,,iii #aai? ,,congress #a/ ,session ,s4 ,,res4 #cb ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,janu>y #bc1 #bjbe,mr4 ,book] 7= himself1 ,mrs4 ,britt1 ,ms4 ,ros51 ,mr4 ,wel*1 ,mr4 ,hick5loop]1 ,mr4 ,lujn1 ,mr4 ,wyd51 & ,mr4 ,van ,holl57 submitt$ ! foll[+ resolution2 :i* 0 ref]r$ to ! ,committee on ! ,judici>y ,,resolution ,designat+ ,janu>y #bc1 #bjbe1 z ,mat]nal ,heal? ,aw>5ess ,day4 ,:]eas ea* ye> 9 ! ,unit$ ,/ates1 approximately #hjj wom5 die z a result ( complications relat$ to pregnancy & *ildbir?2 ,:]eas ! pregnancy-relat$ mortality ratio1 def9$ z ! numb] ( pregnancy-relat$ dea?s p] #ajj1jjj live bir?s1 m ?an quadrupl$ 9 ! ,unit$ ,/ates betwe5 #aihg & #bjba2 ,:]eas1 accord+ to ! ,unit$ ,nations ,mat]nal ,mortality ,e/imation ,int]-,ag5cy ,gr\p1 ! ,unit$ ,/ates is "o ( ! only c\ntries 9 ! _w ) a significant p]c5tage increase 9 ! mat]nal mortality 9 #bjbj2 ,:]eas1 ( all pregnancy-relat$ dea?s t occurr$ 9 ! ,unit$ ,/ates 9 #bjbj-- 7#a7 approximately #be4g p]c5t occurr$ dur+ pregnancy2 7#b7 approximately #aa4a p]c5t occurr$ dur+ *ildbir?2 7#c7 approximately #af4b p]c5t occurr$ #a to #f days po/p>tum2 7#d7 approximately #bj4b p]c5t occurr$ #g to #db days po/p>tum2 & 7#e7 approximately #bf4i p]c5t occurr$ betwe5 #dc days & #a ye> po/p>tum4 ,:]eas #hc4e p]c5t ( pregnancy-relat$ dea?s 9 ! ,unit$ ,/ates are consid]$ prev5table2 ,:]eas1 ea* ye>1 z _m z #fj1jjj wom5 9 ! ,unit$ ,/ates suff] f a sev]e mat]nal morbidity1 :i* includes unexpect$ outcomes ( labor & deliv]y t c result 9 significant %ort- & long-t]m heal? consequ5ces2 ,:]eas1 approximately #bj p]c5t ( mo!rs :o give bir? 9 ! ,unit$ ,/ates report exp]i5c+ mi/reatm5t2 ,:]eas po/p>tum depression affects a significant p]c5tage ( new mo!rs :o give bir?1 ) e/imates rang+ f #aj to #bj p]c5t ( mo!rs :o give bir? exp]i5c+ depressive symptoms dur+ ! fir/ ye> aft] *ildbir?1 b _m po/p>tum depression cases g undiagnos$ & untreat$1 (t5 due to a lack ( scre5+2 ,:]eas v>i\s social & sy/emic factors c influ5ce mat]nal heal? outcomes & contribute to disp>ities 9 c>e2 ,:]eas significant disp>ities 9 mat]nal heal? outcomes exi/ 9 ! ,unit$ ,/ates1 includ+ t-- 7#a7 ! pregnancy-relat$ mortality ratio = ,black wom5 is ne>ly #c times high] ?an t ( ,:ite wom52 7#b7 ! pregnancy-relat$ mortality ratio = ,am]ican ,indian & ,alaska ,native wom5 is m ?an twice z high z ,:ite wom52 7#c7 ! pregnancy-relat$ mortality ratio = ,black1 ,am]ican ,indian1 & ,alaska ,native wom5 ) at lea/ "s college education is high] comp>$ to wom5 ( all o!r racial & e?nic backgr\nds ) less ?an a high s*ool diploma2 7#d7 ! rate ( sev]e mat]nal morbidity = ,black & ,asian-,pacific ,isl&] wom5 is approximately twice z high z ! rate = ,:ite wom52 7#e7 wom5 :o live 9 rural areas h a great] rate ( sev]e mat]nal morbidity & mortality comp>$ to wom5 :o live 9 urban areas2 7#f7 #ei p]c5t ( rural c\nties are consid]$ a mat]nity c>e des]t2 7#g7 rural c\nties ) m ,black & ,hispanic resid5ts & l[] m$ian incomes are less likely to h access to hospital ob/etric s]vices2 7#h7 ! av]age travel di/ance = mat]nity c>e des]ts & rural c\nties is #bh4a & #ag4c miles1 respectively2 & 7#i7 ,am]ican ,indian & ,alaska ,native wom5 liv+ 9 rural communities are m ?an twice z likely z _! ,:ite c\nt]p>ts to report receiv+ late or no pr5atal c>e2 ,:]eas #dg ,/ates & ! ,di/rict ( ,columbia h adopt$ ! option to ext5d cov]age = po/p>tum c>e "u ,m$icaid to #ab mon?s2 ,:]eas #di ,/ates1 ! ,di/rict ( ,columbia1 ,new ,york ,city1 ,philadelphia1 & ,pu]to ,rico ea* h a =mal mat]nal mortality review committee or legal requirem5t to review pregnancy-relat$ dea?s2 ,:]eas ,/ate & local mat]nal mortality review committees are position$ to compreh5sively assess mat]nal dea?s & id5tify opportunities = prev5tion2 ,:]eas #di ,/ates & ! ,di/rict ( ,columbia 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$uc+ disp>ities 9 mat]nal heal? outcomes2 ,:]eas increas+ ! mat]nal heal? c>e work=ce & exp&+ teleheal? s]vices c help r$uce ! 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 p to report pregnancy-relat$ m$ical issues2 & ,:]eas sev]al ,/ates1 communities1 & organizations recognize ,janu>y #bc z ,mat]nal ,heal? ,aw>5ess ,day to raise aw>5ess ab\t mat]nal heal? & promote mat]nal safety3 ,n[1 !re=e1 be x ,t ! ,s5ate-- 7#a7 designates ,janu>y #bc1 #bjbe1 z ,mat]nal ,heal? ,aw>5ess ,day2 7#b7 supports ! goals & ideals ( ,mat]nal ,heal? ,aw>5ess ,day1 includ+-- 7,a7 rais+ public aw>5ess ab\t mat]nal mortality1 mat]nal morbidity1 & disp>ities 9 mat]nal heal? outcomes2 & 7,b7 enc\rag+ ! ,f$]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$uce adv]se mat]nal heal? outcomes & improve mat]nal safety2 7#c7 promotes initiatives-- 7,a7 to address & elim9ate disp>ities 9 mat]nal heal? outcomes2 & 7,b7 to ensure respectful & equitable mat]nity c>e practices2 7#d7 honors ^? :o h pass$ away z a result ( pregnancy-relat$ causes2 & 7#e7 supports & recognizes ! ne$ = mean+ful 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