“Greater attention to pregnant patients as a unique population at higher risk of SARS-CoV-2 infection sequelae, is critical to preventing maternal and neonatal morbidity and mortality,” write the authors of a study in the American Journal of Obstetrics and Gynecology examining morbidity and mortality among pregnant women with COVID-19 in Washington state. The study found “markedly higher” hospitalization and fatality rates among this group compared with similarly-aged non-pregnant individuals.

“Midwives and nurses contribute to the health of women, families, communities, and society at large, but the impact of their care goes much further… Their care is transformational,” said Diene Keita, Deputy Executive Director for Programmes at UNFPA. She spoke at a recent event hosted by Women in Global Health, which virtually convened nurses and midwives from around the world to celebrate 100 outstanding women nurse and midwife leaders from over 50 countries. The event occurred in honor of the Year of the Nurse and the Midwife, as designated by the World Health Organization (WHO). The list of 100 leaders is the first global recognition of its kind and commemorates women’s unique stories of resilience, leadership, and hard work.

The significance of the Biden-Harris administration for the world’s women and girls cannot be overstated. The current status of women and girls is grim. The COVID-19 pandemic and four years of dangerous policies designed to strip women and girls of their reproductive and economic autonomy and punish them—first for their biology, and second for their gender—have slowed and even reversed decades of progress toward gender equity. Systemic racism and policies meant to further exclude and disenfranchise minority communities have targeted women of color with tragic results.

The United States is facing a crucial moment, one in which more pregnant women are at risk of becoming housing insecure than at any other time in recent history. This leaves an unprecedented number of mothers and babies vulnerable to the associated adverse health risks.  Housing instability – which includes challenges ranging from struggles paying rent to chronic homelessness – harms maternal and neonatal health as much as smoking during pregnancy. The economic effects of COVID-19 threaten to exacerbate the adverse health outcomes associated with homelessness.

“This is real,” said Franka Cadée, President of the International Confederation of Midwives (ICM). “And we can no longer get around it. And we can no longer linger.” She spoke at a recent Wilson Center event, in partnership with the United Nations Population Fund (UNFPA) and Johnson & Johnson, launching a new study, Impact of Midwives, published in The Lancet Global Health. If any other intervention could have the same impact as midwives or midwifery, it would be implemented worldwide immediately, she said.