This chapter summarizes factors influencing maternal health, morbidity, and mortality in the United States, examines themes in the key informant interviews and describes a road map for nursing advocacy and practice that promotes maternal health in the United States. A growing shortage of maternal healthcare providers, the lack of diversification of the workforce that reflects the face of America, and closure of rural facilities continues to be a problem. Scaling up the availability of midwifery care, especially in rural and underserved areas, is a widely proposed solution. The nursing profession is central to implementing the road map toward equity. As the largest cadre of health professionals in the nation, nurses provide a substantial amount of care to America’s mothers. Early life experiences, social, psychological, and environmental factors, are critical social determinants. Examining these factors from life course theory perspective can help healthcare providers understand the gestalt of women’s lives.