(2008) found no statistical differences between midwives and doctors regarding neonatal mortality rates. Hartem et al. (2008) not only found that midwives were more likely to achieve vaginal births than physicians, but also found that women rated higher perceptions of maternal and fetal outcomes that support ongoing care regarding midwives than physicians. doctors. The study concluded that more women rated midwives higher than doctors in giving control to the mother, initiating breastfeeding, less episiotomy, less likelihood of forceps or vacuum-assisted delivery, and in the fewest number of days the child stays in hospital. Because of the many benefits and positive maternal and fetal outcomes that midwifery brings, nurses and midwives must promote midwifery. Nurses and midwives must realize that giving voice to the importance of midwifery is an important and essential step in achieving change towards greater autonomy regarding the role of the nurse and midwife (Bonar, 2015). Nurses and midwives need to be present in local communities and settings to express concerns and promote the importance of midwifery. Nurses and midwives need to be politically active and aware of what is happening in the field of labor and birth