I have been working in the area of Maternal-Child health for over 19 years. I would agree with the first poster and get you NRP. It depends on if you are interested in L&D or postpartum. In a lot of smaller hospitals you would need to do both. It is much more difficult to train someone in L&D, then postpartum, so if L&D is your goal I would look for some type of L&D training program. For Mother/baby, take some breastfeeding classes, maybe look into becoming an IBCLC. You could do classes to get an CLE. Which would show your strong interest and determination to work in this specialty. Then go for it! Just start applying for any openings, but do it now, because hospitals don't really like it when you have been out of the hospital environment for too long. Home health experience is great, but a lot of facilities don't see it as acute care experience. At least that has been my experience in California. Good Luck!!!