The Nurse-Midwife Service of a county teaching hospital provided care for 229 Indochinese refugee women in 1980 and 1981. Unique health and obstetric problems presented themselves and language and cultural barriers were overcome while providing care. In spite of years of hardship and deprivation, the obstetric and newborn outcomes for this group of women were good. The key to success in working well with this group of women is to adjust their care to meet their cultural expectations of childbirth as much as is safely possible and to allow their cultural advantage of relaxed childbirth to work for them.