This book helps all those working in maternity services to improve the quality of the care they offer. Improvement is driven by clinical effectiveness and increasing patient demands, and for each area of practice described this book outlines the service organisation needed to achieve this improvement. The goal is to help clinicians take responsibility for developing services that meet the needs of their patients as well as managing their individual medical conditions. The book demonstrates that much can be achieved within current resources and without major additional expense. Different approaches are demonstrated, but the key issue is the patient pathway. Trainees, clinicians, managers and commissioners of services will find this book of practical value. There should be a copy on the shelves of every hospital obstetric unit.