Despite reduced rates of maternal mortality in the past decade, Ukrainian women are still dying at an unacceptably high rate of 120 deaths per 100,000 live births. In 2018, Kybele began working with Ternopil National Medical University, The Perinatal Center, Matu i Dutuna, City Hospital #2 and multiple other regional hospitals in the Ternopil Region to increase the adoption of neuraxial techniques for C-section, support the provision of labor analgesia, and improve the birth process. Our approach centers on empowering local physicians to use tools that are readily available to them to provide the best care possible. We also work with our partners to set up master courses for local anesthesiologists, obstetricians, and neonatologists. Finally, we have also focused on community outreach in Ternopil to help educate the public about the possibility of safe and painless labor.