This paper follows a previous one and proposes a new theory for childbirth. It uses Aaron Antonovsky's theory of a Sense of Coherence and Ernestine Wiedenbach's Need for Help Theory to explain how women and their midwives cope and care during labour and birth. It is woman-focussed but includes the midwife's ability to recognise if and when a woman needs help and to be able to offer that help. THe woman must at all times be free to validate the help that she may need