EDITOR,—Jim Neilson highlights the significant increase in maternal anxiety that may be provoked by reducing the number of routine antenatal visits.1 2 This reduction is one of 10 “key indicators of success” listed in the report Changing Childbirth,3 which must be implemented by 1998.4 Maternity services should become more “woman centred,” with balanced input from midwives, general practitioners, and obstetricians, according to each woman's needs. Some of the key indicators should increase women's feeling of involvement in their pregnancy care, but others seem directive and inflexible and …