OK guys, I just had to put my two cents worth in for small hospitals. All are not scarey nor are they bad. People can and do have safe and healthy births in small hospitals too! Our poor new nurse that started all this can learn and be an excellent Ob nurse if she wants to, even in a small hospital! Not everybody lives in a place where they have the option or the desire to work in a big high risk center! I work in a small OB unit that does between 20 and 35 births a month. We staff with 1-2 RNs per shift depending on census, though we do always have two on when someone is in labor, especially high risk. We depend on the surgery staff to do sections, and they are fast and they are done well. At night and on the weekends, we have to call them in from home to do a section, but that just makes us more likely to call them in and then not use them. Face it ladies, how often does a healthy low risk mom need an absolutely stat section? Not too... And we have excellent outcomes. Of course, because we are a small hospital we don't do the really high risk stuff that would necessitate stat c/s more often, and neither should this little hospital our firend works in. Nurses that work in small community hospitals are excellent nurses because they have to be so able to handle a lot. So, if this small hospital is where you want to be because it in in your home, or you don't want to live in a big city (god forbid) then stick with it! But you do have to learn a lot and don't be afraid to ask questions when they come up.