In anticipation of the first AWHONN Rural Health Summit, Mandy Pugh and Teresa Horak highlight the adaptability and innovation rural health nurses need to solve unique challenges. Tune in to this inspiring conversation on resilience to overcome obstacles, creativity in personalized care, and community relationship building, sprinkled with a couple of myth busters.

Teresa Horak, MS, RN, RNC-OB, C-EFM, FAWHONN 

Teresa Horak has been an RN for 39 years, with 29 years in nursing leadership. She’s worked in every Maternal Care hospital level (I through IV), during her career and became an AWHONN member in 1995. During her tenure, Teresa has served as Iowa Section Chair for six years and has represented District IV on the Section Advisory Committee, where she’s currently the chair; she’s also the chair of the planning committee for the Rural Health Summit. In 2024, Teresa was named an AWHONN Fellow and in 2025 she was honored to receive the AWHONN award for Excellence in Leadership.

Mandy Pugh, BSN, RNC-OB, C-EFM 

Mandy Pugh is a labor & delivery nurse at UT Health Jacksonville in East Texas and a Certified Nurse Midwife student at the University of Cincinnati. She chairs AWHONN’s Rural Special Interest Group and founded iROAR—Improving Rural Obstetrics through Advocacy and Readiness, a grassroots movement connecting and empowering rural OB nurses and midwives nationwide.

Mandy is passionate about community and treasures delivering entire families across generations and seeing her patients at church, ball games, and even in Walmart. She’s committed to amplifying rural voices, strengthening collaboration, and advancing maternal health equity.

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