Antenatal Care For Pregnant Women Research Articles

The shortened cervix in pregnancy: Investigation and current management recommendations for primary caregivers.

Preterm birth (PTB), defined as delivery before 37 weeks' gestation, is a multifactorial condition that can lead toneonatal mortality and morbidity. Short cervical length (CL) found on morphological scan is associated with an elevated risk of spontaneous PTB. Identifying these women at risk allows clinicians the opportunity to treat and prevent PTB. This article reviews current approaches to the evaluation and management of a shortened CL at morphology scan and highlights important patient counselling points. Current Royal Australian and New Zealand College of Obstetricians and Gynaecologists guidelines provide consensus-based recommendations; a shortened cervix measuring less than 25 mm on a transvaginal ultrasound scan at 18-24 weeks' gestation requires management. There are three management pathways when a short cervix is identified on morphology scan: conservative, medical and surgical. General practitioners involved in the antenatal care of pregnant women may assist in counselling these women about their options.

Analisis Faktor yang Berhubungan dengan Kinerja Bidan dalam Memberikan Pelayanan Antenatal Berkualitas Diwilayah Kerja Puskesmas Kota Bukittinggi Tahun 2018

Quality antenatal care has a major role in reducing maternal mortality. Every effort to improve quality must also be accompanied by efforts to pay attention to factors that contribute to improving the performance of midwives in providing services. The study used a combination of quantitative approaches in 67 midwives in the Bukittinggi and qualitatively in 15 informants, of which 9 people included in-depth interview informants to coordinator midwives, head of the Public health center and staffing and 6 FGD informants to midwives on duty at the health center.The results of quantitative data analysis, factors related to the performance of midwives are incentives, motivation and workload. Motivation is the most dominant factor related to the performance of midwives. The results of qualitative data analysis, the leadership plays an important role in increasing motivation to work midwives and optimizing the role of midwives in overcoming problems related to overlapping workloads. Midwives also need to increase their participation efforts and empower pregnant women so that programs can run well and provide positive feedback for improving the health status of pregnant women. Basically antenatal services provided by midwives are in accordance with standards, but the paradigm of antenatal care for pregnant women must shift from achieving quantity to focus on quality. To improve the performance of midwives in providing antenatal care, several efforts are needed: monitoring and evaluation of the quality of antenatal care by midwives, leadership involvement in efforts to increase midwife motivation both from supervision and reward management in non-material forms. Providing equal opportunities for midwives to improve competence through training, especially training related to quality antenatal care. In addition, the provision of infrastructure at the polindes needs attention.

Outcome of antenatal care at high risk pregnancy in Qena University Hospitals

Background:The central purpose ofantenatal care is to screen for and identify high risk pregnancies as earlyas possible from a general population of pregnant women, and then provide appropriate skilled care forwomen with high risk pregnancies while continuing to give adequate care for the women with low riskpregnancies. This “risk approach” is a managerial tool for improving maternal and child health care.Objective:To evaluate the impact of antenatal care for pregnant women with high risk pregnancy.Patients and method(s): This is a prospective cohort study of a group of pregnant women with high riskpregnancy. Detailed history, examination, and screening investigations were done throughout pregnancy.Setting:pregnantwomen’s with high risk outpatient clinics and emergency unit, Qena university hospital,EgyptResult(s):The study included 120 women with high risk pregnancy. There was 16.7% incidence of firsttrimester complications (hyperemesis& threatened miscarriage). Most of women suffered from second andthird trimester complications (80.8%) as preeclampsia in 20.8%, Gestational diabetes in 15%, PROMin13.3%, and preterm labour in 9.2%. fetal complications is seen in 35.8%.Conclusion: There was significant relationship between number of visits and the occurrence ofcomplications during the second and the third trimester and during the post-delivery period.

Management of Pregnancies Complicated by Hypertensive Disorders of Pregnancy: Could we do Better?

(Aust N Z J Obstet Gynaecol. 2017;57(3):253–259) Hypertensive disorders are associated with fetal growth restriction and premature birth as well as increased rates of maternal mortality and morbidity. Active optimization of management is an important part of the antenatal care of pregnant women with hypertensive disorders. Compliance with clinical guidelines for the management of hypertension during pregnancy can positively affect maternal and perinatal outcomes.

Trends in adult chlamydia and gonorrhoea prevalence, incidence and urethral discharge case reporting in Mongolia from 1995 to 2016 - estimates using the Spectrum-STI model.

ObjectiveTo estimate Mongolia’s prevalence and incidence trends of gonorrhoea and chlamydia in women and men 15–49 years old to inform control of STIs and HIV, a national health sector priority.MethodsWe applied the Spectrum-STI estimation model, fitting data from two national population surveys (2001 and 2008) and from routine gonorrhoea screening of pregnant women in antenatal care (1997 to 2016) adjusted for diagnostic test performance, male/female differences and missing high-risk populations. Prevalence and incidence estimates were then used to assess completeness of national case reporting.ResultsGonorrhoea prevalence was estimated at 3.3% (95% confidence interval, 1.6–3.9%) in women and 2.9% (1.6–4.1%) in men in 2016; chlamydia prevalence levels were 19.5% (17.3–21.9%) and 15.6% (10.0–21.2%), respectively. Corresponding new incident cases in women and men in 2016 totalled 60 334 (36 147 to 121 933) and 76 893 (35 639 to 254 913) for gonorrhoea and 131 306 (84 232 to 254 316) and 148 162 (71 885 to 462 588) for chlamydia. Gonorrhoea and chlamydia prevalence declined by an estimated 33% and 11%, respectively from 2001 to 2016.Comparing numbers of symptomatic and treated cases estimated by Spectrum with gonorrhoea case reports suggests that 15% of symptomatic treated gonorrhoea cases were reported in 2016; only a minority of chlamydia episodes were reported as male urethral discharge cases.DiscussionGonorrhoea and chlamydia prevalence are estimated to have declined in Mongolia during the early 2000s, possibly associated with syndromic management in primary care facilities and improving treatment coverage since 2001 and scale up of HIV/STI prevention interventions since 2003. However, prevalence remains high with most gonorrhoea and chlamydia cases not treated or recorded in the public health system.

Non-malarial infectious diseases of antenatal care in pregnant women in Franceville, Gabon

BackgroundIn sub-tropical countries, infectious diseases remain one of the main causes of mortality. Because of their lack of active immunity, pregnant women and their unborn children represent the most susceptible people. In Gabon, data on infectious diseases of pregnant women such as syphilis and rubella are either scarce or very old. Few studies have assessed T. gondii infection during pregnancy in the country. Here, we evaluate seroprevalence of HIV, HTVL-1, syphilis and T. gondii and rubella infection during antenatal care among women living in Franceville, Gabon.MethodsA retrospective study was conducted on data collected from May 2007 to July 2010. After signing an informed written consent form, all pregnant women consulting in two hospitals of Franceville (Gabon) and in offices of maternity and childbirth health centers were included. Demographic and clinical data were collected. Serum samples were collected and analysed using immunological assays relevant for HIV (Genscreen HIV-1 version 2, Bio-Rad®, Marne la Roquette, France).HTLV-1 (Vironostika HTLV-1, Biomérieux®, Marcy l’Etoile, France), T. pallidum (TPHA/VDRL), BIOLABO®SA), rubella virus (Vidas Biomerieux®, Marcy l’Etoile, France) and T. gondii (Vidas Biomerieux®, Marcy l’Etoile, France) diagnoses were performed. Data analysis was done using the Stat view 5.0 software.ResultsA total of 973 pregnant women were assessed. The mean age was 25.84 ± 6.9 years, with a minimum age of 14.0 years and a maximum of 45.0 years. Women from 26 to 45 years old and unemployed women were the most prevalent: 41.93% and 77.18%, respectively. The prevalence of studied infectious diseases were 2.50% for syphilis, 2.88% for HTLV-1, 4.00% for HIV with no significant difference between them (p = 0.1). Seropositivity against rubella was higher (87.56%, n = 852) than seropositivity against T. gondii (57.35%, n = 557), (p < 0.0001). Only 5 (0.51%) co-infection cases were found: 2 co-infected with HIVand T. pallidum, 2 co-infected with HIV and HTLV-1, and one co-infected with T. pallidum and HTLV-1. Sixty-two pregnant women were seronegative against toxoplasmosis and rubella (6.37%).ConclusionHigh levels of seropositivity against T. gondii and the rubella virus were observed. The prevalence of T. pallidum and HTLV-1 were lowest but HIV prevalence in young women was worrying.

Guideline about Antenatal Care for Pregnant Women at Damietta City

Guideline about Antenatal Care for Pregnant Women at Damietta City

Effect of supervised exercise in groups on psychological well-being among pregnant women at risk of depression (the EWE Study): study protocol for a randomized controlled trial

BackgroundPregnant women with depression and/or anxiety prior to pregnancy are at higher risk of preterm birth, breastfeeding problems, postpartum depression, and disruption of the mother-infant attachment. It is well documented that exercise improves psychological well-being in nonpregnant subjects with symptoms of depression. However, in only a few small studies have researchers examined the effect of exercise on symptoms of depression among pregnant women. We hypothesize that physiotherapist-supervised group exercise for pregnant women at risk of antenatal depression increases their psychological well-being. This paper describes the study protocol of a randomized controlled trial (RCT) on a supervised group exercise intervention for pregnant women with a current or previous history of depression and/or anxiety.Methods/designThe RCT is being carried out at the Department of Obstetrics, Rigshospitalet, Copenhagen University Hospital, in the period 2016–2019. The inclusion criteria are pregnant women ≥18 years of age with depression and/or anxiety requiring treatment by a psychiatrist or a psychologist within the last 10 years and/or intake of antidepressants in the 3 months prior to conception and/or during pregnancy. The women must have appropriate Danish language skills, be pregnant with a single fetus, give written informed consent, and be at 17–22 gestational weeks when the intervention begins. The primary outcome is psychological well-being (the five-item World Health Organization Well-being Index). Secondary outcomes are symptoms of depression (Edinburgh Postnatal Depression Scale), functional ability (General Health Questionnaire), clinical symptoms of anxiety (State-Trait Anxiety Inventory), sleep quality and sleep disturbances (Pittsburgh Sleep Quality Index), and pregnancy and delivery outcomes. The intervention is supervised group exercise twice weekly for 12 weeks. The control group will receive standard antenatal care. On the basis of sample size calculation, a total of 300 women will be randomly assigned to either the intervention or the control group in a ratio of 1:1.DiscussionThe trial is expected to contribute to the body of knowledge used in planning antenatal care for pregnant women at risk of depression.Trial registrationClinicalTrials.gov, NCT02833519. Registered on 19 May 2016.

Trends and consequences of consumption of food and non-food items (pica) by pregnant women in Western Kenya

Pregnancy is a memorable experience for every woman and it comes with many changes which include cravings for food and non-food items. The aim of this study was to explore the change in diet in terms of pica, food craving and aversions which occur during pregnancy. Two hundred and two pregnant women were interviewed. Food craving was reported by 73.8% of the study participants and nearly half (48.7%) had food aversions. Foods craved most were maize meal (12.5%), mangoes (9.5%), ripe banana (8.3%), beef (7.6%) and fish (5.7%). Foods avoided most were small fish (omena) (15.2%), beef (12.6%), kale (11.9%) and fish in general (10.6%). Eggs, tea and milk were also avoided. Reasons given for avoiding certain foods were: to prevent nausea (45.8%), vomiting (21.9%) and heartburn (10.4%). Other reasons given were unpleasant smell/taste and stomach ache. Pica prevalence was at 27.4%, with consumption of soil and soft stones being frequently reported. There was a highly significant association between level of education (p=0.02) and history of child death/still birth (p=0.01) with pica.Food cravings, aversions and pica practices should be assessed in antenatal care of pregnant women. Attention should be paid to pregnant women who have had a history of child death and women with low education level.

Evidence of application of the Basic Antenatal Care principles of good care and guidelines in pregnant women's antenatal care records.

BackgroundBasic Antenatal Care (BANC) is an approach that is used in the public health institutions of South Africa to provide health care services to pregnant women. The approach was introduced as a quality improvement strategy based on the belief that good quality Antenatal Care (ANC) could reduce maternal and perinatal mortalities and improve maternal health.AimThe aim of this study was to analyse pregnant women’s ANC records for evidence suggesting that the BANC principles of good care and guidelines were being applied.SettingThe study was conducted in the 12 primary health care clinics that were providing ANC services using the BANC approach in eThekwini district, KwaZulu-Natal.MethodsA cross-sectional quantitative design was used to conduct the study. Data were collected through retrospective record review of 1200 maternity case records of the pregnant women who had attended for ANC services three or more times and was analysed using Statistical Package for Social Sciences (SPSS) version 21.0.ResultsThe majority of the processes detailed in the guidelines and principles of good care were evident in the records. However, several were missing or recorded in few reviews. These included the ANC plan, delivery plan, midwives’ counter signatures on the cards, assessment for foetal congenital abnormalities, and consent for HIV testing.ConclusionThe study identified evidence of incomplete application of the BANC principles of good care and guidelines in pregnant women’s antenatal care records which indicated that the BANC approach was not being successfully implemented. Recommendations were made with regards to policy development, institutional management and practise, nursing education, and further research to assist in successful implementation of the BANC approach in line with the guidelines and principles of good care.

Timing of the initiation of antenatal care: An exploratory qualitative study of women and service providers in East London

Objectiveto explore the factors which influence the timing of the initiation of a package of publically-funded antenatal care for pregnant women living in a diverse urban setting Designa qualitative study involving thematic analysis of 21 individual interviews and six focus group discussions. SettingNewham, a culturally diverse borough in East London, UK Participantsindividual interviews were conducted with 21 pregnant and postnatal women and focus group discussions were conducted with a total of 26 health service staff members(midwives and bilingual health advocates) and 32 women from four community groups (Bangladeshi, Somali, Lithuanian and Polish). Findingsinitial care-seeking by pregnant women is influenced by the perception that the package of antenatal care offered by the National Health Service is for viable and continuing pregnancies, as well as little perceived urgency in initiating antenatal care. This is particularly true when set against competing responsibilities and commitments in women’s lives and for pregnancies with no apparent complications or disconcerting symptoms. Barriers to access to this package of antenatal care include difficulties in navigating the health service and referral system, which are compounded for women unable to speak English, and service provider delays in the processing of referrals. Accessing antenatal care was sometimes equated with relinquishing control, particularly for young women and women for whom language barriers prohibit active engagement with care. Conclusions and implications for practiceif women are to be encouraged to seek antenatal care from maternity services early in pregnancy, the purpose and value to all women of doing so need to be made clear across the communities in which they live. As a woman may need time to accept her pregnancy and address other priorities in her life before seeking antenatal care, it is crucial that once she does decide to seek such care, access is quick and easy. Difficulties found in navigating the system of referral for antenatal care point to a need for improved access to primary care and a simple and efficient process of direct referral to antenatal care, alongside the delivery of antenatal care which is woman-centred and experienced as empowering.

The effect of group training on pregnancy-induced lumbopelvic pain: systematic review and meta-analysis of randomized control trials.

Since there is lack of up to date consensus exists as to whether group training is effective in improving lumbopelvic pain (LPP) after pregnancy, a review of the recent evidences is needed. To determine the effect of group exercise training for the management of LPP among pregnant women compared with usual antenatal care. An electronic database search for relevant randomized control trials published in English from 2006 to 2015 was conducted. Articles with outcome measures of self-reported LPP, visual analogue scale and sick leave due to LPP after pregnancy were included. Quality of the included articles was rated using Physiotherapy Evidence Database (PEDro) scale and the pooled effect of self-reported LPP was obtained by Review Manager (RevMan 5) software. Significant effect of group training was detected over usual antenatal care or no treatment with P=0.0035 (95% confidence interval, −0.2348 to −0.0044). The results of this systematic review proposed that group training reduces LPP significantly better than routine antenatal care for pregnant women suffered from LPP.

P07.19 Added value of a novel dual treponemal/nontreponemal rapid diagnostic test for syphilis among pregnant women

Introduction In resource-limited settings, syphilis rapid diagnostic tests (RDTs) aide in the prevention of congenital syphilis. However, most syphilis RDTs detect only treponemal antibodies which persist after treatment. Consequently, treatment may be provided unnecessarily to pregnant women with past infection. We estimated the potential reduction of over-treatment by comparing a new RDT detecting both treponemal and non-treponemal antibodies, with a treponemal RDT (T-RDT). Methods A prospective descriptive study among pregnant women in antenatal care was conducted in Deou, Burkina Faso. The women were included if they were eligible for routine syphilis screening and provided informed consent. DPP Screen and Confirm assay (Chembio) and T-RDT (SD Bioline) were performed on whole blood specimens by a trained laboratory technician. Plasma was tested in an international reference laboratory by T. Pallidum Particle Agglutination (TPPA) and quantitative Rapid Plasma Reagin, (RPR). Presumptive active syphilis was defined as both TPPA and RPR were reactive. Results A total of 242 pregnant women were included: 91 (37.6%) had a presumptive active syphilis and one-in-five (19.8%) had high RPR titres ≥1:8. The DPP did not reduce the number of incorrectly treated cases (over-treatment) compared to the T-RDT (0.0% vs. 2.5%; p = 0.218). In addition, the DPP led to a higher proportion of under-treatment compared to the T-RDT (18.2% vs. 0.8%; p Conclusion This study was the first evaluation of DPP in pregnant women. DPP showed no added value in reducing the proportion of women unnecessarily treated. Conversely, it underestimated women needing treatment. Our study population may not have been representative as the surprising high seroprevalence may suggest presence of other treponemal infections in the area. Accordingly, additional studies are required to evaluate the potential benefits of DPP. Disclosure of interest statement Medecins Sans Frontieres funded this study. Epicentre receives core funding from Medecins Sans Frontieres. No pharmaceutical grants were received in the development of this study. The authors have declared that no competing interests exist.

Quantifying the impact of accessibility on preventive healthcare in sub-Saharan Africa using mobile phone data.

Poor physical access to health facilities has been identified as an important contributor to reduced uptake of preventive health services and is likely to be most critical in low-income settings. However, the relation among physical access, travel behavior, and the uptake of healthcare is difficult to quantify. Using anonymized mobile phone data from 2008 to 2009, we analyze individual and spatially aggregated travel patterns of 14,816,521 subscribers across Kenya and compare these measures to (1) estimated travel times to health facilities and (2) data on the uptake of 2 preventive healthcare interventions in an area of western Kenya: childhood immunizations and antenatal care. We document that long travel times to health facilities are strongly correlated with increased mobility in geographically isolated areas. Furthermore, we found that in areas with equal physical access to healthcare, mobile phone-derived measures of mobility predict which regions are lacking preventive care. Routinely collected mobile phone data provide a simple and low-cost approach to mapping the uptake of preventive healthcare in low-income settings.

Assessment of the use of the new maternity case record in improving the quality of ante natal care in eThekwini District, KwaZulu-Natal

The national guidelines for maternity care in South Africa recommend that a standardised maternity case record be used by all facilities at all levels of care in order to improve the quality of care for pregnant women. This will facilitate continuity and quality of care for women during pregnancy, labour and post-partum. The aim of the study was to assess the use of the maternity case record in improving the quality of the antenatal care for pregnant women. An exploratory, descriptive study using both quantitative and qualitative design was used to conduct the study. Data was collected through a retrospective record review using a checklist for the quantitative strand, and from midwives using unstructured interviews for the qualitative strand. The quantitative data set was analysed using the Statistical Package for the Social Sciences version 21.0 and the qualitative strand was analysed using the Tesch’s method of data analysis. The results of the record review revealed that although the recording was done fairly well, there were a number of activities and interventions that were recorded poorly or not recorded at all in some primary health care clinics. The midwives verbalised that many mistakes and mismanagement of ante-natal care clients emanated from the structure and the design of the new maternity case record.

Effect of docosahexaenoic acid-enriched fish oil supplementation in pregnant women with Type 2 diabetes on membrane fatty acids and fetal body composition--double-blinded randomized placebo-controlled trial.

To test if docosahexaenoic acid-enriched fish oil supplementation rectifies red cell membrane lipid anomaly in pregnant women with Type2 diabetes and their neonates, and alters fetal body composition. Women with Type2 diabetes (n=88; 41 fish oil, 47 placebo) and healthy women (n=85; 45 fish oil, 40 placebo) were supplemented from the first trimester until delivery. Blood fatty acid composition, fetal biometric and neonatal anthropometric measurements were assessed. A total of 117 women completed the trial. The women with Type2 diabetes who took fish oil compared with those who received placebo had higher percentage of docosahexaenoic acid in red cell phosphatidylethanolamine in the third trimester (12.0% vs. 8.9%, P=0.000) and at delivery (10.7% vs. 7.4%, P=0.001). Similarly, the neonates of the women with Type2 diabetes supplemented with the fish oil had increased docosahexaenoic acid in the red cell phosphatidylethanolamine (9.2% vs. 7.7%, P=0.027) and plasma phosphatidylcholine (6.1% vs. 4.7%, P=0.020). Docosahexaenoic acid-rich fish oil had no effect on the body composition of the fetus and neonates of the women with Type2 diabetes. A daily dose of 600mg of docosahexaenoic acid was effective in ameliorating red cell membrane docosahexaenoic acid anomaly in pregnant women with Type2 diabetes and neonates, and in preventing the decline of maternal docosahexaenoic acid during pregnancy. We suggest that the provision of docosahexaenoic acid supplement should be integrated in the antenatal care of pregnant women with Type2 diabetes.

PLD.26 The ECCLIPPx study: Electrical Impedance Prediction of Preterm Birth

IntroductionExisting tests for the prediction of preterm birth (PTB) are suboptimal – many exhibit poor predictive values. Electrical impedance spectroscopy (EIS) objectively quantifies the composition of the cervix. A prospective...

Hubungan Tingkat Pengetahuan Ibu Hamil Dan Dukungan Suami Dengan Motivasi Pemeriksaan Antenata Care Dipuskesmas Sungai Raya Dalam

Background: Each year approximately 20,000 women die from complications in Indonesia in persalinan.One of them to reduce the death. One of them by increasing the knowledge and support of her husband and motivation so that pregnant women can be examined pregnancy appropriate and timely manner . Objective: This study aims to determine the between maternal knowledge and support of her husband on the motivation of antenatal care (ANC). Methods: This type of study design using analytic observational study with cross sectional approach to study the relationship between maternal knowledge and support of her husband on the motivation of antenatal care (ANC). The design is a cross sectional analytical study design aimed to determine the relationship of the independent variables are variables where the knowledge and support of her husband and the dependent variable motivation diidenfikasi on one unit waktu.analisa ches quare test data using the (α) = 0.05 . Results of the study: from the analysis there was a significant association between maternal knowledge and motivation antenatal care (Ha accepted) (p = 0.026 ≤ 0.05) and no significant relationship between husband and motivational support antenatal care (Ha rejected) higher value of (p = 0.321 ≥ 0.05). Conclusion: there is a relationship between knowledge of pregnant women with antenatal care in motivation that could mean that the knowledge of factors can affect the motivation of pregnant women in antenatal care , while there was no relationship with the husband's support motivation antenatal care it can be interpreted that the husband's support factor can not affect the motivation of prenatal care .

Swedish women’s expectations about antenatal care and change over time – A comparative study of two cohorts of women

A decade ago a national cohort of Swedish-speaking women were surveyed about their expectations on antenatal care. Today, antenatal care in Sweden still operates under similar circumstances while changes have occurred in society and the pregnant population. ObjectiveTo compare expectations of antenatal care in pregnant women recruited 2009–2010 to those of pregnant women from a national cohort in 1999–2000. An additional aim was to compare antenatal expectations in women recruited to a clinical trial and subsequently received group based or standard antenatal care. MethodsA cross-sectional pre-study of 700 women recruited to a clinical trial and a historical cohort of 3061 women from a Swedish national survey. Data was collected by a questionnaire in early pregnancy for both cohorts and before the clinical trial started. ResultsIn early pregnancy 79% of the women in the study sample reported a preference for the recommended number of visits, which is slightly higher than in the national cohort (70%). Continuity of the caregiver was still important with 95% vs 97% of the women rated it important to meet the same midwife at subsequent antenatal visits. The content of care rank order showed a change over time with lower expectations in health check-ups and emotional content and higher expectations in information needs, respect and partner involvement. ConclusionWomen approached in early pregnancy had lower expectations about medical and emotional check-ups and parent education but higher expectations regarding information, being met with respect and the involvement of the partner compared to women 10years ago. Continuity of a midwife caregiver was still important and women seem more willing to follow the recommended number of antenatal visits. Clinical implicationsAsking women about their expectations regarding antenatal care could be a means to individualize the care.

Perceived Quality of Antenatal Care Service by Pregnant Women in Public and Private Health Facilities in Northern Ethiopia

Background: Quality of Antenatal care is potentially one of the most effective health intervention for preventing maternal morbidity and mortality particularly in places where the general health status of women is poor. Improving quality of health care is one of the strategies in Health sector development program IV (HSDP IV) of Ethiopia. However, there are limited studies on quality of antenatal coverage in Ethiopia including the study area. Thus, the aim of this study was to assess the perceived quality of Antenatal care of pregnant women in public and private health facilities in Tigray, Northern Ethiopia. Methods: Health institution based cross sectional study was conducted from February to May, 2013 in Tigray region among 526 pregnant women attending Antenatal care clinic. Participants were selected using multi-stage sampling technique first health facility were selected using lottery method then pregnant women from each selected facility were selected using systematic sampling method according to the flow pregnant women to the ANC clinics. Data were entered and cleaned using EPI-info version 3.5.1 and analysis was performed by SPSS version 20. Bivariate and multivariate logistic regression analysis was used to calculate odd ratio with 95% confidence level. Statistical association between the dependent and independent variables was ascertained at p-value less than 0.05. Results: The prevalence of overall perceived quality of ANC was 24.5%. Factors like women aged between 26 and 35 years [AOR=0.58(0.38-0.88)], governmental institution ANC attendance [AOR=0.52(0.33-0.83)], own income [AOR=0.61(0.40-0.92)], one to three ANC attendance [AOR=0.31(0.18-0.54)], testing for HIV [AOR=0.12(0.06-0.24)] causes less likely to perceived that getting high quality ANC service however, waiting time greater than one hour [AOR=3.42(1.61-7.28)] is positively associated with mother perception toward getting high quality ANC service. Conclusions: This study revealed that the perceived quality of ANC is very poor. Therefore, urgent action is mandatory to improve the quality ANC service by providing women centered approaches in giving care, in-service training to health care providers on quality practices.