Dramatic socio-political, economic, and health care changes are occurring in the Russian Federation. Over time they are projected to have a positive impact on the health and well-being of women and newborns. The key to health care reforms is the emergence of a strong nursing profession. Notably, international collaborative efforts are strengthening the work of Russian nurses in improving perinatal health. In this millennium of global migration, where the world is growing increasingly smaller, it is important to understand health care systems and the health concerns of women and newborns living in other countries. Celebrating cultural differences, while embracing global similarities, is essential in ensuring that culturally sensitive and competent care is provided to women and newborns.