A book to help midwives, obstetricians and other health care professionals think through the practicalities of optimizing pregnancies and births. After explaining precisely how ‘optimal’ is defined, eight reasons are presented to justify why this kind of birth is best. Finally, key practical issues are considered and reflective questions provided, so as to give caregivers a clear basis for clinical practice, wherever their place of work. This easy-read, accessible book is equally useful for students of midwifery (or obstetrics, or medicine generally), practicing midwives (including CNMs), family doctors, doulas, and maternity care assistants.