Nobody than your specialist or doctor can help you out at the time of need. No one apart from your specialist can show better about the colossal progress that has been made in medicine in the past 200 years. Progress in that ancient craft has occurred not in leaps and bounds or flashes of elevation but incrementally by the incorporation of myriad scientific advances into obstetrical way or process. These advances include improvements in general medicine such as aseptic technique, anesthesia, and the ability to measure blood pressure and recognize its company with campsite, the understanding and technical developments that permit the safe transfusion of blood, and devise technology. Equitably important have been changes in demeanor toward women, which have resulted in a more paramount role for women in society, sovereignty in controlling their own reproductive destinies, and an evolution in the nature of the relationship between the physician and patient. Future generations will judge the success of changes introduced into obstetrical care in the next 100 years by a more far- reaching, complex, and multidimensional set of criteria than have generally been used till date. They will expect that clinicians will continue to reduce anguish and mortality while increasing the options and autonomy of patients in their care. But they will also demand that, as those goals are achieved, clinicians will assume more of holding the bags and be answerable for the financial burden that their decisions and practices place on society. While those of us who provide care assume a greater salvation role over costs and value for patients who currently have passage to care, we must negotiate for adequate communal resources to bring care to those who are currently without it. As necessary and important as these achievements will be, they will seem somewhat self- centered and parochial if we do not also find ways to reduce the burden of perennial morbidity and mortality in areas of the world that presently have outcomes that are similar to those in the United States a century ago. Science and technology will undoubtedly help extend and deliver care in new ways; however, more fundamentally, progress in global obstetrical health will depend on developing the infrastructure, political will, and culture that value the health of women and their pregnancies.