Dissertation (MSc Midwifery)Implementing the recommended management protocols for Hypertensive disorders of pregnancy is a key for delivery quality maternal care. Appropriate care to pregnant women is needed to reduce the risk of complications related to this condition. Early detection, careful monitoring and appropriate treatments of hypertensive disorders of pregnancy is required for the better maternal outcome. Objectives The aim of this study was to assess the quality of antenatal care for hypertensive disorders of pregnancy and associated maternal outcome among post-deliverywomen in Zanzibar Method An analytical cross-sectional study design was conducted among 366 pregnant women with hypertensive disorder of pregnancy at five Hospitals in Zanzibar, a convenience sampling technique was used to select participants and an interviewer administered questionnaire and reviewing the pantograph and RCH card no 4 were used to collect data. Data was analyzed using Statistical package for a service solution SPSS version 20 software program, whereby descriptive statistics and inferential statistics (logistic regression) were employed, and frequency, chi square and odd ratio were reported. Results Findings revealed that, nearly three quota 243(66.4%) received good quality of antenatal care for hypertensive disorder of pregnancy, and majority 305(83.3%) were adhering to anti-hypertensive managements. Moreover the antenatal quality careunder study showed a significant association with maternal outcome, controlling for (AOR= 0.292,p=0.001). Conclusion Majority of respondents under study received good quality of antenatal care. More over high number of respondents adhered to antihypertensive drugs. Also this study tell us that good quality of antenatal care influenced the desirables maternal outcome.