Illustrations of foetal positions in the womb within this 15th century gynaecological treatise demonstrate that by the later Middle Ages midwifery as a profession was becoming formally recognised. Even with treatises like this, midwives would have learnt about childbirth through practical experience rather than completing any formal training. The high likelihood of complications during birth and the high chances of childbirth being fatal for the mother and child increased the importance of midwives within medieval society.