PRINTER'S NO. 955 THE GENERAL ASSEMBLY OF PENNSYLVANIA HOUSE RESOLUTION No.117 Session of 2025 INTRODUCED BY MAYES, CURRY, CEPHAS, HOHENSTEIN, HILL-EVANS, WAXMAN, MADDEN, VENKAT, KHAN, KENYATTA, KAZEEM, N. NELSON, D. MILLER AND ABNEY, MARCH 13, 2025 REFERRED TO COMMITTEE ON CHILDREN AND YOUTH, MARCH 13, 2025 A RESOLUTION Recognizing March 14, 2025, as "Black Midwives Day" in Pennsylvania. WHEREAS, Black midwives have made longstanding and invaluable contributions to maternal and infant health in Pennsylvania; and WHEREAS, Recognizing March 14, 2025, as "Black Midwives Day" amplifies the significance of midwifery in achieving better maternal health outcomes by creating greater access to high- quality maternal health care, especially in maternal health deserts; and WHEREAS, The "Black Midwives Day" campaign, founded and led by the National Black Midwives Alliance in 2023, is a day of awareness, activism, celebration, education, advocacy and historical preservation; and WHEREAS, "Black Midwives Day" is an opportunity to acknowledge the fight to end maternal mortality in Pennsylvania; and WHEREAS, In 2020, the pregnancy-related mortality ratio for 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Black women in this Commonwealth was almost three times greater than the pregnancy-related mortality ratio for White women; and WHEREAS, High rates of maternal mortality among Black women are consistent among socioeconomic statuses and education levels; and WHEREAS, Maternal morbidities have devastating effects for families and communities, and 93.5% of pregnancy-related maternal deaths that occurred in this Commonwealth in 2020 were deemed preventable; and WHEREAS, A lack of access to quality, affordable health care and postpartum care, delays in the recognition of risks and complications associated with pregnancy, systemic discrimination and implicit bias contribute to the high mortality rate among Black women; and WHEREAS, Black communities are also among those most affected by maternity care deserts, where there is a lack of maternity health care resources and no hospitals, birth centers or providers offering obstetric care; and WHEREAS, Other pregnancy complications, including chronic heart disease, hypertension, preeclampsia, hemorrhage and diabetes, also disproportionately affect Black women; and WHEREAS, Black women are more likely to experience mistreatment by health care providers, such as being ignored or denied care in a reasonable amount of time; and WHEREAS, The practice of midwifery is built upon a relationship-centered approach between the midwife and the pregnant woman, with an emphasis on the pregnant woman's autonomy; and WHEREAS, Increasing the number of Black midwives in the workforce is critical to addressing maternal health disparities, 20250HR0117PN0955 - 2 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 as Black midwives offer care that builds trust, enhances maternal satisfaction with the pregnancy, birthing and postpartum experience and improves health outcomes for Black mothers and their babies; and WHEREAS, Midwifery-led care has been shown to result in cost savings, reduced medical interventions, lower cesarean rates, decreased preterm births and improved health outcomes for both mothers and babies; and WHEREAS, Midwives are trained to provide obstetric and gynecological care during pregnancy, childbirth and postpartum; and WHEREAS, Midwives may provide essential maternal health care services in a variety of settings in hospitals, clinics, birth centers, homes or community-based settings, ensuring accessibility and continuity of care; and WHEREAS, Black maternity care deserts lead to higher risks of maternal morbidity and mortality as most complications occur in the postpartum period when pregnant women are far away from their health care providers; and WHEREAS, Black communities benefit from access to Black midwives for culturally sensitive and congruent care; and WHEREAS, A lack of affordable training opportunities, financial barriers, State laws and variances in insurance coverage currently limit the capacity to practice midwifery, especially Black midwifery, in hospitals and birth centers; and WHEREAS, Greater levels of integration of midwives across health care settings are associated with significantly higher rates of physiologic birth, less obstetric interventions and fewer adverse neonatal outcomes; and WHEREAS, Integrating midwives across health care settings 20250HR0117PN0955 - 3 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 would be instrumental in reducing maternal health disparities and addressing both maternity care deserts and health care provider shortages; and WHEREAS, Black midwives have offered high-quality care throughout history, despite experiencing persecution, enslavement, violence, racism and the systematic erasure of their work; and WHEREAS, The resurgence of Black midwifery is a testament to the resilience, resistance and determination of spirit in the preservation of healing modalities practiced all over the world; and WHEREAS, The National Black Midwives Alliance campaign aims to bring visibility to issues impacting Black midwives and the communities in which they work and promotes awareness, activism, education and community building in recognizing "Black Midwives Day"; and WHEREAS, "Black Midwives Day" is important in raising awareness on the state of Black maternal health, the causes of poor maternal health outcomes and the health disparities impacting Black communities, while offering an opportunity to acknowledge efforts to end maternal mortality on the local, national and global levels; and WHEREAS, In recognizing "Black Midwives Day," the Commonwealth will recognize and emphasize the importance of Black midwifery in addressing gaps to access high-quality care and achieving better maternal health outcomes; therefore be it RESOLVED, That the House of Representatives recognize March 14, 2025, as "Black Midwives Day" in Pennsylvania. 20250HR0117PN0955 - 4 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28