Exploring Women's Perceived Quality of Antenatal Care: A Cross-Sectional Study in The Netherlands

Evaluating antenatal care quality involves understanding women's experiences and their impact on pregnancy outcomes. This study examines how pregnant women in the Netherlands perceive the quality of antenatal care and which factors are related to these perceptions, with a focus on continuity of care. We conducted a cross-sectional study (2019-2020) among 1165 pregnant women (>32 weeks). Perceived quality of care was measured using the Pregnancy and Childbirth Questionnaire. Experienced continuity of care was measured using the Nijmegen Continuity Questionnaire. Regression analyses explored associated factors across both community and hospital care settings. Most women reported moderate-to-high levels of perceived quality. Personal continuity from community midwives, team continuity, and the presence of a coordinating care professional were associated with higher perceived quality. The use of a maternity care plan showed no association. Our findings suggest that involvement of a community midwife enhances perceived quality of antenatal care. Key contributing factors include continuity of care and experiencing a coordinating care professional.