This year’s conference theme, SUSTAIN, was inspired by the local crew in Austin, Texas. We are reflecting on the stress (physical, mental, and emotional) that midwives face on a daily basis and the health challenges this stress can lead to. Our social and environmental state is not supportive of optimal, healthful living. So this year we are focusing on self-care for midwives, creating support networks, and discussing sustainable practice styles. Add to that the need for CEUs and folks desire for a deep dive into clinical skills and we have our conference, SUSTAIN!