In Senegal, only 60% of mothers in rural areas deliver in health facilities. Mothers’ satisfaction with their facility-based childbirth
experience is one of the factors in their choosing to deliver in such facilities in subsequent pregnancies. The objective of this
study was to assess whether compliance with childbirth care based on the mothers’ perception of facility-based childbirth care
contributes to the degree of maternal satisfaction. We conducted a secondary analysis of cross-sectional survey data collected
from 259 mothers who had normal deliveries at facilities in rural areas of Senegal in 2011. The association between overall
maternal satisfaction with childbirth care and 23 standard care survey items was assessed. The results showed that the degree of
compliance with standard care and eight of 23 survey items were associated with maternal satisfaction. We conclude that to
improve maternal satisfaction, facilities need to guarantee compliance with standard care.