For every two women who would die if they gave birth at home, fifteen must die if they gave birth in a hospital. (Dunn, 1996, p. F219) The meticulous detail that Nightingale put into her reform efforts is evident when one examines her written letters as well as her other memoirs. “His approach involved clinical observation and review of anecdotal case studies, as well as statistical analyzes of relevant numerical data and the subsequent generation of theories linking the different elements (Clements & Averill, 2006, p.. 269).”