,,iii #aai? ,,congress #a/ ,session ,s4 ,,res4 #abh ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #ad1 #bjbe,mr4 ,book] submitt$ ! foll[+ resolution2 :i* 0 ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,,resolution ,recogniz+ ,m>* #ad1 #bjbe1 z ,black ,midwives ,day & ! long/&+ & invaluable contributions ( ,black midwives to mat]nal & infant heal? 9 ! ,unit$ ,/ates4 ,:]eas recogniz+ ,m>* #ad1 #bjbe1 z ,black ,midwives ,day und]scores ! importance ( midwif]y 9 help+ to a*ieve bett] mat]nal heal? outcomes by address+ fundam5tal gaps 9 access to high-quality c>e & multiple aspects ( well-be+2 ,:]eas ! ,black ,midwives ,day campaign1 f\nd$ & l$ by ! ,national ,black ,midwives ,alliance 9 #bjbc1 is a day ( aw>5ess1 activism1 education1 & community build+2 ,:]eas ,m>* #ad1 #bjbe1 is int5d$ to increase att5tion = ! /ate ( ,black mat]nal heal? 9 ! ,unit$ ,/ates1 ! root causes ( poor mat]nal heal? outcomes1 & = community-driv5 policy1 program1 & c>e solutions2 ,:]eas ! ,unit$ ,/ates is exp]i5c+ a mat]nity c>e des]t crisis 9 :i* #b1bjj1jjj wom5 ( *ildbe>+ age live 9 mat]nity c>e des]ts :]e !y h no hospital or bir? c5t] (f]+ mat]nity c>e1 & no ob/etric provid]s2 ,:]eas mat]nity c>e des]ts lead to high] risks ( mat]nal morbidity & mortality z mo/ complications occur 9 ! po/p>tum p]iod :5 bir?+ p are f> away f _! provid]s2 ,:]eas midwife-l$ c>e has be5 %[n to result 9 co/ sav+s1 r$uc$ m$ical int]v5tions1 l[] ces>ean rates1 decreas$ pret]m bir?s1 & improv$ heal? outcomes = bo? mo!rs & infants2 ,:]eas midwives provide ess5tial mat]nal heal?c>e s]vices across div]se sett+s1 includ+ homes1 communities1 hospitals1 bir? c5t]s1 cl9ics1 & heal? units1 ensur+ accessibility & cont9uity ( c>e2 ,:]eas increas+ ! numb] ( ,black midwives 9 ! work=ce is critical to address+ mat]nal heal? disp>ities1 z ,black midwives (f] culturally compet5t c>e t builds tru/1 enhances mat]nal satisfaction1 & improves heal? outcomes = ,black mo!rs & _! infants2 ,:]eas incorporat+ midwives fully into ! ,unit$ ,/ates mat]nity c>e sy/em w\ld r$uce mat]nal heal? disp>ities & address ! mat]nity c>e des]t crisis2 ,:]eas1 despite ! m$icalization ( *ildbir? 9 ! ,unit$ ,/ates1 ! mat]nal mortality rates 9 ! ,unit$ ,/ates are among ! highe/ 9 ! develop$ _w1 increas+ rapidly1 & disproportionately high] among ,black bir?+ p2 ,:]eas ,black bir?+ p 9 ! ,unit$ ,/ates suff] f life ?reat5+ pregnancy complications1 kn[n z mat]nal morbidities1 twice z (t5 z ,:ite bir?+ p2 ,:]eas dea?s f mat]nal morbidities h deva/at+ effects on ,black *ildr5 & families1 & ! va/ majority ( mat]ial morbidities are entirely prev5table ?r\gh ass]tive ef=ts to ensure t ,black bir?+ p h access to in=mation1 s]vices1 & supports to make _! own heal? c>e decisions1 p>ticul>ly ar\nd pregnancy & *ildbe>+2 ,:]eas1 accord+ to ! #bjbc ,c5t]s = ,disease ,control & ,prev5tion ,report1 ! mat]nal mortality rate = ,black wom5 9 ! ,unit$ ,/ates has cont9u\sly increas$ to #ej4c dea?s p] #ajj1jjj live bir?s1 comp>$ to a decreas$ rate obs]v$ =-- 7#a7 ,:ite wom51 ) a rate ( #ad4e dea?s p] #ajj1jjj live bir?s2 7#b7 ,hispanic wom51 ) a rate ( #ab4d dea?s p] #ajj1jjj live bir?s2 & 7#c7 ,asian wom51 ) a rate ( #aj4h dea?s p] #ajj1jjj live bir?s2 ,:]eas ! high rates ( mat]nal mortality among ,black bir?+ p span across income levels1 education levels1 & socioeconomic /atuses2 ,:]eas /ructural racism1 g5d] oppression1 & ! social det]m9ants ( heal? inequities exp]i5c$ by ,black bir?+ p 9 ! ,unit$ ,/ates significantly contribute to ! disproportionately high rates ( mat]nal mortality & morbidity among ,black bir?+ p2 ,:]eas ,black bir?+ p are m likely to report exp]i5ces ( disrespect1 abuse1 & neglect :5 bir?+ 9 facility-bas$ sett+s z comp>$ to ,:ite p2 ,:]eas ,black families b5efit f access to ,black midwives to receive culturally s5sitive & congru5t c>e e/abli%$ ?r\gh tru/ & respect1 back$ ) ! wisdom ( "t-honor$ te*niques & be/ practices2 ,:]eas ! "w & contributions ( pa/ & pres5t midwives :o h u%]$ 9 new life h done s despite a hi/ory fraught ) p]secution1 enslavem5t1 viol5ce1 racism1 & ! sy/ematic erasure ( traditional & lay ,black midwives ?r\gh\t ! #bj? c5tury2 ,:]eas ! decimation ( midwif]y across ! s\!rn ,unit$ ,/ates r$uc$ ! numb]s ( ,black midwives f ?\s&s to doz5s 9 a #ej-ye> p]iod f ! #aibjs to ! #aigjs1 leav+ _m communities )\t c>e provid]s2 ,:]eas "s ,/ates h crim9aliz$ & suppress$ direct-entry midwives1 despite ris+ mat]nal mortality rates across ! ,unit$ ,/ates2 ,:]eas ! crim9alization & ov]regulation ( midwif]y disproportionately impacts ,black midwives & bir?+ families1 exac]bat+ mat]nal heal? disp>ities & r$uc+ access to culturally compet5t c>e2 ,:]eas ! resurg5ce ( ,black midwif]y is a te/am5t to ! resili5ce1 resi/ance1 & det]m9ation ( _s 9 ! pres]vation ( heal+ modalities t are practic$ all ov] ! _w2 ,:]eas ! focus on holi/ic c>e1 :i* involves c>+ = ! :ole p]son1 family1 & community1 is :at makes a diff]5ce 9 midwif]y2 ,:]eas midwif]y honors ! "r to bodily autonomy ( ! bir?+ p]son & c be facilitat$ at home1 9 a bir? c5t]1 or hospital1 & works 9 t&em ) d\las1 community heal? work]s1 ob/etricians1 p$iatricians1 & o!r mat]nal1 reproductive1 & p]9atal heal? c>e provid]s2 ,:]eas ! ,midwif]y ,model ( ,c>e has be5 prov5 to h bett] pregnancy outcomes ?r\gh prev5t+ infant mortality & morbidity1 l[]+ pret]m bir?s1 r$uc+ m$ical int]v5tions1 & provid+ ! bir?+ p]son cont9u\s support2 ,:]eas1 9 #bjbb1 ! ,committee on ! ,elim9ation ( ,racial ,discrim9ation 7ref]r$ to 9 ?is preamble z ,,c]d7 ( ! ,unit$ ,nations express$ conc]ns reg>d+ ! impact ( sy/emic racism & int]sect+ factors on access to compreh5sive sexual & reproductive heal? s]vices = wom51 & ! limit$ availability ( culturally s5sitive & respectful mat]nal heal? c>e1 p>ticul>ly = ^? ) l[ incomes1 rural resid5ts1 individuals ( ,african desc5t1 & indig5\s communities2 ,:]eas ,,c]d recomm5d$ t ! ,unit$ ,/ates fur!r develop policies & programs to elim9ate racial & e?nic disp>ities 9 ! field ( sexual & reproductive heal? & rights1 :ile integrat+ an int]sectional & culturally respectful approa* 9 ord] to r$uce ! high rates ( mat]nal mortality & morbidity affect+ racial & e?nic m9orities1 includ+ ?r\gh midwif]y c>e2 ,:]eas1 9 #bjbc1 ! ,human ,rights ,committee ( ! ,unit$ ,nations express$ simil> conc]ns z ,,c]d & fur!r recomm5d$ t ! ,unit$ ,/ates take measures to remove re/rictive & discrim9atory legal & practice b>ri]s to midwif]y c>e1 includ+ ^? affect+ ,black & indig5\s peoples2 ,:]eas a fair di/ribution ( res\rces1 especially ) reg>d to reproductive heal? c>e s]vices1 is critical to clos+ ! racial disp>ity gap 9 mat]nal heal? outcomes2 ,:]eas an inve/m5t mu/ be made 9 robu/1 quality1 & compreh5sive heal? c>e = ,black bir?+ p1 ) policies t support & promote af=dable & holi/ic mat]nal heal? c>e t is free f g5d] & racial discrim9ation2 ,:]eas x is fitt+ & prop] on ,black ,midwives ,day to recognize ! trem5d\s impact ( ! human rights1 reproductive ju/ice1 & bir? ju/ice frameworks h on protect+ & advanc+ ! rights ( ,black bir?+ p2 ,:]eas ,black ,midwives ,day is an opportunity to ackn[l$ge ! fight to end mat]nal mortality locally & globally2 ,:]eas mat]nal heal? is intractably l9k$ to infant heal?1 & ! ,unit$ ,/ates infant mortality rate rose #c p]c5t f a rate ( #e4dd infant dea?s p] #a1jjj live bir?s 9 #bjba to #e4fj infant dea?s p] #a1jjj live bir?s 9 #bjbb1 ! l>ge/ increase 9 ! infant mortality rate 9 #b decades2 & ,:]eas ,congress mu/ mitigate ! effects ( sy/emic & /ructural racism to ensure t all ,black p h access to midwives1 d\las1 & o!r community-bas$1 culturally mat*$ p]9atal heal? provid]s3 ,n[1 !re=e1 be x ,t ! ,s5ate-- 7#a7 recognizes ,m>* #ad1 #bjbe1 z ,black ,midwives ,day2 7#b7 enc\rages ! ,f$]al ,gov]nm5t & ,/ate & local gov]nm5ts to take proactive measures to address racial disp>ities 9 mat]nal heal? outcomes by support+ initiatives aim$ at div]sify+ ! p]9atal work=ce1 increas+ access to culturally congru5t mat]nal heal? c>e2 7#c7 commits to collaborat+ ) relevant /akehold]s to develop & enact policy solutions t promote heal? equity1 address sy/emic racism1 & support ! advancem5t ( ,black midwif]y2 7#d7 calls =-- 7,a7 increas$ fund+ = education1 tra9+1 & access to ,black preceptors2 7,b7 remov+ b>ri]s & re/rictions to ,black preceptors2 7,c7 provid+ f9ancial pa?ways to support /ud5ts & preceptors2 7,d7 m5tor%ip programs t focus on promot+ & su/a9+ ,black midwif]y2 & 7,e7 remov+ b>ri]s relat$ to accr$itation by recogniz+ midwives across all tra9+ pa?ways2 7#e7 enc\rages ! ,f$]al ,gov]nm5t & ,/ate gov]nm5ts to au?orize ! autonom\s practice ( all midwives to ! full ext5t ( _! tra9+2 7#f7 promotes ! au?orization or reau?orization ( fund+ = ,,tric>e & ,m$icaid cov]age ( mat]nity c>e provid$ by midwives ( all tra9+ pa?ways2 7#g7 enc\rages ! ,f$]al ,gov]nm5t & ,/ate & local gov]nm5ts to take active /eps to de/igmatize & decrim9alize midwif]y pa?ways 9 ! sett+ ( *oice ( ! pregnant p]son1 includ+ _! homes1 bir? c5t]s1 cl9ics1 or heal? units2 & 7#h7 supports & recognizes ! long/&+ & invaluable contributions ( ,black midwives to mat]nal & infant heal? 9 ! ,unit$ ,/ates4