A resolution designating January 23, 2021, as "Maternal Health Awareness Day".

III 117TH CONGRESS 1ST SESSION S. RES. 14 Designating January 23, 2021, as ‘‘Maternal Health Awareness Day’’. IN THE SENATE OF THE UNITED STATES JANUARY 22, 2021 Mr. BOOKER (for himself and Mr. MENENDEZ) submitted the following resolution; which was referred to the Committee on the Judiciary RESOLUTION Designating January 23, 2021, as ‘‘Maternal Health Awareness Day’’. Whereas, every year in the United States, approximately 700 women die as a result of complications related to preg- nancy and childbirth; Whereas the pregnancy-related mortality ratio, defined as the number of pregnancy-related deaths per 100,000 live births, more than doubled between 1987 and 2017; Whereas the United States is the only developed country whose maternal mortality rate has increased over the last several decades; Whereas, of all pregnancy-related deaths between 2011 and 2016— (1) nearly 32 percent occurred during pregnancy; VerDate Sep 11 2014 00:25 Jan 23, 2021 Jkt 019200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6300 E:\BILLS\SR14.IS SR14 kjohnson on DSK79L0C42PROD with BILLS 2 •SRES 14 IS (2) about 35 percent occurred during childbirth or the week after childbirth; and (3) 33 percent occurred between 1 week and 1 year postpartum; Whereas more than 60 percent of maternal deaths in the United States are preventable; Whereas, in 2014 alone, 50,000 women suffered from a ‘‘near miss’’ or severe maternal morbidity, which includes potentially life-threatening complications that arise from labor and childbirth; Whereas around 17 percent of women who gave birth in a hospital in the United States reported experiencing 1 or more types of mistreatment, such as— (1) loss of autonomy; (2) being shouted at, scolded, or threatened; and (3) being ignored or refused or receiving no response to requests for help; Whereas certain social determinants of health, including bias and racism, have a negative impact on maternal health outcomes; Whereas significant disparities in maternal health exist, in- cluding that— (1) Black women are more than 3 times as likely to die from a pregnancy-related cause as are White women; (2) American Indian and Alaska Native women are more than twice as likely to die from a pregnancy-related cause as are White women; (3) Black, American Indian, and Alaska Native women with at least some college education are more likely to die from a pregnancy-related cause than are VerDate Sep 11 2014 00:25 Jan 23, 2021 Jkt 019200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6300 E:\BILLS\SR14.IS SR14 kjohnson on DSK79L0C42PROD with BILLS 3 •SRES 14 IS women of all other racial and ethnic backgrounds with less than a high school diploma; (4) Black, American Indian, and Alaska Native women are about twice as likely to suffer from severe ma- ternal morbidity as are White women; (5) women who live in rural areas have a greater likelihood of severe maternal morbidity and mortality compared to women who live in urban areas; (6) less than 1⁄2 of rural counties have a hospital with obstetric services; (7) counties with more Black and Hispanic residents and lower median incomes are less likely to have access to hospital obstetric services; (8) more than 50 percent of women who live in a rural area must travel more than 30 minutes to access hospital obstetric services, compared to 7 percent of women who live in urban areas; and (9) American Indian and Alaska Native women liv- ing in rural communities are twice as likely as their White counterparts to report receiving late or no prenatal care; Whereas pregnant women may be at increased risk for severe outcomes associated with COVID–19, as— (1) pregnant women with symptomatic COVID–19 are more likely to be admitted to an intensive care unit, receive invasive ventilation, and receive ECMO treatment, compared to nonpregnant women with symptomatic COVID–19; (2) pregnant women with symptomatic COVID–19 are at a 70-percent increased risk for death compared to nonpregnant women with symptomatic COVID–19; and (3) pregnant women with COVID–19 may be at risk for preterm delivery; VerDate Sep 11 2014 00:25 Jan 23, 2021 Jkt 019200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6300 E:\BILLS\SR14.IS SR14 kjohnson on DSK79L0C42PROD with BILLS 4 •SRES 14 IS Whereas more than 40 States have designated committees to review maternal deaths; Whereas State and local maternal mortality review commit- tees are positioned to comprehensively assess maternal deaths and identify opportunities for prevention; Whereas more than 30 States are participating in the Alli- ance for Innovation on Maternal Health, which promotes consistent and safe maternity care to reduce maternal morbidity and mortality; Whereas community-based maternal health care models, in- cluding midwifery childbirth services, doula support serv- ices, community and perinatal health worker services, and group prenatal care, in collaboration with culturally com- petent physician care, show great promise in improving maternal health outcomes and reducing disparities in ma- ternal health outcomes; Whereas many organizations have implemented initiatives to educate patients and providers about— (1) all causes of, contributing factors to, and dis- parities in maternal mortality; (2) the prevention of pregnancy-related deaths; and (3) the importance of listening to and empowering all women to report pregnancy-related medical issues; and Whereas several States, communities, and organizations rec- ognize January 23 as ‘‘Maternal Health Awareness Day’’ to raise awareness about maternal health and promote maternal safety: Now, therefore, be it Resolved, That the Senate— 1 (1) designates January 23, 2021, as ‘‘Maternal 2 Health Awareness Day’’; 3 VerDate Sep 11 2014 00:25 Jan 23, 2021 Jkt 019200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\SR14.IS SR14 kjohnson on DSK79L0C42PROD with BILLS 5 •SRES 14 IS (2) supports the goals and ideals of Maternal 1 Health Awareness Day, including— 2 (A) raising public awareness about mater- 3 nal mortality, maternal morbidity, and dispari- 4 ties in maternal health outcomes; and 5 (B) encouraging the Federal Government, 6 States, territories, Tribes, local communities, 7 public health organizations, physicians, health 8 care providers, and others to take action to re- 9 duce adverse maternal health outcomes and im- 10 prove maternal safety; 11 (3) promotes initiatives— 12 (A) to address and eliminate disparities in 13 maternal health outcomes; and 14 (B) to ensure respectful and equitable ma- 15 ternity care practices; 16 (4) honors those who have passed away as a re- 17 sult of pregnancy-related causes; and 18 (5) supports and recognizes the need for fur- 19 ther investments in efforts to improve maternal 20 health, eliminate disparities in maternal health out- 21 comes, and promote respectful and equitable mater- 22 nity care practices. 23 Æ VerDate Sep 11 2014 00:25 Jan 23, 2021 Jkt 019200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6301 E:\BILLS\SR14.IS SR14 kjohnson on DSK79L0C42PROD with BILLS