I have heard from friends and colleagues that they have made a lot of improvements over the last year in mother/baby and labor and delivery! Hope this is true for you! I am a midwife in the Houston area and would say just advocate for yourself and if you don’t feel great about a nurse ask to speak with the charge nurse and see if you can get your nursing assignment changed! I have had to do this in the NICU setting for one of my own children and it really improved our experience and I genuinely think it saved my child’s life!