In this chapter, we interrogate the organisation of risk management and reporting in maternity care, as these processes have developed within the policy framework of clinical governance. Drawing upon empirical findings from a range of studies, within midwifery research and critical approaches to risk governance, we explore the impact of clinical governance on everyday midwifery and birthing care practices. Reflecting wider patterns in risk governance in public services, clinical governance serves to manage reputational risks to institutions, as well as protecting women and babies. Amid this dual dynamic of clinical governance policies, we find that clinical confidence of healthcare professionals and their commitment to women’s bodies as capable has been reoriented by the framing of these bodies as vulnerable, unpredictable, and, ultimately, in need of urgent rescue. We understand this tendency as emerging from how clinical governance develops knowledge, a process disproportionately influenced by inquiry reports into rare midwifery care disasters, which impedes learning from a more systematically collated evidence base. We argue that this underlying epistemic problem in clinical governance is compounded by the limits of clinical audit—whether what matters for good care can be measured—and difficulties in pursuing quality in maternity care contexts shaped by chronic underfunding and scarcity.