In order for the nurse-midwife to provide quality maternity care, it is essential that she utilize assertive strategies in her daily clinical practice. The primary assertive problems that confront the midwife involve resolving differences in philosophy and practice between her and her colleagues and the need for her continuous role definition in relation to colleagues, administrators, and patients. Besides decreasing the midwife's anxiety and increasing her self-esteem in key interpersonal situations, assertiveness can help her meet her goals without interfering with those of others, can assist her to achieve a sense of power since she can more effectively cope with a diversity of situations, can improve her staff relationships and, ultimately, can enhance her growth and learning.