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Introduction: The quality of health care in general and that of maternal health in particular is an issue that concerns all countries, especially developing countries like Benin. Purpose of research: To assess the quality of care offered to mothers within the hospital pyramid in Benin. Results: Out of a total of 36 hospitals surveyed, nine (25%) did not have a neonatal unit. This study showed an overall fair quality in the area of maternal care with an average score of 3.6. Thus, the differences in the quality of this care obtained need significant improvement. Providers’ satisfaction was acceptable unlike beneficiaries who expressed dissatisfaction. Conclusions: Most hospitals in Benin do not yet provide quality maternal care, which is effective, efficient, continuous, accessible, and safe. Evidence-based interventions that focus on the identified shortcomings will improve the quality of maternal health care in Benin’s hospital pyramid.