high-volume hospital settings. She added that models are available for conducting staff orientations in sites without in-house expertise.

Maternity Care Workforce Diversity

There was a comment about the lack of diversity in the maternity care workforce and a question about whether any initiatives were under way to add diversity. Dower agreed that, while gender representation in medicine and, to a lesser extent, nursing, is improving, racial and ethnic diversity is still very poorly represented in the maternity care workforce. While the issue is on several organizations’ “radar screens,” she was unaware of any research being conducted to determine why or initiatives under way to change the situation for maternity care workforce specifically.

A Need for National Trend Data

It was mentioned that the seven midwifery organizations in the United States responsible for accreditation and certification are currently working together to resolve confusion around the numbers of the various professionals who provide maternal care and the need to gain a better understanding of those trends at a national level.

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