After all these years of self-sacrificing, pioneer work, of which American nurses may justly be proud, Miss Holman has the enviable satisfaction of knowing that she has lessened the perils of childbirth for some 600 women and saved practically all of their babies. Much of this in the simplest, most meagerly equipped mountain homes. She has even managed to have some of the mothers taken to a nearby town for the repair of lacerations which occurred during labor. And she has a little hospital now up on the mountain top, with doctors and nurses, not only caring for sick people, but, among other things, teaching women and girls how to care for infants and children. A complete maternity service for rural communities would evidently include small hospitals for primiparæ and abnormal cases and to serve as centres from which nurses and doctors would carry on prenatal supervision and instruction, and give skilled attention at birth; followed by visiting nursing of the young mother and her baby. The prenatal supervision in sparsely settled districts might leave much to be desired, because of the impossibility of seeing each patient as often as is wise. But even a little care would be an improvement upon present conditions. In some localities, it has been found possible to teach some of the more intelligent of these rural mothers a good deal about their own supervision. One nurse tells of a very isolated woman who could only be visited at long intervals whom she taught to test her own urine for albumen, explaining its possible significance and seriousness. One day the report card that came by mail indicated that the last test showed albumen. But the card also carried the remark, “Don’t worry about this. I am drinking lots of water, taking nothing but milk for food and will be in to see the doctor on Tuesday.” This hints at some of the possible adjustments that must be made in meeting the needs of the patient in unusual circumstances. For we are constantly facing the unalterable fact, that no matter where she is, nor what conditions surround her, the individual woman needs care and supervision, and though conditions vary, the general needs of expectant mothers are the same. This survey of the situation in cities and rural communities gives us a glimpse of what _can_ be done about it—this problem of mothers and babies who need care—and also what _is_ being done, and we begin to sense an answer to the question, “Is anything more possible?” It is clear that a wide extension of provisions for prenatal care is necessary if all mothers are to be reached; rich, middle-class and poor; in cities, small towns and rural districts alike. We believe that it is possible; and we are sure that wherever provision for prenatal care is made, the achievement of its fine purpose will depend very largely upon the spirit of the individual nurse.