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ANC quality requires a lot consideration, and the employees need assist and supervision for protocol-based care and sustained management of dangers. The frontline hospitals’ midwifery items want protocols for evidence-based care to be displayed throughout. The hospital ought to be engaged in reviewing deaths, close to misses and deterioration. An inappropriate interpretation of the pyramidal referral coverage, whereby main care suppliers referred the deteriorating patient to a frontline hospital when she truly needed Health news referral hospital care, was a contributing think about most of the deaths. A evaluation by Singh et al pointed out that “ referrals are haphazard and a pregnant lady at excessive risk or with problems did not get the required EmOC and had to undergo several referrals before reaching the suitable institution”. Lower ranges in the referral chain must recognise their limits in managing a affected person who is in hassle.