(2008) found no statistical differences between midwives and doctors in neonatal mortality rates. Hartem et al. (2008) not only revealed that midwives were more likely to deliver vaginally than physicians, but their study also found that women have higher perceptions of maternal and fetal outcomes that support continued care of midwives than doctors. The study concluded that more women rated midwives higher than doctors for giving mother control, initiating breastfeeding, fewer episiotomies, less likely to have forceps or vacuum delivery and fewer days the baby stays in the hospital. Because of the many benefits and positive outcomes for the mother and fetus that midwifery provides, nurses and midwives must promote the midwifery profession. Nurses and midwives need to understand that expressing the importance of midwifery is an essential step in bringing about change towards more autonomy regarding the role of the nurse and midwife ( Bonar, 2015). Nurses and midwives need to be present in communities and local settings to voice their concerns and promote the importance of midwifery. Nurses and midwives need to be politically active and aware of what is happening in labor and birth and