Continuous monitoring of quality assurance in maternity units raised the awareness of the quality of obstetric performance and improved the quality of care provided, thereby improving MMR.

Quality assurance in rural hospitals generates the awareness necessary to improve maternal health and lead to reduction of MMR.

for maternal education level, smoking status, and complications the observed associations did not change. No doseresponse relationship was found for the duration of use of ACE inhibitors or other antihypertensive medications.In conclusion, this retrospective cohort study found that a woman's use of ACE inhibitors in the first trimester of pregnancy carries a risk profile for neonatal malformations that is similar to the risk profiles for parturients who use other antihypertensive medications during pregnancy and women with hypertension who do not use any antihypertensive drugs. Therefore, these malformations are likely due to the underlying hypertension rather than the medications.

No abstract