This paper raises several questions: What should be the nature of the maternity care we are attempting to provide? What should be the relative roles of the different members of the health care team in the delivery of maternity care and how are these to be achieved? How are we to ensure that technological intervention remains the servant and does not become the master of the clinician? What should be the contribution of the receivers of care to the decision-making process concerning pregnancy management? The author endeavors to highlight some of these issues by drawing upon his own experiences in the United Kingdom and from those of other countries.