This article outlines the major causes of malpractice suits, focusing on those in obstetrical practice and reviewing the prime areas in antepartum and intrapartum care. Understanding the basic elements of medical malpractice allows a provider to better understand the nature of a suit for medical negligence. While the threat of a medical malpractice is ever present in obstetrics, practicing contemporary, evidence-based medicine with compassion and excellent communication is the best way to avoid alleged negligence.