,,iv #aaf? ,,congress #b;d ,session ,h4 ,,res4 #hec ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,febru>y #ab1 #bjbj,mr4 ,mc,eachin 7= himself1 ,ms4 ,kelly ( ,ill9ois1 ,ms4 ,pressley1 ,ms4 ,und]wood1 ,ms4 ,adams1 ,ms4 ,spanb]g]1 & ,ms4 ,wexton7 submitt$ ! foll[+ resolution2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,,resolution ,recogniz+ ! mat]nal heal? crisis 9 ! ,unit$ ,/ates & ! importance ( r$uc+ mortality & morbidity among all wom51 & honor+ mo!rs4 ,:]eas ! pregnancy-relat$ mortality ratio1 def9$ z ! numb] ( pregnancy-relat$ dea?s p] #ajj1jjj live bir?s1 m ?an d\bl$ betwe5 #aihg & #bjaf2 ,:]eas ! ,unit$ ,/ates is ! only develop$ c\ntry ^: mat]nal mortality rate has increas$ ov] ! la/ sev]al decades2 ,:]eas ( all pregnancy-relat$ dea?s betwe5 #bjaa & #bjae-- 7#a7 ne>ly #ca p]c5t occurr$ dur+ pregnancy2 7#b7 ab\t #cf p]c5t occurr$ dur+ *ildbir? or ! week aft] *ildbir?2 & 7#c7 #cc p]c5t occurr$ betwe5 #a week & #a ye> po/p>tum2 ,:]eas m ?an #fj p]c5t ( mat]nal dea?s 9 ! ,unit$ ,/ates are prev5table2 ,:]eas1 9 #bjad alone1 #ej1jjj wom5 suff]$ f a ne> miss or sev]e mat]nal morbidity1 :i* includes pot5tially life-?reat5+ complications t arise f labor & *ildbir?2 ,:]eas #bh p]c5t ( wom5 :o gave bir? 9 a hospital 9 ! ,unit$ ,/ates report$ exp]i5c+ #a or m types ( mi/reatm5t1 su* z-- 7#a7 loss ( autonomy2 7#b7 be+ %\t$ at1 scold$1 or ?reat5$2 & 7#c7 be+ ignor$ or refus$ or receiv+ no response to reque/s = help2 ,:]eas c]ta9 social det]m9ants ( heal?1 includ+ bias & racism1 h a negative impact on mat]nal heal? outcomes2 ,:]eas significant disp>ities 9 mat]nal heal? exi/1 includ+ t-- 7#a7 ,black wom5 are m ?an #c times z likely to die f a pregnancy-relat$ cause z are ,:ite wom52 7#b7 ,am]ican ,indian & ,alaska ,native wom5 are m ?an #b times z likely to die f a pregnancy-relat$ cause z are ,:ite wom52 7#c7 ,black1 ,am]ican ,indian1 & ,alaska ,native wom5 ) at lea/ "s college education are m likely to die f a pregnancy-relat$ cause ?an are wom5 ( all o!r racial & e?nic backgr\nds ) less ?an a high s*ool diploma2 7#d7 ,black1 ,am]ican ,indian1 & ,alaska ,native wom5 are ab\t #b times z likely to suff] f sev]e mat]nal morbidity z are ,:ite wom52 7#e7 wom5 :o live 9 rural areas h a great] likelihood ( sev]e mat]nal morbidity & mortality comp>$ to wom5 :o live 9 urban areas2 7#f7 ne>ly #ej p]c5t ( rural c\nties d n h a hospital ) ob/etric s]vices2 7#g7 c\nties ) m ,black & ,hispanic resid5ts & l[] m$ian incomes are less likely to h access to hospital ob/etric s]vices2 7#h7 m ?an #ej p]c5t ( wom5 :o live 9 a rural area mu/ travel m ?an #cj m9utes to access hospital ob/etric s]vices1 comp>$ to #g p]c5t ( wom5 :o live 9 urban areas2 & 7#i7 ,am]ican ,indian & ,alaska ,native wom5 liv+ 9 rural communities are twice z likely z _! ,:ite c\nt]p>ts to report receiv+ late or no pr5atal c>e2 ,:]eas m ?an #dj ,/ates h designat$ committees to review mat]nal dea?s2 ,:]eas ,/ate & local mat]nal mortality review committees are position$ to compreh5sively assess mat]nal dea?s & id5tify opportunities = prev5tion2 ,:]eas m ?an #be ,/ates are p>ticipat+ 9 ! ,alliance = ,innovation on ,mat]nal ,heal?1 :i* promotes consi/5t & safe mat]nity c>e to r$uce mat]nal morbidity & mortality2 ,:]eas community-bas$ mat]nal heal? c>e models1 includ+ midwif]y *ildbir? s]vices1 d\la support s]vices1 community & p]9atal heal? work] s]vices1 & gr\p pr5atal c>e1 9 collaboration ) culturally compet5t physician c>e1 %[ great promise 9 improv+ mat]nal heal? outcomes & r$uc+ disp>ities 9 mat]nal heal? outcomes2 ,:]eas _m organizations h implem5t$ initiatives to educate pati5ts & provid]s ab\t-- 7#a7 all causes (1 contribut+ factors to1 & disp>ities 9 mat]nal mortality2 7#b7 ! prev5tion ( pregnancy-relat$ dea?s2 & 7#c7 ! importance ( li/5+ to & emp[]+ all wom5 to report pregnancy-relat$ m$ical issues2 ,:]eas ! ,c5t]s = ,disease ,control & ,prev5tion 79 ?is ,resolution1 ref]r$ to z ! ,,cdc71 = ! fir/ "t 9 ov] a decade1 releas$ a report on ,janu>y #cj1 #bjbj1 assess+ ! ,unit$ ,/ates mat]nal mortality rate t-- 7#a7 f\nd 9 #bjah1 ! mat]nal mortality rate 0 #ag4d mat]nal dea?s p] #ajj1jjj live bir?s2 7#b7 f\nd ! mat]nal mortality rate = non-,hispanic ,black wom5 0 m ?an d\ble t ( non-,hispanic ,:ite wom5 at #cg4a dea?s p] #ajj1jjj live bir?s comp>$ to #ad4g1 & #c times ! rate ( ,hispanic wom5 7#aa4h72 & 7#c7 :ile us+ a new /&>diz$ me?odology to improve ! accuracy ( ,/ates report+ mat]nal dea?s1 /ill has pot5tial me?odological conc]ns ) ! report+ ( mat]nal mortality data1 su* z ! ,,cdc report exclud+ mo!rs ov] ! age ( #dd & only acc\nt+ = dea?s )9 #db days ( giv+ bir?1 pot5tially omitt+ lat] po/p>tum dea?s2 & ,:]eas sev]al ,/ates1 communities1 & organizations recognize ,janu>y #bc z ,mat]nal ,heal? ,aw>5ess ,day to raise aw>5ess ab\t mat]nal heal? & promote mat]nal safety3 ,n[1 !re=e1 be x ,t ! ,h\se ( ,repres5tatives-- 7#a7 ackn[l$ges ! ,unit$ ,/ates deeply tr\bl+ mat]nal heal? crisis & supports exp$it$ ,f$]al action on r$uc+ ! rates ( mat]nal mortality 9 ! ,unit$ ,/ates1 includ+-- 7,a7 rais+ public aw>5ess ab\t mat]nal mortality1 mat]nal morbidity1 & disp>ities 9 mat]nal heal? outcomes2 & 7,b7 enc\rag+ ! ,f$]al ,gov]nm5t1 ,/ates1 t]ritories1 ,tribes1 local communities1 public heal? organizations1 physicians1 heal? c>e provid]s1 & o!rs to take action to r$uce adv]se mat]nal heal? outcomes & improve mat]nal safety2 7#b7 promotes initiatives-- 7,a7 to address & elim9ate disp>ities 9 mat]nal heal? outcomes2 & 7,b7 to ensure respectful & equitable mat]nity c>e practices2 7#c7 honors ! mo!rs :o h pass$ away z a result ( pregnancy-relat$ causes2 7#d7 supports collect+ bett] data on mat]nal mortality & morbidity2 & 7#e7 supports & recognizes ! ne$ = fur!r inve/m5ts 9 ef=ts to improve mat]nal heal?1 elim9ate disp>ities 9 mat]nal heal? outcomes1 & promote respectful & equitable mat]nity c>e practices4