She decided to address the health problems of a small area with few roads and no doctors, called Leslie County in eastern Kentucky. Here he put his health plans to the test, thinking that if he could succeed here, he could succeed anywhere. Horseback riding in Leslie County, she asked residents about health care needs and asked local lay midwives about birthing practices. The results of her investigations revealed that these breastfeeding mothers had no prenatal care and were giving birth to large numbers of babies, often with invasive practices. Breckinridge analyzed this information and developed a plan to help reduce maternal mortality rates and improve health care for pregnant and breastfeeding mothers, as well as adequate nursing practice. She returned to London, to complete her studies at the British Hospital for Mothers and Babies where she became certified as an English midwife (Bullough, VL). “He then visited Scotland to observe the work of a community obstetric system serving poor rural areas; its decentralized structure served as a model for the Frontier Nursing Service (Gina