When indicating 'tense' in Chinese, as shown above, there are 'particles', 'time-specifying words' and also many cases where it depends on context.
産科医に加え、助産師も不足と我が国の産科医療が極めて深刻な状況にあることが改めて浮き彫りになった。
With a shortage of midwives added to that of obstetricians it has become clear all over again that our country's obstetric care is in an extremely grave situation.