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ANC quality requires a lot consideration, and the employees need help and supervision for protocol-based care and sustained administration of risks. The frontline hospitals’ midwifery models need protocols for evidence-based care to be displayed all through. The hospital ought to be engaged in reviewing deaths, near 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 actually needed Health news referral hospital care, was a contributing consider many of the deaths. A evaluation by Singh et al identified that “ referrals are haphazard and a pregnant woman at high threat or with complications did not get the required EmOC and needed to undergo several referrals earlier than reaching the appropriate institutionâ€. Lower levels within the referral chain must recognise their limits in managing a patient who’s in trouble.