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The statistics around maternal mortality in the United States are startling. America has the highest maternal mortality rate out of any developed country in the world. Today, a woman in the U.S. is 50 percent more likely to die from giving birth to a child than her mother was, and if you are a woman of color you are 3 to 4 times more likely than that.At Rush University Hospital in Chicago, neonatal intensive care nurse and educator Christie Lawrence has dealt with maternal mortality both professionally and personally. “My cousin, Chante, she was a young healthy mother, 18 years old,” Lawrence says. “Actually, she had no risk factors that we knew of.” Ten years ago, Lawrence was at work when her cousin went into labor at another hospital. “I received a call to say, ‘Chante is in labor, we are going to have a baby today.’ Then, a couple of hours later, a turn of events,” she recalls. “Her mom is screaming, ‘I need you to get here quick! Something has gone terribly wrong.’” The healthy 18-year-old mom suddenly went into cardiac arrest while giving birth to her son, and she died. “It was very shocking, very shocking for my family to see that whole turn of events,” said Lawrence. “We were expecting everything to be normal.”Her cousin’s death was caused by medication that was administered to her the wrong way. When Chante went in labor, she was a first-time mom and had no access to transportation to the hospital, so an ambulance was called. The ambulance took her to a hospital that was different than the one she had been going to for care during her pregnancy. Lawrence believes that may have played into the quality of care her cousin received, and ultimately, the mistake that was made at the hospital. It all led to the death of Lawrence’s cousin, which she says was fully preventable. Unfortunately, Chante’s case isn’t unique. These kinds of mistakes are happening at an alarming rate across the country. According to a Center for Disease Control report published this year, 60 percent of all pregnancy-related deaths in this country are fully preventable. Hospitals and healthcare providers around the country are working to implement new procedures to reduce the maternal mortality rate. At Rush University, for example, it’s trying a new program that checks up on babies and new moms just three weeks after leaving the hospital. Typically, in the past, doctors recommended a three-week check-up that focused on the newborn. But with this new program called Rush Family Connect, a nurse will go to the parent’s home and give equal attention to mom. The hope is that any post-pregnancy complication can be caught early, since the top causes of maternal mortality are actually post-delivery complications. Additionally, this year, the Joint Commission has issued a new mandate and standard. By July 1, 2020, all hospitals must have life-saving medications immediately available and must plan rapid release of blood supplies for transfusions. Doctors and nurses at hospital maternity units must have training drills responding to a hemorrhage crisis, which is one of the top cases for fatal deliveries. While hospitals and healthcare providers work to reduce the dangers mothers are facing, Lawrence believes mother have some power over their outcomes. “Just being a great advocate for yourself is one of the biggest things that I would tell any new mom,” said Lawrence. “If you feel like something is not right, if you feel like something is wrong, make people listen to you. And if you feel like that person won’t listen to you, then you have to go up the chain of command in that system or you have to find someone who is willing to listen.”It’s advice Lawrence wishes she could go back in time and tell her cousin. 3754

The Senate adjourned for the day Saturday afternoon without coming to an agreement on a spending deal that would end a partial government shutdown — guaranteeing the federal closures will continue until after Christmas.The developments come hours after members of Congress and President Donald Trump were unable to reach an agreement Friday night, resulting in the third government shutdown of the year.There will be a pro forma Senate session on Monday, but the next actual session is scheduled for Thursday afternoon.Senate Majority Leader Mitch McConnell announced on the Senate floor earlier Saturday that there would be no action on the floor until Trump and Senate Democrats come to an agreement.McConnell said the Senate was, in the meantime, pushing "the pause button" while the two parties attempt to work out a deal.He then began discussing the importance of border security and "securing the homeland."Later in the day, Senate Minority Leader Chuck Schumer addressed Trump while speaking on the Senate floor, saying, "President Trump, if you want to open the government, you must abandon the wall -- plain and simple."During his speech, Schumer said Trump must publicly say he will support any agreement in an effort to avoid what happened earlier in the week, when White House aides indicated Trump would sign a stopgap spending measure, but then later said he would not.Schumer also responded to McConnell's earlier comments that an agreement would need to be made between both Trump and Senate Democrats.Schumer said McConnell and House Speaker Paul Ryan must also support any deal publicly."Leader McConnell can't duck out of it," Schumer said.On Friday, Vice President Mike Pence, budget director Mick Mulvaney and the President's son-in-law, Jared Kushner, came to Capitol Hill, where they stayed into the evening after both the House and Senate adjourned for the night.Pence returned to Capitol Hill on Saturday, where he was set to meet with Schumer.The vice president was expected to give a readout of a White House lunch Trump held with some conservative House Freedom Caucus members and other Republican lawmakers. Schumer was expected to reiterate that border wall money can't pass the Senate, a Schumer aide said.Any bill to re-open the government will need 60 votes to pass the Senate because of procedural rules, meaning Republicans will need some Democratic votes.Funding for roughly a quarter of the federal government expired at midnight, including appropriations for the departments of Homeland Security, Justice, Housing and Urban Development and other parts of the government. This is the first time in 40 years that the government will have been closed three times in a year.The funding legislation that earlier this week seemed certain to pass both chambers was thrown into limbo on Thursday when Trump told House GOP members he would not sign a bill unless it included billion to fund a border wall.Despite the House of Representatives passing a bill on Thursday, which included this demand, it was clear on Friday that there was not enough support in the Senate for the bill, including the billion for the wall, to clear.Friday night, a path forward appeared ambiguous, as all sides seemed stagnant in their demands days before the Christmas holiday, when Congress was expected to be out of session.Republican Sen. James Lankford of Oklahoma, who was briefed by Pence, Kushner and Mulvaney on Friday, told CNN's Suzanne Malveaux on Saturday morning that the hope is McConnell will have a deal to announce when the Senate reconvenes at noon.The debate between the White House and Congress focuses not just on how much money to allocate to border security, but also on the language stipulating where and how that money can be spent, he said."What is fencing, what is land ports of entry, what's technology, what's staffing?" Lankford said. "I think there's a general agreement ... that we need to do border security. Now's figuring out how much for each amount.""Right now we're trying to finalize all the final text and to be able to make sure everyone's looked at it, everyone's agreed, signed off on it. ..." he said. "Then we'll move to a vote 24 hours from there."Lankford also said he is "confident" that if Pence says the President is on board with any deal, Trump will keep to his word."We've agreed in the Senate we're not bringing anything to the floor until we know all three bodies have agreed to it," Lankford said. "Then we can expedite it through the process on the floor."If there's no an agreement, Lankford said he believes the American people will be looking at a much longer shutdown.A Senate Democratic aide said Saturday that talks continue at the staff level and confirmed that any deal will need signoff from congressional leadership and Trump before it comes to a vote. Democrats continue to push for border security options that they believe work, rather than a wall. Senate Minority Leader Chuck Schumer has insisted to Pence and Republicans that the President must sign off on that before a vote.Trump earlier on Friday predicted a shut down, but placed the blame on Democrats, saying "it's really the Democrat shutdown, because we've done our thing."The chances are probably very good" that there is a shutdown," Trump said Friday afternoon.He later added: "Now it's up to the Democrats as to whether we have a shutdown tonight. I hope we don't, but we're totally prepared for a very long shutdown."And in 5487

The Pentagon notified Congress Monday night that it has authorized the transfer of billion to begin new wall construction along the US-Mexico border, drawing immediate objections from Democratic lawmakers.A Pentagon budget reprogramming notification sent to Capitol Hill on Monday and obtained by CNN indicates that up to billion will go toward building 57 miles of fencing, improving roads and other measures on the southern border.The Department of Defense authorized the Army Corp of Engineers to begin planning and construction for the project Monday night. The department will direct the funds toward 18-foot-high fencing along the Yuma and El Paso sections of the border, according to a letter acting Secretary of Defense Patrick Shanahan sent to Secretary of Homeland Security Kirstjen Nielsen.In February, President Donald Trump declared a national emergency in order to funnel billions of dollars to wall construction. As part of his announcement, he directed the use of counterdrug monies to partially fund new wall construction. Under the national emergency, other funds can also be dedicated to building the wall and related infrastructure, including military construction funds.Monday's announcement was just the first billion the administration is making available for wall funding. The administration said previously it plans to shift an additional .5 billion at some point in the future.These initial counterdrug funds will ultimately flow from the Department of Homeland Security to the Army Corps of Engineers to begin construction.Senate Democrats immediately objected to the transfer of money to build fencing along the southern border to block drug smuggling.Every Democratic senator on the Senate Appropriations Committee's subcommittees on Defense and Military Construction, Veterans Affairs and Related Agencies signed on to a letter written to Shanahan objecting to moving billion in personnel funds to counter drug funds to go toward the wall. The senators say the Pentagon did not seek permission before notifying the committee of the transfer."We strongly object to both the substance of the funding transfer, and to the Department implementing the transfer without seeking the approval of the congressional defense committees and in violation of provisions in the defense appropriation itself," the senators wrote. "As a result, we have serious concerns that the Department has allowed political interference and pet projects to come ahead of many near-term, critical readiness issues facing our military."The letter was signed by Sens. Patrick Leahy, Democrat of Vermont; Dick Durbin, Democrat of Illinois; Jack Reed, Democrat of Rhode Island; Brian Schatz, Democrat of Hawaii; Jon Tester, Democrat of Montana; Patty Murray, Democrat of Washington; Chris Murphy, Democrat of Connecticut; Tammy Baldwin, Democrat of Wisconsin; Dianne Feinstein, Democrat of California; and Tom Udall, Democrat of New Mexico. 2962

There has been a small increase in vaccine exemption rates among kindergarteners in the United States, according to a new report from the US Centers for Disease Control and Prevention.The finding, published in the CDC's 232

Three people are dead and four are missing after a plane crash in a remote northern Labrador lake in Canada.Jean Tremblay, chief executive of the regional airline Air Saguenay, told CBC News that a de Havilland DHC-2 Beaver float plane went down in Mistastin Lake.On board was a pilot for the airline, four passengers and two fishing guides.The plane was heading from a fishing lodge to a remote camp on the lake when it was reported overdue Monday night, according to CBC.The pilot and two others were found dead at the wreckage site, Tremblay told the outlet.The fate of the other four people on the plane is unclear. 631