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China is developing rapidly. Modern Maternity Service System (MMSS) has several projects in China. Meng Xue will present the latest project from BaMa Guanxi Province. The place of longevity yet there is still great poverty here. We will talk about the changes (design, classroom training, and face to face training), we have implemented, are implementing, and the challenges of removing fear and instilling confidence in the midwives and obstetricians. Promoting midwifery autonomy in which was an obstetric led unit.