DR Congo is among the African countries with a maternal mortality ratio and rate above the African average. A maternal death is not an isolated event but rather the culmination of a process. Many indicators make it possible to assess the state of health of a population and maternal mortality (intra-hospital) is that which has been studied in our work. This study aims to determine the ratio, the proportions and their respective frequencies, by establishing associations with their factors, in each structure (C.U.L., SENDWE, SNCC, KENYA). This is a cross-sectional descriptive study including 9,977 deliveries for 10 maternal deaths during the year 2019 and retained on the basis of the documentary review and supported by a medical audit. The mean age of the deceased women was 29 years (standard deviation 5.6151). The mean distance was 8 km (E-T 3.3665, KCC 14, 3750, p = 0.1566). The RMMIH is 82 deaths per 100,000 NV, with a rate of 0.08. The mean parity was 4.2 (SD 3.1552), with 50% large multiparas (5 and over), and gestity 5.5 (SD 3.5668), with 40% multigests (6 and more). Genital hemorrhages represented 60% of cases (p = 0.06, KCC 3.1250). 90% followed ANC, which was the only highly significant association with the causes of maternal deaths. The mean recovery time interval was 8.5 minutes (E-T 3.4400). 90% were referred (KCC 10.00, p = 0.067). The staff were 100% qualified. We believe that the results obtained in this study will make it possible to understand the importance of the organization of services, not only in a hospital structure, but also in a service and especially in a health system, while knowing that the environmental conditions childbirth also influence the outcome of pregnancy.