This in-depth evaluation of information on 30 women who died at the referral hospital discovered that entry to health providers, availability of employees for ANC and availability of senior staff on the hospitals have been adequate. It has been famous in other analysis that entry to obstetricians and medical doctors to attend ladies arriving with postpartum haemorrhage and severe pre-eclampsia is a significant concern . However, within the present research nearly the entire deaths occurred regardless of entry to adequate human resources at the tertiary hospital. In distinction, inappropriate or delayed referral, delayed transfers, a scarcity of coordination amongst levels …