,,iv #aai? ,,congress #b;d ,session ,h4 ,,res4 #ajag ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,janu>y #bb1 #bjbf,ms4 ,b>ragn submitt$ ! foll[+ resolution2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,,resolution ,recogniz+ ! ?reat ( air pollution & extreme heat to mat]nal & infant heal?1 & express+ ! s5se ( ! ,h\se ( ,repres5tatives t mean+ful int]v5tions mu/ be rapidly & equitably develop$ & deploy$ to address ! unique vuln]abilities ( pregnancy 9 ,lat9o communities4 ,:]eas !re is a significant association betwe5 air pollution & heat exposure to mat]nal & fetal heal? outcomes 9 ! ,unit$ ,/ates2 ,:]eas pregnancy repres5ts a s5sitive w9d[ ( susceptibility to environm5tal tox9s = wom51 z ! pregnant body und]goes physiological *anges 9 all major organ sy/ems2 ,:]eas air pollution c be l9k$ to adv]se mat]nal heal? outcomes1 includ+ hyp]t5sive disord]s ( pregnancy1 polycy/ic ov>ian syndrome1 subf]tility1 misc>riage1 & failure ( assi/$ reproductive te*nology2 ,:]eas air pollutant exposure c be l9k$ to r$uc$ conception rates & f]tility2 ,:]eas exposure to p>ticle pollution & ozone c lead to adv]se bir? outcomes su* z pret]m bir?1 l[ bir? weight1 & /illbir?2 ,:]eas pr5atal exposure to air pollution c lead to a/hma & all]gy developm5t 9 *ildr51 & increase (fspr+ susceptibility to disease 9 adul?ood2 ,:]eas immigrant1 l[-income communities ( color are two times z likely to live 9 ! mo/ pollut$ c\nties 9 ! ,unit$ ,/ates1 comp>$ ) ,:ite mo!rs1 ev5 aft] controll+ = mat]nal risk factors1 region1 & educational /atus2 ,:]eas1 ( all gr\ps1 ,lat9a mo!rs h ! highe/ likelihood ( liv+ 9 areas ) ! highe/ levels ( air pollution comp>$ to _! ,:ite c\nt]p>ts2 ,:]eas a /atewide ,cali=nia /udy t assign$ pollutant exposures us+ ambi5t air quality monitors %[$ t ,lat9a mo!rs are at high] risk ( exp]i5c+ /illbir? f ozone exposure ?r\gh\t _! entire pregnancy ?an o!r e?nicities2 ,:]eas climate *ange is l9k$ to & exac]bates ozone production 9 ! atmosph]e2 ,:]eas pregnant wom5 are m vuln]able to ! effects ( climate *ange1 z pregnancy naturally elevates ! body's temp]ature1 makes x m susceptible to ext]nal temp]atures1 weak5s its ability to !rmoregulate1 & increases risk ( ov]heat+2 ,:]eas extreme heat increases ! risk ( pret]m labor1 l[ bir? weight1 & pregnancy loss2 ,:]eas ,lat9a wom5 expos$ to extreme heat _h d\ble or m ! risk ( pret]m bir? or /illbir? ?an ,:ite wom52 ,:]eas ,lat9os are disproportionately repres5t$ 9 ! outdoor work=ce1 su* z agriculture & con/ruction1 & !re=e at high] risk ( extreme heat exposure2 ,:]eas old] h\s+1 a sc>city ( gre5 spaces1 & lack ( access to air condition+ increase ! vuln]ability ( l[-income pregnant wom5 to heat2 ,:]eas !re is a l>ge e?nic & racial gap 9 mat]nal morbidity & mortality betwe5 ,lat9as & non-,hispanic ,:ites2 ,:]eas1 ev5 ) private insurance1 ,lat9as h a #bb-p]c5t high] rate ( exp]i5c+ pregnancy problems2 ,:]eas comp\nd+ inequalities & sy/emic racism height5 ,lat9as' vuln]ability dur+ pregnancy due to preexi/+ conditions su* z diabetes & obesity1 socioeconomic /atus1 education1 lack ( prop] access to heal? c>e1 & sexism & racism )9 heal? c>e sy/ems t inhibit prop] communication & treatm5t2 ,:]eas language b>ri]s & m$ical & in/itutional mi/ru/ prev5t ,lat9as f access+ critical in=mation & f communicat+ ne$s to m$ical pr(essionals2 ,:]eas disproportionate exposure to pollution & climate-induc$ extreme heat c manife/ itself 9 issues ( m5tal heal? = pregnant ,lat9as dur+ ! po/p>tum p]iod2 ,:]eas ,lat9as already h a #dj-p]c5t great] risk ( exp]i5c+ po/p>tum depression ?an ,:ite mo!rs2 ,:]eas a ,univ]sity ( ,s\!rn ,cali=nia /udy cohort ( ,lat9a mo!rs express$ fe>1 unc]ta9ty1 & fru/ration ab\t p[] imbalances t prev5t$ mean+ful action to address outdoor air pollution & exposure to smog2 ,:]eas ,lat9as become pregnant at a y\ng] age ?an o!r racial & e?nic gr\ps2 & ,:]eas ,lat9as h ! highe/ rate ( pregnancy 9 ! ,unit$ ,/ates3 ,n[1 !re=e1 be x ,t ! ,h\se ( ,repres5tatives-- 7#a7 recognizes t causes ( heal?-h>m+ & climate-w>m+ s\rces ( pollution mu/ be mitigat$1 broad policy *anges are ne$$1 & t !re is an imm$iate ne$ to equip pregnant ,lat9as & families t are ov]burd5$ by air pollution & heat exposure ) prev5tative tools & k dur+ ?is p]iod ( height5$ susceptibility = mat]nal & infant heal?2 7#b7 recognizes t legislation & fund+ mu/ include consid]ations ( n only ! unique physical & m5tal vuln]abilities to environm5tal exposures = pregnant wom5 b also ! social & economic inju/ices fac$ by ,lat9a mo!rs2 7#c7 supports provid+ place-bas$ in=mation 9 ,engli% & ,spani% reg>d+ vuln]abilities ( pregnancy & tangible & af=dable action items pregnant wom5 c take to r$uce exposure to air pollution & heat2 7#d7 supports ! placem5t ( air quality monitor+ sy/ems 9 ,lat9o communities to track pollution levels & in=m resid5ts ab\t heal?-h>m+ conditions2 7#e7 supports bil+ual1 easily accessible public al]ts = air quality & extreme heat & wea!r2 7#f7 supports ! incorporation ( education ab\t ! unique vuln]abilities ( pregnant wom5 to pollution & heat into pr(essional tra9+ = heal? c>e pr(essionals1 educators1 & *ild c>e provid]s2 7#g7 supports ! improvem5t ( extreme heat & air pollution guidel9es at community c5t]s & heal? c>e facilities1 especially ^? facilities t s]ve wom52 7#h7 supports mutual aid networks & community resili5ce programs to support pregnant wom5 & families2 7#i7 supports increas$ af=dability ( air condition+ units & air purifi]s = pregnant wom5 & families2 7#aj7 supports exp&$ access to cool+ c5t]s & hydration /ations 9 public areas su* z bus /ops & clean rooms 9 communities ne> busy roads & pollut+ facilities2 7#aa7 supports ! creation ( m %ad$ & gre5 spaces 9 l[-income neighborhoods to provide relief f heat & promote community m5tal wellness2 7#ab7 supports ! en=cem5t ( regul> "w breaks1 increas+ access to hydration & %ade1 & provid+ bil+ual education on ! dang]s ( heat exposure 9 ! outdoor work=ce1 especially = pregnant wom52 7#ac7 supports increas+ access to ,lat9a d\las2 & 7#ad7 recognizes ! importance ( community-bas$ rese>* & data collection to bett] und]/& ! risks & ne$s 9 ,lat9o communities4