This study aims to assess the quality of emergency obstetric care in 69 health facilities in Abidjan. The results show lethality was evaluated at 1.7 deaths out of 100 complications that received treatment. Obstetrical complications are largely dominated by the presence of bleeding, accounting for 36.1% of cases. Only 60.1% of emergency obstetric cases were fully covered and completely treated. Caesarian sections are rarely done (3.6%). The ratio of availability of comprehensive emergency obstetric care is poor (.79 for 500,000). Mobilization of all levels of actors in the health system is necessary to lead to any significant improvement in the current situation.