Denise Smith, a certified midwife and assistant professor at the University of Colorado Anschutz Medical Campus, says it's time to rethink how maternal care is structured. "Women who give birth in rural areas do have more complications of birth, and we're seeing that there really is an urban-rural disparity in outcomes," said Smith. "The intent is to grow the midwifery workforce to serve populations that are currently underserved by maternity care providers."