Objective:

to understand the access that women in pregnancy, childbirth and postpartum have to health services according to social class in Bogotá (Colombia).

Methods:

qualitative study. Critical hermeneutical perspective. Critical ethnography method. Theoretical sampling. Analysis by triangulation in Atlas Ti. 9 women and 8 health professionals participated. 38 in-depth interviews were carried out during 13 months and 62 accompaniments to the maternal in the activities of prenatal control, vaccination, labor, postpartum consultation, follow-up examinations, Psychoprophylactic course, hospitalization and waiting room, both in public services as private.

Results:

there are inequalities according to social class in the access that women have to health services in the following aspects: access to specialist services, queuing to wait for care, availability of appointments and schedule to schedule the appointment, Missing the appointment having arrived at the service, the priority that institutions give to maternal mothers, getting up early to get care, requesting an appointment, waiting conditions and choosing the clinic or staff.

Conclusions:

the previous aspects are intensified in social classes with less advantages. Reducing social inequalities is required to decrease health inequities.