She decided to tackle the health problems of a small area with few roads and no doctors called Leslie County in eastern Kentucky . Here she tested her health care plans, thinking that if she succeeded here, she could succeed anywhere. Traveling through Leslie County on horseback, she interviewed residents about their health care needs and local midwives about childbirth practices. The results of her investigations revealed that these breastfeeding mothers lacked prenatal care and gave birth to large numbers of children, often through invasive practices. Breckinridge analyzed this information and developed a plan to reduce maternal mortality rates and improve health care for pregnant and lactating women and adequate nursing practice. She returned to London to complete her studies at the British Hospital for Mothers and Babies where she obtained her English midwifery certificate (Bullough, VL). “She then traveled to Scotland to observe the work of a community midwifery system serving poor rural areas; its decentralized structure served as a model for the Frontier Nursing Service (Gina