Abstract overview:
The postpartum period is one of women's most challenging adaptation periods. The standard care in the Czech Republic provided by gynaecologists to women is widely available and reimbursed. Community midwife care is not covered by public health insurance as a standard, i.e., it is financially unaffordable for some women.

Aims and objectives:
To describe women's satisfaction with the care provided in the home postpartum period; to define the main determinants of women's satisfaction.

Methods:
A national cross-sectional study using a standardised questionnaire. First phase 2022 (N=1944); five-point Likert scale to assess satisfaction (converted to 0-100); effect of sociodemographic characteristics on clusters determined by analysis of variance (ANOVA) with p=0.05.

Results:
Women's satisfaction with health care organisation during the postpartum period was high (mean 86.3). The place of delivery had a significant influence on the evaluation (p<0.001). Women who gave birth in the perinatology centre reported the highest satisfaction. Women with planned home births reported the lowest level. Women's satisfaction with the information regarding women's health during the postnatal period was low (mean 46.8). Better results were observed for women's satisfaction with information about the baby's health during this period (mean 71.6). Place of delivery had a significant effect (p=0.003 respectively p<0.001). Women giving birth in a maternity hospital and multiparous were the most satisfied. Women giving birth outside the hospital were the least satisfied, especially those with unplanned homebirth - information about the woman's health (4.2) and information about the baby's health (52.8).

Conclusion:
The area of lower satisfaction of women was the availability and quality of information about the health status of the woman and the baby. The least satisfied was the group of women who gave birth outside the hospital, planned or unplanned.

Acknowledgement:
This work is part of the Comprehensive Approach to Nursing Care Quality Assessment II project (MUNI/A/1714/2024).