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Constant technical advances and rising costs of health care have made a significant impact on the professional practice of OB nurses and have increased the clinical demands for better nursing care at a reasonable cost.” Sound familiar? This sentence was written 25 years ago on this page of the brochure, describing the issues faced by OB nurses in 1984. That statement is even more true today! Can you relate to these challenges in your daily practice?

* Caring for women whose pregnancies are complicated by compounding medical conditions such as cardiac disease, hypertension, infection or diabetes.

* Anticipating the unexpected emergency which puts mother and baby at significant risk and requires expert skill to assure the best possible outcome.

* Staying current with research, technology and best practices, constantly re-evaluating your practice based on the evidence.

* Practicing under the cloud of medical-legal liability as you try to manage your risk in high-risk situations.

* Finding balance in your work life as you deal with diminishing resources, safety and staffing issues, changes in protocols and increasingly complex technology.