Full Text of SR0063 101st General Assembly
SR0063 101ST GENERAL ASSEMBLY |
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| 1 | | SENATE RESOLUTION
| 2 | | WHEREAS, African American women in the United States | 3 | | experience maternal-related deaths at three to four times the | 4 | | rate of non-Hispanic white women, according to the Mothers and | 5 | | Offspring Mortality and Morbidity Awareness Act, introduced by | 6 | | U.S. Representative Robin Kelly of Illinois in May of 2018; and
| 7 | | WHEREAS, In Illinois, Non-Hispanic black women are six | 8 | | times as likely to die of a pregnancy-related condition as | 9 | | non-Hispanic white women, and 72 percent of the | 10 | | pregnancy-related deaths and 93 percent of violent | 11 | | pregnancy-related deaths were deemed preventable by review | 12 | | committees; and
| 13 | | WHEREAS, The United States has not been able to submit a | 14 | | formal maternal mortality rate to international data | 15 | | repositories since 2007; in order to be able to calculate a | 16 | | formal maternal mortality rate, maternal mortality-related | 17 | | data must be streamlined at the State level and extrapolated to | 18 | | the federal level; and
| 19 | | WHEREAS, Leaders in maternal wellness highly recommend | 20 | | that maternal deaths be investigated at the State level first; | 21 | | and
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| 1 | | WHEREAS, Hemorrhage, infection, and hypertensive disorders | 2 | | of pregnancy are among the top common causes of | 3 | | pregnancy-related deaths in Illinois; and
| 4 | | WHEREAS, The State of California has established Maternal | 5 | | Mortality Review Committees to determine the most prevalent | 6 | | causes of maternal mortality and has recorded and shared data | 7 | | with providers and researchers, who have developed and | 8 | | implemented safety bundles and care protocols related to | 9 | | preeclampsia, maternal hemorrhage, and other prevalent causes | 10 | | of maternal mortality; and
| 11 | | WHEREAS, The Illinois Department of Public Health | 12 | | currently works with the Maternal Mortality Review Committee | 13 | | and the Maternal Mortality Review Committee for Violent deaths | 14 | | to review cases of maternal death and to develop statewide | 15 | | recommendations to prevent future maternal deaths; and
| 16 | | WHEREAS, In the State of California, state-based maternal | 17 | | quality collaborative organizations have formed obstetrical | 18 | | protocols, tool kits, and other resources to improve system | 19 | | care and response as they relate to maternal complications and | 20 | | warning signs for conditions, including maternal hemorrhage, | 21 | | hypertension, and preeclampsia; and
| 22 | | WHEREAS, Illinois has begun developing protocols and |
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| 1 | | resources to address common causes of maternal mortality in the | 2 | | State, such as implementing new training material regarding | 3 | | hemorrhages through the Obstetric Hemorrhage Education Project | 4 | | (OBHEP) in 2016; and
| 5 | | WHEREAS, The CDC reports that more than half of all | 6 | | maternal deaths occur in the immediate postpartum period, which | 7 | | is 42 days to a full year after delivery; yet, for pregnant | 8 | | women, Medicaid coverage lapses at the end of the month on | 9 | | which the 60th postpartum day lands; and
| 10 | | WHEREAS, Expanding Medicaid and CHIP coverage for pregnant | 11 | | and postpartum women has been a part of improving federal | 12 | | efforts for the prevention of maternal mortality; and
| 13 | | WHEREAS, Racism is deeply ingrained in the United States | 14 | | systems, including in health care delivery systems between | 15 | | patients and providers, often resulting in disparate treatment | 16 | | of pain, irreverence to cultural norms with respect to health, | 17 | | and dismissiveness; however, the provider pool is not primed | 18 | | with many people of color, nor are providers consistently | 19 | | required to undergo implicit bias, cultural competency, or | 20 | | empathy training on a consistent, on-going basis; and
| 21 | | WHEREAS, There have been efforts to address implicit bias | 22 | | and cultural competency at the federal level by awarding |
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| 1 | | cooperative agreements for the establishment or support of | 2 | | regional centers of excellence addressing implicit bias and | 3 | | cultural competency in patient-provider interactions for the | 4 | | purpose of enhancing and improving how health care | 5 | | professionals are educated in implicit bias and delivering | 6 | | culturally competent health care; and
| 7 | | WHEREAS, The State of Illinois recognizes the importance of | 8 | | investigating and addressing maternal mortality issues in the | 9 | | State; therefore, be it
| 10 | | RESOLVED, BY THE SENATE OF THE ONE HUNDRED FIRST GENERAL | 11 | | ASSEMBLY OF THE STATE OF ILLINOIS, that we urge the General | 12 | | Assembly to continue to investigate and identify areas in which | 13 | | the State can improve with respect to the prevention of | 14 | | maternal mortality, especially among vulnerable populations.
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