In the final days of the legislative session, Kentucky Senate lawmakers could consider the "Momnibus" bill, which would increase access to critical prenatal and post-birth care for new moms and babies.
House Bill 10 would extend the state's voluntary home-visitation program for expectant parents to when a child reachs age three, and would include lactation assistance and telehealth.
Bonnie Logsdon, a board-certified lactation consultant and birth doula, said many women have to return to work a few weeks after giving birth and often lack the tools or knowledge to have a positive lactation experience.
"They need access to those quality supplies," she stressed, "and they need someone who can teach them how to use the pump, which is again where that lactation support would come into play."
The Momnibus bill would add pregnancy to the list of qualifying life events, so pregnant people could get health-insurance coverage and begin prenatal care visits.
Kentucky has the second-highest maternal mortality rate in the nation, according to the Centers for Disease Control and Prevention.
The bill would also expand mental-health counseling through the Lifeline for Moms Psychiatry Access Program.
In Letcher County, Courtney Rhoades said she's had a complex pregnancy, and has struggled to cope with stress and maintaining her physical health. She noted it's critical that first-time moms like herself have a place to turn for support, where they don't feel judged.
"Then to be finding out we're having twins," Rhoades said, "I am really excited to know that there's these programs available that otherwise I didn't know about."
Renee Basham, executive director of Hope's Embrace, said communities increasingly are aware of the role doulas can play in pre- and post-natal care. She added many of her clients need assistance.
"A lot of the clients that we work with, some of them have support, a lot of them don't," said Basham. "Doulas are extra important in that role, because if we weren't there, they wouldn't have anybody with them as they gave birth."
House Bill 10 would open the door to more research on the role of doulas in the birth experience, and how their expertise is being used for care and to reduce disparities in the Commonwealth.
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In Ohio, women's political voices are facing a significant challenge, as a new analysis by the Center for American Women and Politics revealed a stark disparity in campaign contributions between men and women.
The study, which examined donations to major party candidates across 10 states, found men significantly out-give women, potentially leading to the underrepresentation of women's interests in politics.
Kira Sanbonmatsu, a researcher at the Center for American Women and Politics, explained the findings.
"Men are much more likely than women to be providing the funds that are fueling state candidates," Sanbonmatsu reported. "This means that women have fewer resources to get their voices heard."
Sanbonmatsu added the financial disparity has significant implications in Ohio, where women, especially in the Republican Party, remain underrepresented. Despite some progress, women in Ohio's legislature still struggle to achieve parity with men, largely due to financial constraints.
Sanbonmatsu said women, particularly from marginalized communities, often lack the resources to self-finance their campaigns, making it even harder to compete with better-funded male candidates.
A deeper look into Ohio's political landscape revealed most women running for office are Democrats, leaving a significant gap in representation among Republican women. Sanbonmatsu noted the trend mirrors national patterns and highlighted the challenges women face in accessing the financial networks necessary to support their campaigns.
"It's not enough for us to say women should run," Sanbonmatsu emphasized. "Do they have the resources to be successful in their campaigns?"
The study argued closing the funding gap is crucial for achieving equal representation for women in Ohio's political system. Increasing financial contributions from women and providing stronger support for female candidates could help create a more level playing field, ensuring women's voices have a meaningful effect on shaping the state's future.
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As the general election in November gets closer, more Americas are showing interest in getting involved in the electoral process.
There is a new energy around the election now that President Joe Biden has dropped out of the race and endorsed Vice President Kamala Harris to be the Democratic presidential nominee.
The PoliChic Engagement Fund is a nonpartisan nonprofit organization in the state, focused on engaging more women in the democratic process.
Executive Director Christina Sanders said it teaches women how to effect change locally, statewide, and nationally.
"It's not that democracy isn't working, it's that when they folded a lot of people into democracy - including Black women - they learned about voting," said Sanders, "but the other parts - the participation - there are still gaps. And I believe that the tools, for like how to fully participate are going to be helpful for them to be able to really have a stake in America."
Through hyperlocal civic clubs in their communities, volunteers hold voter registration events, and work to increase participation in local school board and city council elections.
In addition to informing their neighbors about local ballot issues - volunteers provide information on polling locations, absentee ballots for college students and those serving overseas, and election protection.
Sanders said they also work to combat election misinformation.
"Making sure that they not only are involved, but they're also informed with the right information, and really avoiding misinformation," said Sanders. "And then I think for women making sure those in your household and those who you know that your people are educated, they're informed, they know about the election, and they know about the facts."
Sanders said they have seen an increase in women wanting to get involved now that Harris is in the race. Local civic clubs have been established in 119 counties across the state.
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Wyoming ranks 42nd in the U.S. for women's health and reproductive care, according to a new report - and some are urging lawmakers to make changes.
According to a new state scorecard from the Commonwealth Fund, Wyoming ranks among the bottom 10 states on multiple indicators for women's health care.
The state is especially low for rates of preventive measures, including cervical and breast cancer screenings and routine checkups.
Rates of maternal deaths and infant mortalities in Wyoming are on par with national averages - but the state's birth rate is going down.
Rebekah Hazelton, director of the Wyoming Women's Foundation, said that's been hard on rural hospitals.
"Those small maternity care centers are not really receiving enough births in their care," said Hazelton, "in order to keep up their core competencies, and have enough staff as well."
Hazelton said that makes it economically challenging for hospitals to provide maternal health services. There were just over 6,000 births in Wyoming in 2022 - a 20% decrease from 2012.
Another low score is on women's health coverage, access and affordability.
Hazelton said access to specialists can be minimal in a rural state. And then there's health coverage - Wyoming is one of only ten states that hasn't yet expanded Medicaid.
"That leaves a significant amount of the population in the gap," said Hazelton, "not able to pay for health care out of pocket and not able to access health insurance."
Hazelton said she hopes the Health and Labor interim committee discusses potential solutions at its upcoming meeting - including training and certifying more nurse-midwives, and improving relations between hospitals, lay-midwives, and doulas.
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