The purpose of this study was to describe the Finnish maternity health
care system and to determine the level of satisfaction in general wit
h maternity health care services and specifically with hospital clinic
visits in Helsinki, Finland. Information was collected using both int
erviews (N = 63) and questionnaires (N = 408). Care during pregnancy t
akes place in maternity centers, and risk pregnancies are referred to
hospital clinics for consultation. The maternity health care system in
Finland is regarded internationally as effective and well functioning
. In recent years, however, increasingly more prenatal visits have tak
en place in hospital clinics. This change may lead to a system similar
to Great Britain's where a large part of prenatal care takes place in
hospital clinics. Although the women in this study are satisfied in g
eneral with the content of maternity health care services and regard t
hem necessary for their well-being during pregnancy, data also indicat
ed that women are more satisfied with visits to maternity centers than
with visits to hospital clinics. The factors women complained most ab
out in hospital clinic visits, were long waiting times, unsatisfactory
doctor-patient communication, the 'assembly-line' routine of the clin
ic, and seeing a different doctor at each visit. The lack of social an
d psychological support involved in the care given at hospital clinics
was also evident. In planning and evaluating maternity health care, i
t is important to consider women's views and experiences.