In this episode, we look at a major challenge in obstetrics (OB) care with our guest, Lori Adams, who is a nurse, COPIC risk manager, and OB expert. Lori talks about her experience in a rural hospital and educating providers. The discussion focuses on “maternity care deserts” where access to OB services is limited or not available. Lori highlights how these deserts contribute to maternal death rates, the disparities we are seeing in certain geographic and demographic areas, and how emergency care units are dealing with OB situations. She also points to the training and education that is being implemented to address this issue and how state-level perinatal collaboratives are working to improve maternal health.