232 postnatal women attending three public hospitals in Sana`a City, Yemen. Participants were proportionally allocated across the three hospitals according to delivery volume, and eligible postnatal women were recruited consecutively until the required sample size was achieved. Data were collected through face-to-face interviews using a structured questionnaire. Descriptive statistics summarized participants` characteristics and satisfaction levels. Chi-square tests assessed associations between categorical variables, and variables with p<0.05 in bivariate analysis were included in multivariable regression. Adjusted Odds Ratio (AORs) with 95% confidence intervals (CIs) were calculated, with statistical significance set at p<0.05. Results Overall, 105 of 232 women (45.3%) were classified as highly satisfied and 127 (54.7%) as having low satisfaction based on the median split. Several factors were independently associated with women's satisfaction. Attendance at ANC education sessions was significantly associated with higher satisfaction, with women who attended sessions more likely to report satisfaction (AOR=6.60, p<0.001). Women with four or fewer children had higher odds of satisfaction (AOR=3.07, p=0.026). Waiting times of less than 30 minutes were associated with higher odds of satisfaction (AOR=3.14, p=0.024), while receiving a delivery plan was also positively associated with satisfaction (AOR=2.77, p=0.009). Residence and education were not significantly associated with women`s satisfaction after adjustment. Conclusions Women's satisfaction with ANC was mainly associated with service-related and obstetric factors. Strengthening ANC education, reducing waiting times, and improving individualized care planning may improve women's satisfaction with ANC services.