This article explores the contemporary enthusiasm amongst midwives for using aromatherapy and massage in their care of women during pregnancy, postnatally and particularly during labour. An exploration of the benefits of aromatherapy is balanced by discussion of the risks, notably of specific essential oils. The accountability of the midwife working with women wishing to use aromatherapy is addressed and a checklist of pertinent issues and safe use of aromatherapy in midwifery practice, given.