As a seasoned birth support professional, I have witnessed the maternal care system implementing so many new procedures and clinical policies over the 23 years that I’ve practiced. Since 2010, new reforms in maternal care associate the quality and safety of care with the increase in vaginal birth rates and the reduction in cesarean rates. However, the origins of obstetric gynecology lead maternal care policymakers to search for new clinical reforms to resolve a problem that may have originated somewhere else. I believe that none of these reforms will be able to achieve the three major principles designing safety of care: patient- engagement, patient-centered care, and partnership among patients, their family members, and their medical caregivers.