Background: Midwifery-led continuity care (MLCC) model is the provision of care by a known midwife (caseload model) or a team of midwife (team midwifery model) for women throughout the antenatal, intrapartum, and postnatal period. Evidence shows that MLCC becomes the first choice for all women and improved several maternal and neonatal health outcomes. Despite this, little is known about pregnant women’s perception of MLCC in Ethiopia. Therefore, the main aim of this study was to explore pregnant women’s perception and experience of MLCC model in Ethiopia.

Methods: A programmatic qualitative study was conducted in Gurage zone public hospital, Southwest Ethiopia, from May 1^st to 15^th, 2022. Three focused group discussions and eight in-depth interviews were conducted among pregnant women’s who were selected using the purposive sampling method. Data were first transcribed and then translated from Amharic (local language) to English. Finally, the thematic analysis technique using open code software was used for analysis. 

Results: The thematic analysis shows that regarding the pregnant women's perception and experience of midwifery-led continuity care three themes emerged such as (1) improved continuum of care, (2) improved women-centred care, and (3) improved satisfaction of pregnant women. The overreached theme was the majority of women are interested in midwifery-led continuity care, particularly which can improved the continuum of care. Under barriers to implementing midwifery-led continuity care, one theme (i.e. healthcare workers' related characteristics) emerged.

Conclusion: The finding of this study shows that pregnant women had positive experiences and showed a willingness to receive midwifery-led continuity care. Women-centred care, women’s satisfaction, and an improved continuum of care were identified as the main themes. Therefore, it is reasonable to adopt and implement midwifery-led continuity care for low-risk pregnant women’s in Ethiopia.

Key Words: Perception, Experience, Midwifery-led continuity care, Qualitative study, Ethiopia