Pregnancy is an incredibly complex state of being and each unique episode brings its own character and challenges according to the conditions present in the life of the woman at the time. In most cases, the pregnancy will flourish and a healthy, well baby and mother will result. However, there are a multitude of factors that may influence the pregnancy and subsequent outcomes. Midwives need to be able to provide holistic care in order to facilitate appropriate responses to each woman’s and baby’s needs.