Background: Maternal mortality remains a major public health concern in Nigeria, largely due to complications during pregnancy, childbirth, and the postpartum period. Access to quality emergency obstetric care is essential for reducing these deaths. Purpose: This study explored healthcare providers’ experiences and clients’ satisfaction with emergency obstetric care services at primary healthcare centres in Ilorin Metropolis, Kwara State, using a phenomenological qualitative approach guided by the Donabedian model. Methods: Data were collected through in-depth interviews with 17 healthcare workers and three focus group discussions involving 24 clients. Results: Despite challenges such as inadequate staffing, limited equipment, and irregular drug supplies, healthcare providers showed resilience in delivering emergency obstetric care services and timely referrals. Process issues, including poor communication and long waiting times, negatively affected client satisfaction, especially among those referred to higher-level facilities. Clients receiving direct care at primary healthcare centres generally reported high satisfaction. Conclusion: Addressing gaps in staffing, infrastructure, and training is critical. The study recommends ongoing professional development, improved healthcare infrastructure, and enhanced recruitment and retention strategies for healthcare workers, especially nurses and doctors. Implications for Nursing: Nurses are central to emergency obstetric care delivery. Investing in their training, working conditions and supportive policies is vital to reducing maternal mortality and improving care quality.