,,iv #aah? ,,congress #a/ ,session ,h4 ,,res4 #ebb ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,june #af1 #bjbc,mr4 ,veasey 7= himself1 ,mr4 ,allr$1 ,mr4 ,correa1 ,ms4 ,crockett1 ,mr4 ,jackson ( ,ill9ois1 ,mr4 ,payne1 ,mr4 ,hors=d1 ,ms4 ,jackson ,lee1 ,mr4 ,?an$>1 ,ms4 ,norton1 ,mr4 ,espaillat1 ,mr4 ,c>son1 ,mr4 ,b[man1 ,mr4 ,c>t] ( ,l\isiana1 ,mr4 ,david ,scott ( ,georgia1 ,ms4 ,br[n1 & ,mr4 ,cleav]7 submitt$ ! foll[+ resolution2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,,resolution ,recogniz+ ! role ( fa!r engagem5t 9 improv+ ov]all heal? outcomes dur+ pregnancy1 bir?1 & po/p>tum1 = bo? ! "m & baby4 ,:]eas a fa!r is a support+ p>tn] 9 a *ild's developm5t z well z dur+ ! preconception1 pregnancy1 bir?1 & po/p>tum p]iods2 ,:]eas we recognize ! importance ( support+ families reg>dless ( sexual ori5tation or g5d] id5tity ( ei!r ! support+ p>tn] or bir?+ p>tn] is key2 ,:]eas increas$ fa!r engagem5t c play an important role 9-- 7#a7 improv+ mat]nal heal? & mat]nal m5tal heal? c>e2 & 7#b7 address+ mat]nal & infant mortality & morbidity 9 ! ,unit$ ,/ates & globally2 ,:]eas racial disp>ities 9 mat]nal & infant heal? 9 ! ,unit$ ,/ates h p]si/$ = decades despite cont9u$ advancem5ts 9 heal? c>e2 ,:]eas ! mat]nal mortality rate 9 ! ,unit$ ,/ates has = _m ye>s exce$$ t ( o!r high-income c\ntries & cont9ues to disproportionally affect m9ority wom52 ,:]eas ^! disp>ities h la/+ impacts on ! lives ( ! fa!rs & *ildr52 ,:]eas rese>* has f\nd t support+ families holi/ically1 actively includ+ & engag+ fa!rs 9 all aspects ( mat]nal heal? c>e1 f preconception ?r\gh pregnancy & ! fir/ ye> po/p>tum c positively impact %ort- & long-t]m heal? outcomes1 improv+-- 7#a7 pregnancy & po/p>tum heal?--:5 fa!rs are involv$ & engag$1 mo!rs are-- 7,a7 m likely to receive e>ly & regul> pr5atal c>e2 7,b7 at r$uc$ risk ( p]9atal mood & anxiety disord]s 7,,pmad72 7,c7 less likely to smoke1 dr9k1 or use drugs2 7,d7 m likely to eat well & take recomm5d$ vitam9_/m9]al supplem5ts2 7,e7 m likely to foll[ physician's recomm5dations2 less likely to exp]i5ce complications dur+ pregnancy & labor2 & 7,f7 m likely to h a heal?y1 safe bir?1 & m likely to succe$ at brea/fe$+2 7#b7 a baby's heal? at bir? includ+-- 7,a7 a heal?y bir? weight2 7,b7 l[]$ risk ( a bir? defect2 7,c7 l[]$ risk ( ext5d$ ,,nicu c>e2 & 7,d7 l[]$ risk ( %ort- & long-t]m disability2 & 7#c7 a *ild's %ort- & long-t]m heal? & well-be+ includ+-- 7,a7 improv+ social1 emotional1 & cognitive developm5t2 7,b7 improv+ outcomes 9 s*ool2 7,c7 r$uc+ rates ( te5 pregnancies2 7,d7 r$uc+ risk ( sub/ance use2 & 7,e7 improv+ future executive function & self-regulation2 ,:]eas a fa!r's support dur+ pregnancy c help promote cessation ( smok+1 dr9k+1 & drug use 9 ! "m1 all ( :i* c lead to l[ bir? weight1 pret]m bir?1 bir? defects1 & an increas$ risk ( sudd5 unexpect$ infant dea?s 7,s,u,i,ds72 ,:]eas fa!r involvem5t dur+ pregnancy has be5 l9k$ ) a #cf-p]c5t r$uction 9 smok+ 9 a "m2 ,:]eas a fa!r's p>ticipation dur+ pr5atal c>e appo9tm5ts provides ! "m ) additional support to recognize pot5tial pregnancy-relat$ complications t c\ld lead to mat]nal morbidity & mortality1 & complications c\ld include-- 7#a7 preeclampsia2 7#b7 p]ip>tum c>diomyopa?y2 7#c7 pret]m labor2 7#d7 p]9atal mood & anxiety disord]s 7,,pmad72 7#e7 pregnancy loss or misc>riage2 7#f7 /illbir?2 7#g7 high blood pressure2 7#h7 c]vical infections2 7#i7 ge/ational diabetes2 7#aj7 plac5tal abruption2 7#aa7 ectopic pregnancy2 & 7#ab7 ut]9e rupture2 ,:]eas #a 9 #e wom5 exp]i5ce a ,,pmad1 ) suicide be+ ! lead+ cause ( prev5table mat]nal dea?s1 & ! add$ support ( fa!r engagem5t c help to r$uce ! risk ( a ,,pmad2 ,:]eas evid5ce %[s t :5 fa!rs are involv$ dur+ pregnancy appo9tm5ts & mile/ones1 mo!rs are #a4e times m likely to receive pr5atal c>e 9 ! fir/ trime/]1 :i* improves heal? & outcome = bo? ! "m & baby2 ,:]eas me?ods to emp[] fa!rs z advocates = bo? "m & baby include-- 7#a7 address+ cultural beliefs ab\t fa!rhood & m5's role 9 mat]nal heal? & families1 especially ^? t disc\rage fa!r p>ticipation2 7#b7 address+ discrim9ation _m fa!rs face relat$ to _! culture & racial id5tities2 7#c7 address+ racism & bias 9 ! heal? c>e sy/em & inequities 9 heal? c>e access2 7#d7 address+ /ructural & sy/emic b>ri]s t prev5t fa!rs ( color f be+ active 9 ! heal? outcomes ( mo!rs & *ildr52 7#e7 pe]-to-pe]1 fa!r-to-fa!r enc\ragem5t1 support1 & education 9 communities t traditionally ar5't inclusive ( fa!rs2 7#f7 involv+ fa!rs 9 pr5atal & po/p>tum c>e2 7#g7 provid+ fa!rs ) in=mation ab\t :at to expect be=e1 dur+1 & aft] bir? & h[ !y c bett] und]/& & support _! p>tn]1 z well z to help !m bond toge!r z a p>5t+ team2 & 7#h7 educat+ & engag+ fa!rs 9 conv]sations & guidance ab\t m5tal heal?1 brea/fe$+ practices1 heal? c>e appo9tm5ts1 safe sleep1 sk9-to-sk9 *ild bond+1 & e>ly *ildhood developm5t2 ,:]eas increas+ outrea* = fa!rs to jo9 gr\p pr5atal c>e models & att5d+ pr5atal & po/natal appo9tm5ts c help 9 prep>+ bo? p>5ts & creates opportunities = p>5ts to view pregnancy & p>5t+ z a team ef=t2 ,:]eas publicly available pregnancy & bir? education help fa!rs access accurate & up-to-date in=mation ab\t *ildbir? & prop]ly support pregnant p z bir? p>tn]s2 ,:]eas a fa!r's sk9-to-sk9 contact j aft] bir? & 9 ! mon?s foll[+ bir? has be5 %[n to support & improve ! heal? & developm5t ( a newborn1 improve a fa!r's m5tal heal?1 & fo/] fa!r-*ild bond+ 9 ! %ort & long t]m2 ,:]eas fa!rs are biologically h>d-wir$ to be nurtur]s1 & exp]i5ce a decl9e 9 te/o/]one & a surge 9 e/rog5 ?r\gh\t ! pr5atal & po/p>tum p]iods2 ,:]eas /udies %[ t engag+ fa!rs 9 conv]sations ab\t safe sleep guidel9es c help increase safe sleep & r$uce infant dea?s2 ,:]eas provid+ fa!rs ) guidance ab\t infant cry+ & ! risks ( %ak5 baby syndrome c r$uce infant dea?s2 ,:]eas a fa!r's active support ( brea/fe$+ greatly increases ! *ances ( successful brea/fe$+1 :i* improves ! physical & m5tal heal? ( babies & mo!rs1 & r$uces ! risk ( ,s,u,i,ds2 ,:]eas remov+ b>ri]s to fa!r engagem5t c enc\rage great] involvem5t dur+ pregnancy1 deliv]y1 & p>5?ood su* z-- 7#a7 remov+ ob/acles relat$ to employm5t & loss ( income1 su* z lack ( paid family leave2 7#b7 (f]+ mod]at$ fa!r support gr\ps & classes2 7#c7 *ang+ messag+ ab\t societal p]ceptions ab\t fa!rs' roles 9 pregnancy & p>5t+2 & 7#d7 heal? c>e provid]s (f]+ pr5atal appo9tm5ts outside ( regul> "w h\rs1 ?r\gh teleheal? or ?r\gh take-home1 fa!r-focus$ res\rces2 ,:]eas intimate p>tn] viol5ce 7,,ipv7 is a lead+ cause ( mat]nal dea? & fa!rs :o are engag$ 9 _! p>tn]'s c>e & are inve/$ 9 _! baby's heal? & developm5t are less likely to engage 9 ,,ipv1 & lat]1 9 *ild abuse2 ,:]eas #ed p]c5t ( pregnancy-associat$ suicide dea?s involve ,,ipv2 ,:]eas support+ paid pat]nal leave w gu>antee bo? mo!rs & fa!rs "t to bond ) _! baby dur+ ! critical fir/ mon?s & a f\ndation = a /rong] fa!r-*ild relation%ip & a heal?i]1 m successful life = a *ild2 & ,:]eas fa!rs :o report close1 nonviol5t connections ) _! *ildr5 h few] m5tal & physical heal? problems1 are less likely to abuse drugs1 & are m likely to be involv$ 9 _! neighborhoods & community3 ,n[1 !re=e1 be x ,t ! ,h\se ( ,repres5tatives-- 7#a7 recognizes ! important role ( fa!rs 9 increas+ positive mat]nal outcomes2 7#b7 ackn[l$ges ! ne$ to address /ructural & sy/emic b>ri]s t prev5t fa!rs f be+ fully engag$ ) ! heal? ( mo!rs & *ildr52 & 7#c7 ackn[l$ges t fa!r engagem5t ef=ts provide cont9u\s physical & emotional support1 :i* c contribute to heal?i] pregnancies1 saf] deliv]ies1 heal?i] babies1 & successful po/p>tum recov]ies4