This set of four spiral-bound manuals is designed to help countries implement standards for midwifery practice aimed at the reduction of maternal mortality. The standards, which cover the management of selected obstetric complications and emergencies, were developed specifically for use in South-East Asian countries, where rates of maternal mortality and morbidity remain unacceptably high. The 27 standards were finalized following extensive field testing, which demonstrated positive effects on the quality of midwifery services, client satisfaction and the competence and self-confidence of midwifery personnel.