Midwives provide all the prenatal care healthy women need. The midwifery ideal is to work with each woman and her family to identify her unique physical, social, and emotional needs. In general, midwifery care is associated with fewer episiotomies, fewer instrumental deliveries, fewer epidurals, and fewer cesarean sections. Midwives are trained to identify the relatively small percentage of births in which complications develop and to refer these to obstetricians.