In 1869 a report of a survey, by the London Obstetrical Society, found that the majority of working class confinements were attended by untrained, ignorant and incompetent midwives.
However it was not until 1902 when the Midwives Act (2 Edw.VII,c.1 7) created the Central Midwives Board with responsibility for the registration of midwives, rules for their training and examination, and the regulation of their practice, limited the use of the term "midwife"; and made the councils of the counties and county boroughs the local supervising authorities.
Stan