Satisfaction has been widely recognized as an important indicator to evaluate health care quality and to provide patient centered care. The study was carried out to assess satisfaction level from a hospital based perinatal care. A descriptive cross sectional study was carried out among 428 postnatal women in two tertiary hospitals of western Nepal via structured interview schedule. Maternal satisfaction was measured by 25 item scale. Overall 45.1% of mothers were satisfied with the perinatal care. The level of satisfaction in public hospital (mean 3.44±0.65 out of 5) was greater as compared to private hospital (mean 3.27±0.59 out of 5). The satisfaction score was lower in the physical environment (mean 3.01±0.87 out of 5) and highest in privacy maintained (mean 4.37±0.92 out of 5). Determinants of satisfaction were type of hospital, religion, education, parity, number of living children, mode of delivery, gestational age at birth, maternal condition after delivery, newborn health condition, and duration of stay at the hospital and the gender of the provider (p
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