All pregnant women deserve expert assessment & information to empower their decisions concerning care. Unfortunately, in Benue State, Nigeria, many women lack information about pregnancy risks & delivery options, & 50% deliver at home. Midwives with limited training attend most women who seek care. Caregiver decisions & care-seeking choices are key contributors to Nigeria??s exceedingly high maternal & neonatal mortality. Many deaths are avoidable with improved diagnostics, training & outreach.