Assessment of Antenatal Care Service Client Satisfaction and Related Factors for Expectant Women at the Health Center in Lideta Sub City, Adis Ababa, Ethiopia

<i>Background</i>: Antenatal care (ANC) may be defined as the treatment given to pregnant women and teenage daughters by knowledgeable fitness professionals in order to ensure the optimal prenatal fitness conditions for both mother and child. The components of ANC include risk assessment, prevention and treatment of conditions related to or contemporaneous with pregnancy, strength training, and health promotion. ANC lowers maternal and perinatal depression and mortality rates directly by identifying and addressing pregnancy-related confusions, and indirectly by identifying mothers and adolescents who are more likely to experience confusions during labor and delivery, thereby guaranteeing a standard of comparison to an appropriate level of care. Moreover, ANC provides a major chance to prevent and control concomitant diseases through assisted childbirth, as indirect causes of maternal morbidity and deaths, including HIV and illness infections, contribute to approximately 25% of maternal deaths and near-misses. <i>Objective</i>: to evaluate pregnant women's satisfaction with prenatal care and related characteristics in public health facilities in Lideta subcity, Ethiopia. <i>Method</i>: From June 23 to June 30, 2025, a quantitative institution-based cross-sectional investigation was carried out. A rigorous random sampling procedure was used to choose 365 study participants in total. Questionnaires from pre-tested structured interviews were used to gather data. SPSS version 24 was used to evaluate the data after it was entered into a Google Sheet. To determine the variables linked to customer satisfaction with prenatal care, descriptive statistics, bivariate analysis, and multivariable logistic regression analyses were used. <i>Findings</i>: Overall, 169 pregnant women (51.5%) expressed satisfaction with the ANC service. According to the results of the multivariate analysis, pregnant women who were satisfied with ANC services were less likely than their respective referents to be illiterate, have a primary education (AOR=0.226, 95%CI: 0. 072, 0. 713) and have attended tertiary education (AOR=0.304, 95%CI: 0. 104, 0. 892), be less than 30 minutes away from home (AOR=0.0933, 95%CI: 0. 03, 0. 285), and have a waiting time of less than 30 minutes. <i>In summary</i>, over 50% of expectant mothers expressed satisfaction with ANC services. Additionally, this study identified waiting times, education, and the distance between health facilities and homes as predictors of satisfaction. Health facilities are advised to consider the opinions of mothers in order to enhance the quality of ANC services.