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The members of the writing committee assume responsibility for the overall content and integrity of this article. The full names, academic degrees, and affiliations of the members of the writing committee are listed in the Appendix.

Background: Clients’ satisfaction with the quality of care in an antenatal clinic is the extent to which the health care system meets the clients’ expectations, aims and choices. Objective:  To assess the clients’ knowledge and satisfaction with antenatal care (ANC) services in Primary Health Centres in Ikenne Local Government Area of Ogun State, Nigeria. Methods: This descriptive cross-sectional study was conducted among 380 registered pregnant women who were selected using a multistage sampling method. The data were collected using a structured interviewer-administered questionnaire, constructed from a review of the Safe Motherhood Needs Assessment package and other available literature on antenatal care. Results: The mean age of the respondents was 27.8±5.5 years. The majority were married (91.6%). Health education was the leading ANC activity recognized by 98.7% of the respondents. Knowledge was poor as only 46.1% had good knowledge of at least 50% of total knowledge score. Overall, satisfaction with the services was good as the majority (96.8%) of the respondents were satisfied with the services. Marital status, number of antenatal visits and level of education were statistically significantly associated with the level of satisfaction (p < 0.001, 0.02 and 0.007 respectively). Conclusion: Though the knowledge of ANC was poor, overall satisfaction level was good. Programmes that improve maternal knowledge about ANC should be emphasized in PHCs.

Analysis of 146 patients managed for obstructed labour at a referral tertiary hospital in South West Nigeria shows that labour became obstructed in a lower cadre health facility among majority (76.7%) of the women. This calls for improved maternity service delivery in our locality.