On top of obstetricians, midwives are also in short supply, once again putting in sharp relief just how critical the state of obstetric care in our country is.
News/editorial prose. ~に加え ('in addition to X') is a formal additive connector. 我が国 ('our country') is a formal self-reference, common in official/journalistic writing. 浮き彫りになる ('come into sharp relief, be highlighted') is a set phrase from printing terminology — 浮き彫り is 'relief carving/embossing' — used figuratively for 'a fact becoming vividly apparent.' 改めて 'anew, once again.' 極めて 'extremely.'