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Payesh2009; 8: 191-201Accepted for publication: 6 February 2008[EPub a head of print-20 Apr. 2009] Objective(s): To assess quality of provided care in labor and delivery units of two selected Kordestan Medical Science University hospitals.Methods: This was a descriptive study to assess quality of provided care to 96 women with normal pregnancy, which were recruited using quota sampling, using two checklists for observation of care procedure and structure as well as a questionnaire to assess clients’ satisfaction. Data was analyzed by SPSS 11.5.Results: Midwifery care was provided in ِdifferent phases of labor, with following mean percentage of compatibility with optimal situation; first phase of labor (71.4%), second phase of labor (63.03%), third phase of labor (80.63%) and first 2 hours after labor (70.50%).  The lowest scores were related to the domains of “emotional support”, “Hand wash” and “assessment of vital signs”.Conclusion: Development of instructions for care, or promotion of partograph use for continuous monitoring and evaluation of quality of care by managers; increasing midwifery personnel; providing facilities for accompanied person to improve quality of emotional care; can lead to quality improvement, and finally clients health and satisfaction.