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Today, prematurity and its effects on neonates, families, and societies have risen to the world’s policy stage. The recognition that most prematurity is preventable creates the “perfect storm” for professional organizations, private and public corporations, non-governmental organizations, and governmental groups to collaborate to improve health outcomes for this most vulnerable population. The Council of International Neonatal Nurses, Inc. (COINN) unites neonatal nursing globally to bring the nursing perspective to this work. This column features an update on the United Nations meeting held in September, 2014.