I am also an OB nurse. I have worked at small hospitals to university hospitals. The ONE thing you need to think about is the experience of the staff around you. When workforce is tested and patients see it, they tend to look for mistakes. If the nurse before you made a mistake, you are going to court with her. That is the reason I left my small hospital close to home. The averge delivery experience there was about 100 deliveries. You can't put yourself into a bad situation. Are you trained in telemetry? Would that hospital dare put a telemetry nurse into OB? Remember, we are specialists in a critical care area in which we can see one patient and cannot see one patient. Because OB is a "happy" place, a lot of people, management included, forget that we are critical care specialists with training that no other nurse can jump in and do. Don't be afraid of change. If you don't burn bridges, you can always cross back over.