Chapter 9 discusses medical and midwifery registers and ephemera and maternal mortality in the period after the first Midwives Act. Poverty as a cause of maternal and infant death is considered. The training and employment of midwives was brought forward by the Departmental Committee 1929, and one of the first textbooks by a midwife is discussed. The chapter examines the work and outcomes of midwives and the support, and innovations from the local medical officers of health in improving maternity care are described. The chapter introduces antenatal care for all women, education for childbirth and postnatal care. Local and chief medical officer of health reports, the register of an early-20th-century family doctor and midwife registers are examined to consider the care and outcomes of mothers and babies in the early 20th century.