RÉSUMÉ
Background: The World Health Organization (WHO) envisions a world where every pregnant woman and newborn receives comprehensive care throughout the pregnancy, childbirth and the postnatal period. This study aims to assess the satisfaction of pregnant women with antenatal care services at selected Upazilla Health Complexes during the Covid-19 pandemic. The aim of this study was to evaluate the satisfaction levels of pregnant women with the antenatal care services provided at selected Upazilla Health Complexes during the COVID-19 pandemic. Methods: This descriptive cross-sectional study was conducted at three selected Upazilla Health Complexes in Kishorganj district, Bangladesh, namely Hussainpur Upazilla Health Complex, Karimganj Upazilla Health Complex, and Pakundia Upazilla Health Complex. Purposive sampling was employed to recruit 163 married pregnant women attending antenatal care services at these health complexes. Data were collected through face-to-face interviews ensuring privacy and analyzed using SPSS 26, employing descriptive statistics, chi-square tests, and odds ratios with 95% confidence intervals. Results: Most pregnant women (54.6%) were aged 18-23 years. Education levels: 40.5% had SSC education, 9.2% were illiterate. Respondents expressed high satisfaction with key aspects at the Upazilla Health Complex, including medicine supply and awareness about ANC services. Continuous monitoring is crucial for patient satisfaction. Medicine supply significantly impacted satisfaction, emphasizing its importance in healthcare quality. Conclusions: Despite challenges during the COVID-19 pandemic, Upazilla Health Complexes have effectively provided antenatal care, satisfying the majority of respondents, highlighting the importance of continuous monitoring.