A collaborative study including Dr. Helen Bland, professor of community health and behavior education at the Georgia Southern University Jiann-Ping Hsu College of Public Health, examines American rural women’s exercise self-efficacy and awareness of exercise benefits and safety during pregnancy. Though the positive link between physical activity and maternal health is well documented, physical activity declines during pregnancy and, internationally, rural mothers are less likely than urban mothers to engage in physical activity. Some evidence suggests that self-efficacy is related to sustained engagement in physical activity.