Regulation of midwifery was also an ecclesiastical concern: Kathryn Taglia writes that during the fourteenth century, midwives were instructed on how to properly baptize newborns.[15] Church members wanted to ensure that midwives understood the process of baptism and the sacrament of baptism.[16] Such ecclesiastical and secular regulatory introductions, harmed midwives role and reputation within society.[17] Greilsammer argues that this could have led to decreasing employment rates for women during the Middle Ages.[17] Such developments forced many midwives out of the craft and were replaced by men.