What does Exodus 1:17 mean?

Three observations should be made regarding these midwives. First, the midwives "feared God" (Proverbs 1:7). Abraham had been praised for fearing God (Genesis 22:12), leaving an example for his descendants. These women would rather obey God than men (Acts 5:29). This "fear" is more than reverence, but more positive than simple terror. These women honored and obeyed their Lord.

Second, the midwives risked their own lives to save the lives of the newborn sons of the Jews. Not only were these women slaves, but they were defying the orders of an absolute king. Disobedience, even in secret, would have put their own lives at risk. And yet, they absolutely refused to follow such evil orders, even when confronted about it later. This concept of obeying God, even if it means defying men (Acts 5:29), will continue into the New Testament church (Acts 4:19–20)

Third, the midwives' choice was not a mere theory. They were there, physically, and chose to "let the male children live." They could not bring themselves to put newborns to death. As midwives, they regularly witnessed the amazing beauty of new life entering the world. They also knew the experience of a stillborn child and the sorrow it brought to a family. These midwives protected vulnerable infant lives. God honored their decision, blessing them with children of their own (Exodus 1:21). The fact "God dealt well" with the midwives (Exodus 1:20) shows God's attitude regarding the value of newborn children.