[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[S. Res. 14 Introduced in Senate (IS)]

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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 pregnancy 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;

    (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, including 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 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 maternal 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 living 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;

Whereas more than 40 States have designated committees to review maternal 
        deaths;
Whereas State and local maternal mortality review committees are positioned to 
        comprehensively assess maternal deaths and identify opportunities for 
        prevention;
Whereas more than 30 States are participating in the Alliance 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, including midwifery 
        childbirth services, doula support services, community and perinatal 
        health worker services, and group prenatal care, in collaboration with 
        culturally competent physician care, show great promise in improving 
        maternal health outcomes and reducing disparities in maternal health 
        outcomes;
Whereas many organizations have implemented initiatives to educate patients and 
        providers about--

    (1) all causes of, contributing factors to, and disparities 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 recognize 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) designates January 23, 2021, as ``Maternal Health 
        Awareness Day'';
            (2) supports the goals and ideals of Maternal Health 
        Awareness Day, including--
                    (A) raising public awareness about maternal 
                mortality, maternal morbidity, and disparities in 
                maternal health outcomes; and
                    (B) encouraging the Federal Government, States, 
                territories, Tribes, local communities, public health 
                organizations, physicians, health care providers, and 
                others to take action to reduce adverse maternal health 
                outcomes and improve maternal safety;
            (3) promotes initiatives--
                    (A) to address and eliminate disparities in 
                maternal health outcomes; and
                    (B) to ensure respectful and equitable maternity 
                care practices;
            (4) honors those who have passed away as a result of 
        pregnancy-related causes; and
            (5) supports and recognizes the need for further 
        investments in efforts to improve maternal health, eliminate 
        disparities in maternal health outcomes, and promote respectful 
        and equitable maternity care practices.
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