Department of Health policy requires all health professionals to contribute to the child protection process. Midwives are anticipated to recognise predictors of risk, by identifying adult behaviours or attitudes that might indicate possible future difficulties in parenting. This paper, presented in two parts, examines the contradictions arising from the social constructs of motherhood, childhood and abuse and describes how these intrinsic tensions, coupled with the lack of any objective tools to predict possible abuse, gives rise to conflict in the midwife-mother relationship. It summarises the sociopolitical culture that sustained this social control approach to addressing parenting difficulties. Discussion explores how the governmental Framework for the Assessment of Children in Need and their Families (Department of Health, 2000) could be adapted for utilisation by midwives, to assist them in making objective social assessments and identifying the needs of individual women and their families, supporting a welfare-based approach to the provision of care and services.