BACKGROUND:
The Swedish Pregnancy Survey, launched in 2020, is a national digital questionnaire designed to systematically capture women’s experiences during pregnancy, childbirth, and the postpartum period. The survey provides data for quality improvement in maternity services. Its integration with the Swedish Pregnancy Register allows individual-level linkage of patient-reported experiences with clinical outcomes—offering unique opportunities to explore associations between subjective experiences and medical results.

OBJECTIVES:
To present findings from the first five years of the Swedish Pregnancy Survey, and to explore how this large-scale data collection informs clinical practice, policy development, and maternal health equity in Sweden.

METHODS:
The survey is offered nationally in three parts: during pregnancy (second trimester), shortly after birth (within 8 weeks), and one year postpartum. Over 600,000 responses have been collected between 2020 and 2025. Data are analyzed using descriptive statistics. Survey responses can be linked with the Swedish Pregnancy Register to enable combined analyses of patient-reported experiences and clinical outcomes.

RESULTS:
Analysis is ongoing. Preliminary findings show high trust in midwives but notable variations in perceived autonomy, continuity of care, and emotional support during childbirth. Disparities are evident by socioeconomic status, geography, and migration background. Feedback has led to improvements in several regions, including expanded postpartum mental health screening and access to translated information.

CONCLUSIONS:
The Swedish Pregnancy Survey provides a unique, real-time understanding of women’s experiences in maternity care. It supports clinical quality improvement and population-level research. Sharing this model can inspire other countries to develop similar systems for listening to women and advancing evidence-based, equitable midwifery care.

KEY MESSAGE:
The Swedish Pregnancy Survey offers insights into women’s experiences during pregnancy, childbirth, and the postpartum period, linking patient-reported data with clinical outcomes to drive improvements in maternity care and promote maternal health equity. Its findings shape clinical practice, policy, and quality improvement in Sweden, with potential to inspire similar models globally. Woman centered 2 (including three-minute presentation competition)