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Tag: iab-women's health

  • Rihanna tells us she’s pregnant in the most entertaining way | CNN

    Rihanna tells us she’s pregnant in the most entertaining way | CNN

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    CNN
     — 

    Rihanna didn’t introduce a new song during her Apple Music Super Bowl LVII Halftime Show performance Sunday night but she did introduce a new pregnancy.

    The entertainer sang a medley of her biggest hits while visibly pregnant with her second child, her representative has confirmed to CNN.

    Online speculation about the pregnancy began as Rihanna opened her performance in Glendale, Arizona, on a floating stage wearing an all-red ensemble that appeared to show off a baby bump.

    Last May, Rihanna welcomed her first child with rapper A$AP Rocky.

    The singer spoke about motherhood during an interview as she prepared for her halftime show performance, saying becoming a mother made her feel like she can do anything.

    “When you become a mom, there is something that just happens where you feel like you can take on the world,” said the musical icon and entrepreneur.

    “The Super Bowl is one of the big stages in the world, so as scary as that was – because I haven’t been on stage in seven years – there’s something exhilarating about the challenge of it all,” said Rihanna, who last toured in 2016. “It’s important for me to do this this year. It’s important for representation. It’s important for my son to see that.”

    The pregnancy didn’t appear to slow Rihanna down during the performance break from the Kansas City Chiefs and Philadelphia Eagles showdown. She danced and belted out some of her best-known hits, surrounded by a crew of dancers dressed in white. She opened the show with “B**ch Better Have My Money,” before moving on to other entries on her long list of chart toppers, including, “We Found Love,” “Rude Boy,” “Work,” “Only Girl (In the World)” and “Umbrella.”

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  • Opinion: Women don’t have to die from cervical cancer | CNN

    Opinion: Women don’t have to die from cervical cancer | CNN

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    Editor’s Note: Dr. Eloise Chapman-Davis is director of gynecologic oncology at NewYork-Presbyterian/Weill Cornell Medical Center and Weill Cornell Medicine. Dr. Denise Howard is chief of obstetrics and gynecology at NewYork-Presbyterian Brooklyn Methodist Hospital and a vice chair of obstetrics and gynecology at Weill Cornell Medicine. The views expressed in this commentary are their own. Read more opinion on CNN.



    CNN
     — 

    As doctors who specialize in women’s reproductive health, we are on the front lines of a preventable crisis. Imagine treating a woman with advanced cancer who has a five-year survival rate of 17%, knowing that she should have never developed the deadly disease in the first place.

    This is what we are facing with cervical cancer. Yet we have the clinical tools not only to lower but also eliminate nearly all the roughly 14,000 new cases and 4,300 deaths from cervical cancer each year.

    Denise Howard

    We have effective screenings: the traditional Pap smear and the HPV test. If these screening tests are abnormal, additional tests can determine who needs further treatment to prevent the development of cancer. Importantly, we have the HPV vaccine, which protects against high-risk human papillomavirus (HPV) types that cause the majority of cervical cancer cases and is nearly 100% effective, according to the National Cancer Institute.

    A report published earlier this month shows the vaccine’s tremendous impact. The US saw a 65% drop in cervical cancer rates from 2012 through 2019 among women ages 20-24, the first to have received the vaccine. The vaccine, combined with screening, could wipe out cervical cancer and make it a disease of the past.

    But the percentage of women overdue for their cervical cancer screening is growing, and, alarmingly, late-stage cases are on the rise.

    We have had the heartbreaking experience of seeing mothers in the prime of life die from this avoidable disease, leaving small children behind — even women who had an abnormal screening but never received follow-up care. It’s devastating to see an otherwise healthy person slowly die from a preventable cancer.

    Simply put, cervical cancer should never occur. This Cervical Cancer Awareness Month, we should commit to making that a reality. Here is what needs to happen.

    Eliminating cervical cancer requires commitment at multiple levels, from public awareness campaigns with culturally appropriate messaging that broadcasts the power of the vaccine and screenings to prevent cancer to resources that ensure all women have easy access to routine health exams.

    Timely screening reminders and systems to prioritize follow-up care are essential. Too many women with abnormal screenings don’t receive their results, reminders or follow-up instructions they understand and, therefore don’t receive the proper treatment. Barriers also include logistical challenges like transportation and language issues. Studies suggest that 13% to 40% of cervical cancer diagnoses result from lack of follow-up among women with an abnormal screening test.

    Gynecology and primary care practices should be vigilant about reaching and monitoring patients with suspicious test findings. Large health systems can leverage the power of the electronic health record to track abnormal tests and ensure these women receive the proper follow-up.

    Pediatricians should encourage parents of children 9 and older to get the HPV vaccine and stress its safety. About 60% of teenagers are up to date on their HPV vaccines, according to the US Centers for Disease Control and Prevention. Physicians not recommending the vaccine and parents’ rising concerns about its safety, despite more than 15 years of evidence that it is safe and effective, have been cited as top reasons why more children aren’t receiving this lifesaving vaccine.

    College campuses should do large-scale, catch-up vaccination outreach. These students are at high risk for contracting HPV, yet only half report having received the full HPV vaccine series. This service should be provided at no cost to students.

    Stark racial disparities also must be addressed. As Black women physicians, we are frustrated that Black women continue to be more likely to die from the disease than any other race, according to the American Cancer Society. The system failures contributing to this tragedy range from Black women receiving less aggressive treatment to barriers around access to affordable routine health care and the high-quality, specialized treatment needed to treat cancer. Everyone deserves access to quality care.

    Older patients should be told that approval of the HPV vaccine has been extended up to age 45 and to discuss with their doctor whether it’s right for them. Insurance providers should cover the cost of the vaccine for these older ages.

    Women should see a gynecologist on a regular basis well into their older years. We see patients with cervical cancer in their 60s and 70s who haven’t been screened in 20 years. Many people stop seeing a gynecologist after childbearing or menopause, but this shouldn’t be the case. Getting quality gynecological exams throughout a woman’s life is critical to preserving it.

    We also need to empower women to be their own advocates through health education. Women should receive their screening result with an explanation of what it means and any next steps clearly delineated. No news after a screening is not good news. In an ideal world, women would see their HPV status as essential information with the power to save their lives.

    Education makes a difference. At NewYork-Presbyterian and Weill Cornell Medicine, we produced a series of easy-to-understand, publicly available videos on cervical cancer and the HPV vaccine. We showed several of the vaccine videos to more than 100 parents in one of our pediatric practices that serves mostly low-income families as part of a pilot study. Their knowledge scores on a questionnaire about the vaccine and HPV that they completed before and after watching the videos increased nearly 80%, and roughly 40% of the unvaccinated children received the HPV vaccine within one month. We aim to expand this effort.

    We have the tools to prevent cervical cancer but fail to use them effectively. It’s unacceptable, and we can no longer ignore the problem. It’s time for a full-scale offensive focused on all fronts to make cervical cancer a disease of the past.

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  • Alabama attorney general says people who take abortion pills could be prosecuted | CNN Politics

    Alabama attorney general says people who take abortion pills could be prosecuted | CNN Politics

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    CNN
     — 

    Alabama’s Republican attorney general said this week that women in the state who use prescription medication to terminate their pregnancies could be prosecuted under a chemical-endangerment law, even though Alabama’s anti-abortion law does not intend to punish women who receive abortions.

    Steve Marshall made the comments in the wake of a decision earlier this month by the US Food and Drug Administration to allow certified pharmacies to dispense the abortion medication mifepristone to people who have a prescription.

    “The Human Life Protection Act targets abortion providers, exempting women ‘upon whom an abortion is performed or attempted to be performed’ from liability under the law,” Marshall said in a statement to AL.com on Tuesday. “It does not provide an across-the-board exemption from all criminal laws, including the chemical-endangerment law—which the Alabama Supreme Court has affirmed and reaffirmed protects unborn children.”

    The chemical endangerment law was passed in 2006 amid high drug usage in Alabama with aims of protecting children from chemicals in the home, but district attorneys have successfully applied the law to protect fetuses of women who used drugs during pregnancy.

    It’s unclear if there are any pending cases against women in Alabama in the wake of the FDA’s announcement. CNN has reached out to Marshall’s office for comment.

    At least one Democrat, Alabama state Rep. Chris England, argued on Twitter that the chemical endangerment law is “extremely clear” and under it, a woman could not be prosecuted for taking a lawfully prescribed medication.

    “Any prosecutor that tries this, or threatens it, is intentionally ignoring the law,” England wrote on Thursday morning.

    Emma Roth, an attorney with Pregnancy Justice, a nonprofit that provides legal representation for women charged with crimes related to pregnancy, said on Twitter that the effect of Marshall’s comments will be to create “a culture of fear among pregnant women.”

    The comments are “extremely concerning and clearly unlawful,” Roth elaborated in a statement to CNN. “The Alabama legislature made clear its opposition to any such prosecution when it explicitly exempted patients from criminal liability under its abortion ban.”

    The chemical endangerment law says it does not require reporting controlled substances that are prescription medications “if the responsible person was the mother of the unborn child, and she was, or there is a good faith belief that she was, taking that medication pursuant to a lawful prescription.”

    Mifepristone can be used along with another medication, misoprostol, to end a pregnancy. Previously, these pills could be ordered, prescribed and dispensed only by a certified health care provider. During the Covid-19 pandemic, the FDA allowed the pills to be sent through the mail and said it would no longer enforce a rule requiring people to get the first of the two drugs in person at a clinic or hospital.

    Marshall’s comments underscore the legal uncertainty wrought by the Supreme Court’s decision last year to end the federal right to an abortion. In the wake of the Dobbs decision, several Republican-led states passed strict anti-abortion laws, while several others, including Alabama, that had passed so-called trigger laws anticipating an eventual overturn of Roe v. Wade, saw their new restrictions go into effect.

    While the anti-abortion movement seeks to prevent abortions from taking place, it has often opposed criminalizing the women who undergo the procedure.

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  • NICU mom stays by her son’s side after his nurses leave to strike | CNN Business

    NICU mom stays by her son’s side after his nurses leave to strike | CNN Business

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    New York
    CNN
     — 

    Lora Ribas hasn’t left her son’s bedside in four days.

    Her one-year-old baby, Logan, has been in the neonatal intensive care unit (NICU) since he was born. For the past three and a half months, he’s been under the care of Mount Sinai Hospital where thousands of nurses are currently striking.

    Logan was born prematurely at 27 weeks and is on a ventilator because his lungs were underdeveloped.

    Mount Sinai’s NICU has been consistently understaffed even before the strike, Ribas said. But since Mount Sinai’s nurses began picketing Monday, new travel nurses have replaced Logan’s primary care nurses – nurses who don’t fully understand her son’s needs, she said.

    Ribas said she’s too scared to leave her son alone under the care of the new travel nurses. She took a leave from work to stay by his side.

    “It’s scary to think that I can’t even go to the bathroom without me being concerned,” Ribas told CNN.

    Although the travel nurses are trying to compensate, they “don’t really know my son” and are still learning where supplies are around the unit, Ribas said.

    They aren’t able to give him one-on-one care because of the staffing shortages, according to the mom, and she said the staffing levels are even lower at night.

    Two nurses currently working inside Mount Sinai Hospital told CNN Monday that additional traveling nurses have not shown up as expected on their floors to replace nurses that are striking, causing stress for patients and staff.

    Mount Sinai Health System did not immediately respond to CNN’s request for comment.

    In preparation for the strike, Mount Sinai announced Friday it would transport newborns in its intensive care unit to other area hospitals. But the most critical babies – like Logan – have stayed in the hospital’s NICU unit. One NICU nurse at Mount Sinai who spoke to CNN on condition of anonymity, said moving a NICU baby to another hospital can be a risky move.

    “It’s a big journey for a baby who’s never been outside the hospital,” she told CNN. “It’s not anything that we want to happen. We want our babies to stay.”

    The more critical the baby’s condition is, the more complicated a transfer to another hospital becomes, the nurse explained.

    “You would need at least a doctor or nurse practitioner, a respiratory therapist if the patient is on respiratory support and a transport nurse to work the pumps and administer medicine if needed,” she said.

    Ribas said her son’s primary nurses who are striking right now are heartbroken they had to leave him and have been calling her to check on his status.

    “He has really wonderful primary nurses,” she said. “They were in tears having to leave him because my baby suffered cardiac arrest two days before the strike happened, and so now I’m dealing with that plus the shortage of staff. Which is very scary.”

    The nurses strike at two private New York City hospitals – Montefiore and Mount Sinai – involving over 7,000 nurses entered its second day Tuesday. Montefiore said it was holding bargaining sessions Tuesday. Mount Sinai has no plans to do so, according to the nurses’ union.

    The sticking point continues to be enforcing safe staffing levels, New York State Nurses Association (NYSNA) union officials said.

    A pediatric oncology nurse at Mount Sinai who administers chemotherapy to children with cancer said it’s hard to leave her patients to strike, but she knows it’s in the best interest of their care.

    “We love these patients more than anything,” Melissa Perleoni said, “and it breaks our heart – at least it breaks my heart – to be out here but I have to do this for the future of their care.”

    Ribas said she hopes hospital management reaches a contract with the nurses soon.

    “The nurses are the heart of the NICU, and they do need to figure it out before it becomes a different situation – because every single minute, every hour, the babies are running a very, very high risk of even dying in here.”

    “There’s nothing that could bring your kid back. Nothing,” she said.

    – CNN’s Tami Luhby, Vanessa Yurkevich and Mark Morales contributed to this report

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  • Nurses at Mount Sinai Morningside and West reach tentative agreement as more than 7,000 nurses still due to strike | CNN Business

    Nurses at Mount Sinai Morningside and West reach tentative agreement as more than 7,000 nurses still due to strike | CNN Business

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    New York
    CNN
     — 

    Mount Sinai Morningside and West hospital reached a tentative agreement with the state nursing union on a new contract Sunday, avoiding a strike Monday morning, according to a news release from the union.

    Nurses at two other area hospitals, Mount Sinai Hospital and Montefiore Bronx, are still due to strike after not reaching agreements.

    Both hospitals are back at the bargaining table with New York State Nurses Association nurses today – if a tentative agreement is not reached, then approximately 3,625 nurses at Mount Sinai and approximately 3,500 nurses at Montefiore Bronx will strike at 6 a.m. Monday. The union said during a news conference Sunday morning that negotiations could go into the early morning.

    The new tentative agreement at Morningside and West brings the anticipated number of nurses to strike down from 8,700 to about 7,125. The tentative agreement improves staffing, protects benefits and increases salaries over three years.

    That brings seven of the 12 New York hospitals in negotiations to reach tentative agreements or new contracts.

    “The time is now to settle fair contracts that help nurses deliver the care that all New Yorkers deserve. We are fighting to improve patient care and will do whatever it takes to win,” NYSNA President Nancy Hagans said in a statement Sunday.

    New York City’s Mount Sinai Hospital is continuing to move infants out of intensive care units to other area hospitals, is diverting ambulances to other facilities and postponing elective surgeries and heart surgeries ahead of a planned nursing strike Monday.

    In a statement late Saturday, the hospital said it has been negotiating “in good faith” with the nursing union on a new contract. Mount Sinai has agreed to meet with NYSNA nurses after walking out on a bargaining session Thursday, the union said Sunday.

    A Mount Sinai spokesperson told CNN on Saturday the hospital system is actively bargaining with the Mount Sinai Morningside and West campuses under separate union agreements.

    But if agreements aren’t reached at several New York City area hospitals, thousands of nurses will strike on Monday morning.

    The hospital said Sunday its current wage offer “is identical” to ratified agreements at NewYork-Presbyterian and Maimonides – and would increase a Mount Sinai nurse’s base salary by 19.1 percent over three years.

    “But NYSNA’s inconsistent bargaining, unwillingness to accept this offer, and insistence on moving forward with a strike has left us no choice but to take significant actions to care for our patients,” the hospital statement said.

    Seven neonatal intensive care unit infants were safely transferred Saturday to partner hospitals in New York City, a hospital spokesperson told CNN on Sunday. Another six will be transferred Sunday from the NICUs at Mount Sinai Hospital and Mount Sinai West, the spokesperson said.

    “In addition, we have transferred close to 100 patients from the affected hospitals – The Mount Sinai Hospital, Mount Sinai West and Mount Sinai Morningside – to unaffected hospitals within the Mount Sinai system and partner hospitals in NYC and we continue to safely discharge patients who were schedule to go home.” All elective surgeries have been postponed, the spokesperson said.

    The NYSNA hit back Saturday at comments from Mount Sinai, which said Friday it was transferring infants in its neonatal intensive care units to other area hospitals because of the strike notice, adding the hospital was dismayed by the union’s “reckless” actions.

    “As a labor and delivery nurse who helps mothers to bring babies into this world, I find it outrageous that Mount Sinai would compromise care for our NICU babies in any way. We already have NICU nurses caring for twice as many sick babies as they should,” Matt Allen, the union’s regional director, said.

    “It’s unconscionable that Mount Sinai refuses to address unsafe staffing in our NICU and other units of the hospital but is now stirring fears about our NICU babies in contract negotiations,” he added.

    In a statement Saturday, the NYSNA said nurses at BronxCare and The Brooklyn Hospital Center reached tentative agreements that will improve safe staffing levels and enforcement, increase wages by 7%, 6%, and 5% annually during their three-year contract, and retain their healthcare benefits.

    On Saturday, nurses at NewYork-Presbyterian announced they had agreed to ratify their deal, but it was a close vote – 57% nurses voted yes and 43% were against.

    “Voting on whether to ratify a contract is a key component of union democracy. Just like in any democracy, there is rarely 100 percent consensus,” Hagans said in a statement.

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  • Amid negotiation gridlock between Mount Sinai Hospital and the nursing union, newborns in intensive care are caught in the middle, one nurse says | CNN Business

    Amid negotiation gridlock between Mount Sinai Hospital and the nursing union, newborns in intensive care are caught in the middle, one nurse says | CNN Business

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    CNN
     — 

    Crucial union negotiations between Mount Sinai Hospital and the New York State Nurses Association appear to be at a standstill and both parties say the other is refusing to return to the bargaining table.

    As the impasse continues between the hospital and union, the most vulnerable patients – newborns in Mount Sinai’s neonatal intensive care unit – are caught between the opposing sides, causing worry among families, one Mount Sinai nurse, who declined to provide her name out of fear of repercussions, told CNN.

    With thousands of New York nurses poised to strike early Monday morning, one of Manhattan’s famed hospitals announced Friday it would transport newborns in its intensive care unit to other area hospitals in preparation for the strike.

    A Mount Sinai Health System spokesperson confirmed to CNN Friday that neonatal intensive care unit infants would be transferred to other area hospitals because of the strike notice.

    “We are seeking a resolution [to the strike.] The impact is great,” the spokesperson told CNN.

    A NICU nurse at Mount Sinai Hospital told CNN that families of patients in the unit have been deeply concerned about moving their sick infants from one hospital to another. Moving the babies to a different facility can be “very stressful” for a NICU patient, the nurse said, as well as the parents.

    “They’ve asked us all week what’s going to happen to their babies, and what’s going to happen next week,” the nurse said.

    “It’s a big journey for a baby who’s never been outside the hospital,” she told CNN. “It’s not anything that we want to happen. We want our babies to stay. We want to be taking care of them. And it’s kind of shocking, and actually a little infuriating, that the hospital is letting it get to this point.”

    The more critical the baby’s condition is, the more complicated and riskier a transfer to another hospital becomes, the nurse explained.

    “You would need at least a doctor or nurse practitioner, a respiratory therapist if the patient is on respiratory support and a transport nurse to work the pumps and administer medicine if needed,” she said.

    The nurses who care for the sick infants often grow close to the families and develop a trusting relationship with them, especially because some babies spend weeks or even months in the NICU, the nurse told CNN.

    “They’re comfortable leaving their babies with us when they aren’t able to be there,” she said. “We keep in contact with the families after their babies have gone home – so we really do develop a close bond to these families.”

    “We treat our babies in the hospital like they’re our own kids. We’re very protective of them,” she added.

    New York State Nurses Association President Nancy Hagans has said the goal of the negotiations is to improve patient care and staffing, get fair wages and to recruit and retain nurses.

    Negotiations between the health system and the nurse’s union have been ongoing since September, a Mount Sinai Health System spokesperson told CNN Saturday, but low staffing levels have afflicted the NICU unit for years, the nurse told CNN.

    “For over three years now, we’ve been understaffed,” she said.

    The number of patients in the unit surges and falls regularly, according to the nurse, but as patient levels rise, staffing levels stay the same. The unit can surge to 64 patients, she said.

    “You feel like you’re not actually giving your all to your patients,” she said. “You’re really pulled very thin.”

    Paying close attention to infant patients is especially important, according to the nurse, because unlike other patients – even small children – they can’t verbalize pain or discomfort.

    “You really have to be on top of their vital signs and general assessment. And when you’re not able to spend as much time as you need to with them, some things do get missed,” she said. “And it’s very unfortunate.”

    CNN has reached out to the hospital regarding the nurse’s comments on low staffing.

    More than 8,700 nurses are prepared to strike Monday morning if tentative contract agreements are not reached at several hospitals, Hagans, the union president, said at a virtual news conference Saturday morning.

    As of Saturday, negotiations across New York’s hospitals were continuing at Montefiore Bronx and the Mount Sinai Morningside and West campuses, according to the nurse’s union.

    But the president of the nurse’s union told reporters Saturday the main Mount Sinai Hospital complex left the bargaining table late Thursday and no further bargaining sessions have been scheduled since.

    A Mount Sinai Health System spokesperson told CNN that hospital management is “waiting for the union to come back to us” to resume negotiations.

    The hospital said it put forth a deal at Thursday evening’s bargaining session was the same one the union agreed to for nurses at the NewYork-Presbyterian Hospital. Tentative agreements have also been reached with union nurses at Maimonides Medical Center in Brooklyn and Richmond University Medical Center in Staten Island.

    Mount Sinai also said it has offered a 19.1% compounded pay raise over three years, which is the same offer other hospital systems in the city have made.

    The NICU nurse at Mount Sinai said that nurses in her unit don’t want to strike and are hoping that they can come to an agreement with the hospital before Sunday night.

    “It truly breaks our heart having to strike and leave our patients, but unfortunately you have to do some drastic things sometimes,” she told CNN.

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  • NYC nursing union says 8,700 nurses prepared to strike Monday if tentative contract agreements not reached at remaining hospital | CNN Business

    NYC nursing union says 8,700 nurses prepared to strike Monday if tentative contract agreements not reached at remaining hospital | CNN Business

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    New York
    CNN
     — 

    More than 8,700 nurses are prepared to go on strike Monday at 6 am ET if tentative contract agreements are not reached at several New York City hospitals, New York State Nurses Association (NYSNA) President Nancy Hagans said at a virtual press conference Saturday morning.

    That’s a drop from the original estimate of 9,500, after tentative agreements were reached late Friday and Saturday morning with other facilities.

    In a statement Saturday, the NYSNA said nurses at BronxCare and The Brooklyn Hospital Center reached tentative agreements that will improve safe staffing levels and enforcement, increase wages by 7%, 6%, and 5% annually during their three-year contract, and retain their healthcare benefits.

    Negotiations are continuing at Montefiore Bronx and the Mount Sinai Morningside and West campuses ahead of Monday’s planned strike, Hagans said. The union president told reporters Saturday that the main Mount Sinai Hospital complex left the bargaining table late Thursday and has not reached out to the union to schedule any further bargaining sessions since.

    A Mount Sinai spokesperson told CNN the hospital system is actively bargaining with the Mount Sinai Morningside and West campuses under separate union agreements. The spokesperson added that management is “waiting for the union to come back to us” and resume negotiations for nurses at the main Mount Sinai hospital facility.

    On Saturday, nurses at NewYork-Presbyterian announced that they agreed to ratify their agreement, but it was a close vote – 57% nurses voted yes and 43% were against.

    “Voting on whether to ratify a contract is a key component of union democracy. Just like in any democracy, there is rarely 100 percent consensus,” Hagans said in a statement.

    To date, nurses at five New York City hospitals who were slated to strike on Monday have now reached tentative agreements or contracts.

    The NYSNA also hit back Saturday at comments from Mount Sinai, which said Friday it was transferring infants in its Neonatal Intensive Care units to other area hospitals because of over the strike notice, saying that the hospital was “dismayed by NYSNA’s reckless actions.”

    Matt Allen, the union’s regional director, said, “As a labor and delivery nurse who helps mothers to bring babies into this world, I find it outrageous that Mount Sinai would compromise care for our NICU babies in any way. We already have NICU nurses caring for twice as many sick babies as they should.”

    He added, “It’s unconscionable that Mount Sinai refuses to address unsafe staffing in our NICU and other units of the hospital but is now stirring fears about our NICU babies in contract negotiations.”

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  • US military expands leave for new parents in uniform | CNN Politics

    US military expands leave for new parents in uniform | CNN Politics

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    CNN
     — 

    The US military introduced new rights on Wednesday for military parents, doubling the amount of leave time for service members who give birth and providing leave for new parents who don’t give birth, including those who adopt and foster long-term.

    The new policy gives 12 weeks of parental leave to service members who give birth, and 12 weeks of leave for the non-birth parent. Previously, only the birthing parent was authorized six weeks of leave.

    The policy also provides 12 weeks of leave for those who adopt or have a long-term foster care placement. The 12 weeks of leave must be used in the first year of the child’s life, the Defense Department said in a news release. The new policy is effective as of Wednesday, and will retroactively apply to service members who were on maternity convalescent leave or caregiver leave as of December 27.

    “It is important for the development of military families that members be able to care for their newborn, adopted, or placed child or children … Unit commanders must balance the needs of the unit with the needs of the member to maximize opportunity to use parental leave,” Gilbert Cisneros, the undersecretary of defense for personnel and readiness, said in the memo.

    For the parent who gives birth, the new policy says that the 12 weeks of leave will follow a period of convalescence, which can be authorized by a health care provider and will begin on the first full day after the child’s birth.

    Under the policy, the 12 weeks of leave can be taken all together or in increments and says that troops may take normal leave “in between increments of parental leave or consecutively with parental leave.” It also says that parents who are deployed during the one-year leave period can be authorized an extension if they are unable to take their 12 weeks during that first year, and that any parents who place their child for adoption or have their parental rights “terminated by consent or court order” are not eligible for the parental leave.

    Family planning is often one of the most cited frustrations for service members regarding military life. The Government Accountability Office said in a report in 2020 that family planning was one of six main reasons that women cited when asked why they decided to leave the service.

    Female officers in the Air Force specifically told the GAO that they “felt they needed to ensure that pregnancy occurred at certain times in their careers to minimize negative career impacts,” and that there were often missed opportunities because of pregnancies including a loss of flying time or opportunities with professional military education.

    In an attempt to address concerns from parents in uniform, the Army released a series of changes in April last year, which gave guidance on stabilizing soldiers’ permanent change of station or deployments as they undergo fertility treatments and provided convalescent leave to service members whose spouse experiences a miscarriage or stillbirth “for emotional recovery.”

    “As an Army, we recruit soldiers but retain families,” Army Chief of Staff Gen. James McConville said at the time. “Nearly 4,500 active component enlisted men have separated due to parenthood over the last decade. … Across the entire military, 45% of all active duty married women are in dual-military marriages. This directive reaffirms our commitment to support our military families and children from pregnancy to parenthood.”

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  • A pregnant mom crossed the Rio Grande decades ago to give her unborn child a better life. Now her daughter is becoming a member of Congress | CNN Politics

    A pregnant mom crossed the Rio Grande decades ago to give her unborn child a better life. Now her daughter is becoming a member of Congress | CNN Politics

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    Washington
    CNN
     — 

    Delia Ramirez walks toward the microphone determined to make her message heard.

    “It is time – it is past time that we deliver on the promise that we have made to our Dreamers,” she says.

    On a crisp morning in early December, Ramirez is standing steps away from the US Capitol, with its white dome gleaming against the blue sky behind her. This is a rallying cry we’ve heard here time and again – but Ramirez hopes when she says it, the words will carry even more weight. This isn’t merely a talking point from her campaign platform.

    “This,” the Illinois lawmaker says, “is very personal for me.”

    It’s personal because if Congress doesn’t act, Ramirez’s husband could be among hundreds of thousands of people facing possible deportation. And it’s personal because Ramirez herself is about to become a member of Congress.

    She’s called this news conference, flanked by several of her fellow incoming freshmen lawmakers and Congressional Progressive Caucus Chair Pramila Jayapal, a Washington state Democrat, to push for members of Congress to pass several key pieces of legislation while Democrats still control the US House. Among them: the DREAM Act, which would give a possible pathway to citizenship to some 2 million undocumented immigrants who were brought to the United States as children.

    “I am the wife of a DACA recipient. I am the daughter of Guatemalan working immigrants. I know firsthand the challenges and constant fear our families live every single day,” Ramirez tells reporters. “We have to end this.”

    That’s far easier said than done, as decades of debate over immigration reform on Capitol Hill clearly show.

    But Ramirez says no matter how many obstacles pop up in her path, she’ll keep pushing.

    As constant and controversial as conversations around immigration in Washington have become, many lawmakers weighing in don’t have direct personal connections to the issues they’re debating.

    Ramirez, 39, has lived them her entire life.

    Her mom was pregnant with her when she crossed the Rio Grande – a detail Ramirez made a point to include in a candidate bio on her campaign website, which notes that her mom went on to work “multiple low-wage jobs to give her children a fighting chance to escape poverty.”

    Ramirez says over the years some of her political opponents have tried to use details like this from her background against her, accusing her of being in favor of open borders and speaking dismissively about her family during debates. But Ramirez sees her family’s story as a strength that’s helped her connect with voters and better understand the issues that matter to her constituents.

    “I didn’t have to shy away from the fact that I’m working class and my husband’s a DACA recipient, that I’m worried about how I’m going to pay for housing. That is the reality of so many people,” she says. “And I want men and women, young and old, to see me and think, ‘That was my m’hija, That was my daughter.’ Or…’I’m an intern somewhere and I don’t feel seen. But if she could do it, so can I.’”

    Ramirez says the story of her mom’s journey from Guatemala to the United States infused her childhood in Chicago, where Ramirez was born.

    According to the story Ramirez grew up hearing, when her mom crossed the Rio Grande, strong currents nearly swept her away. She’d hidden her pregnancy from others on the journey, but in that moment she called out in desperation, “Help! Help! Save me! Save my daughter!” A man did, Ramirez says, but after that day, her mom never saw him again.

    As she struggled with depression as a teenager, Ramirez says her mom would frequently invoke this part of her past, saying, “I nearly died so that you could be born. Now I have to fight to keep you alive.”

    That struggling teen, Ramirez says, would never have imagined that she’d run a homeless shelter and other successful nonprofits, go on to become a state lawmaker and one day be on the cusp of entering US Congress.

    “But that is the journey, right?” Ramirez says. “Maybe not the Congress part as often as it should be, but the journey of so many people and so many children of immigrants who contribute and do so much for this country.”

    How does her family’s journey shape her view of what’s unfolding now at the border?

    “I am clear that anyone willing to risk dying, starving or even being raped in the long journey through desert, cold and tunnels is crossing because they feel like there is no other solution to their situation. Their migration is the only way they see themselves and loved ones surviving deep poverty and, in some cases, persecution,” Ramirez says.

    “My mother wouldn’t have risked my life or hers had it not been the only option she saw for her unborn child to have a chance at a life and childhood better than hers.”

    As Ramirez shares these and other details from her past with CNN in the Longworth House Office Building one evening in early December, an aide steps in with her phone in hand.

    “It’s time,” he tells her.

    Ramirez is still an Illinois state legislator for a few more weeks, and she needs to vote on a measure that might not pass if she doesn’t.

    She holds the phone in one hand and looks into the camera.

    “Representative Ramirez votes yes,” she says, then hands the phone back to her aide.

    “Done,” she says with a triumphant smile.

    It’s the latest in numerous bills Ramirez has helped pass since her 2018 election to the Illinois General Assembly.

    In that way alone, she knows it will be an adjustment to work as a lawmaker in Washington, where partisan fights often get in the way of passing laws.

    She still remembers the first state bill she sponsored that passed in March 2019 – a measure to expand homelessness prevention programming, a top concern for Ramirez, who previously directed a homeless shelter.

    “It was a very emotional moment,” she says. And the first thing she did after the bill passed, she says, was call her mom and share the news.

    Ramirez in a portrait from her campaign website.

    “I said, ‘Mom, in three months I was able to do more (to prevent homelessness) than I had done in almost 15 years,’” Ramirez recalls.

    Her mom responded that she was proud but reminded Ramirez that her work wasn’t finished.

    “Go hang up, and do more,” she said, according to Ramirez. “And don’t forget where you come from.”

    It’s with that mantra in mind, and with memories of growing up as the daughter of immigrants who worked multiple jobs to support their family in Chicago, that Ramirez is heading to Washington.

    Both her parents are US citizens now, but Ramirez says they’re still struggling to make ends meet.

    “I am the daughter of a woman who at 61 has given so much to this country and is a minimum-wage worker that can’t afford health care, so she’s on Medicaid, and diabetic,” Ramirez says. “I am the daughter of a man who spent 30 years working in an industrial bakery, a union busting company, and the day he retired, he got a frozen pie. He didn’t get a retirement pension and he struggled with Medicare supplemental, covering the cost.”

    Ramirez’s newly redrawn Illinois congressional district is nearly 50% Latino and heavily Democratic, spanning from Chicago’s Northwest side into the suburbs, according to CNN affiliate WLS. She won more than 66% of the vote in the general election, defeating Republican mortgage company executive Justin Burau.

    After Ramirez’s election, her background landed her on many lists of firsts. She will be the first Latina elected to Congress from the Midwest.

    She’s also helped set another record as part of the largest number of Latinos ever in the House of Representatives.

    There’s another notable detail about her background that Ramirez has pointed to regularly in interviews since her election: She has a “mixed-status family.”

    More than 22 million people in the United States live in mixed-status families, according to immigrant advocacy group fwd.us, meaning at least one family member is an undocumented immigrant and others are US citizens, green card holders or other lawful temporary immigrants. But it’s rare to hear a member of Congress use the term to describe themselves.

    Because of her family’s experience, Ramirez knows many of the people who supported her candidacy see her as a voice who will speak out for them, and for so many immigrants who are in the shadows and rarely heard.

    Ramirez married Boris Hernandez in October 2020. They met earlier that year in what she describes as “one of those pandemic loves.”

    Delia Ramirez, left, with her husband, Boris Hernandez, center, and Ramirez's mother.

    She’s best friends with his cousin. Hernandez is originally from the same town in Guatemala as her parents. He came to the United States when he was 14. And for years, like hundreds of thousands of other people, he’s relied on the Obama-era program known as DACA, short for Deferred Action for Childhood Arrivals, which granted certain young undocumented immigrants who were brought to the United States as children work permits and protection from deportation.

    On her campaign website and social media feeds, Ramirez has shared photos of Hernandez. And she’s invoked her husband’s story in recent speeches and conversations with constituents.

    Hernandez often stood by her side at campaign events. He occasionally took photos, too (he’s a photographer, in addition to also having worked in nonprofits and early childhood development). He accompanied Ramirez as she voted on Election Day, even though he couldn’t cast a ballot.

    Ramirez acknowledges that she’s privileged compared to many loved ones of DACA recipients. She’s a US citizen, and because of that, Hernandez has a pathway to citizenship no matter what Congress decides. But still, she says, they could end up in a precarious position.

    If a federal judge’s ruling ends DACA – something many immigrant rights advocates warn is likely to happen in the next year – and her husband’s paperwork to adjust his immigration status is pending, Ramirez knows she could have a lot more to worry about in addition to her busy schedule as a first-term congresswoman.

    “I’m going to be fighting to keep my husband here,” she says, “and I’m a member of Congress. …. What happens to the other 2 million (undocumented immigrants that the DREAM Act would protect)? What happens to his brother? What happens to my best friend from high school? What happens to all of them who have no pathway, who don’t have a citizen husband or wife or partner?”

    Ramirez says that question keeps her up at night.

    Standing beside Ramirez outside the Capitol on that morning in December, Congressman-elect Robert Garcia of California praises her for bringing the group of freshmen lawmakers together even before they’ve taken office.

    “She’s been leading on issues of immigration, on DACA for Dreamers, to ensure that our country’s taking care of those who really need our help,” Garcia says.

    Helping Dreamers isn’t the only topic on the agenda during this December news conference; Ramirez and the others are also pushing for extensions to the child tax credit and the earned income tax credit, and more funding for early childhood education programs.

    In her interview with CNN, Ramirez said her plans to fight for policies that help immigrants extend beyond immigration reform. One key issue she wants to work on while in office: housing, an area that she says is critically important to immigrant families and working-class families in general.

    Ramirez ascends a staircase at the US Capitol on November 18, 2022.

    The progressive policies she champions, she says, would benefit immigrants and US citizens alike. “It’s an ‘and,’” she says, “not an ‘or.’”

    Ramirez’s voice cracks with emotion as the news conference ends and she makes her closing argument.

    “It is time to deliver for our Dreamers,” she says. “It is time for Boris Hernandez to finally have a pathway to citizenship.”

    Ramirez says she feels overwhelmed by gratitude that her constituents have given her this chance to represent them, and a strong sense of urgency to deliver the results she knows so many people desperately need.

    Weeks later, the 117th Congress adjourned without taking most of the steps Ramirez and her fellow incoming freshmen had been pushing for.

    And with the balance of power shifting, she knows the battles to come will be even tougher. But for Ramirez, the words she proudly proclaimed in that first news conference outside the Capitol still hold true. She and other new members of the House Progressive Caucus have only just begun to make their voices heard.

    “We’re rooted,” she says, “and we are ready to help with this fight. … Let’s get to work.”

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  • As Buffalo officers fan out to perform welfare checks, harrowing accounts emerge of those who died in the storm | CNN

    As Buffalo officers fan out to perform welfare checks, harrowing accounts emerge of those who died in the storm | CNN

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    CNN
     — 

    As police in Buffalo, New York, sifted through 911 and welfare check calls dating back to the earlier days of the deadly winter storm, harrowing accounts of those lost in the storm have emerged.

    Among the victims was Monique Alexander, a 52-year-old mother who died in the Buffalo storm, her daughter Casey Maccarone said. Alexander had rushed out of the house as conditions were worsening, saying she would be right back, Maccarone said.

    Two hours later, when she had not returned, her daughter said she posted on a Buffalo blizzard Facebook group asking if anyone had seen her mom. Just minutes later, a stranger messaged her and asked to call her, Maccarone said.

    “He just instantly broke down crying,” Maccarone said. “He was stranded as well and he was walking down the street and he saw her in the snow. So he picked her up and he placed her under the awning … so that she wouldn’t get snowed on anymore.”

    “Her grand kids were waiting for her to come home. We were waiting for her to come home,” Maccarone said.

    The death toll in Erie County, New York, climbed to 37 by Tuesday evening as first responders went door-to-door and car-to-car checking on people they couldn’t reach days ago, when a blizzard swept through the area, trapping residents and snarling emergency response during the holiday weekend.

    It took until Wednesday evening for Buffalo Police to announce they were done following up on the unanswered 911 and welfare check calls – which at some point reached 1,100 calls, Buffalo Police Commissioner Joseph A. Gramaglia said.

    Some officers checking on residents arrived to find that, in some cases, they were too late.

    “It’s a grueling, gruesome task that they had to do,” Gramaglia said. “They recovered a substantial amount of bodies and it’s terrible.”

    Some people have been found dead in cars, on streets or in snowbanks, Buffalo Mayor Byron Brown said.

    Among the storm’s victims is Anndel Taylor, 22, whose family said she was found dead in Buffalo over the holiday weekend after getting trapped in her car by the blizzard.

    After losing contact with her, her family also posted her location to a private Facebook page related to the storm to ask for help, and a man called to say he had found her without a pulse, her sister said.

    Also among the fatalities was 46-year-old Melissa Morrison, a Buffalo mother of two whose body was found in the snow near a Tim Horton’s, her mother Linda Addeo told CNN.

    Addeo had worried about her daughter after her son came across social media posts on Friday about a body that was found near the coffee shop that Morrison lived by, she said.

    On Tuesday, the coroner’s office informed the family that the same body was positively identified as that of Morrison, Addeo said.

    Another storm-related death involved a 26-year-old man, Abdul Sharifu, who left to get provisions for a family who asked for his help on Saturday morning, his cousin Ally Sharifu told CNN.

    His wife – who is pregnant and days away from giving birth – woke up that evening to find him gone. After sharing a photo of the missing man on Facebook in a desperate attempt to find him, the family got a call about a man who was found lying on the street and rushed to a children’s hospital, Ally Sharifu said.

    Ally Sharifu said he ended up identifying his cousin’s body at a hospital the next morning. Abdul Sharifu and his cousin are refugees from Congo who were resettled in the US in 2017 after they lived for about five years in a refugee camp in Burundi, Ally Sharifu said.

    “The stories are heartbreaking, just heartbreaking,” Erie County Executive Mark Poloncarz said.

    The police commissioner said he expects that rising temperatures in the coming days will melt the snow and uncover more storm victims. Officers will be out on Thursday searching in areas where bodies were reported but never found, Gramaglia said.

    The winter storm’s grim effects have been widespread, with reports of fatalities stretching beyond New York and across 11 other US states. There have in total been least 62 storm-related deaths reported nationwide, and they mainly involved weather-related traffic accidents or fatalities related to the cold.

    Ohio confirmed 9 weather-related deaths, Colorado recorded 2 deaths, Kansas and Kentucky confirmed 3 deaths each, South Carolina confirmed 2 deaths, and Missouri, New Hampshire, Tennessee, Vermont and Wisconsin each recorded one storm-related death.

    Sha'Kyra Aughtry helps a man she found stranded in the snow in Buffalo

    As emergency services were restored in Buffalo, the New York National Guard said they made at least 86 rescues, including getting a woman to the hospital just before she gave birth.

    Police were also back out, making ten arrests in Buffalo as of Wednesday in connection with suspected winter storm looting, the police commissioner said in a Wednesday news conference.

    But, Mayor Brown stressed, “This is a minority of individuals.”

    “In typical ‘city of good neighbors’ fashion, people have come together – they’ve assisted each other. Neighbors have helped neighbors. Friends have helped friends, and members of this community have helped people that they have never met before,” the mayor said Wednesday.

    One Buffalo woman, Sha’Kyra Aughtry, said she looked out her window on Christmas Eve to find a frostbitten man calling for help in the frigid cold.

    Her boyfriend carried the man, 64-year-old Joe White, into the house, and she used a blow dryer to melt the ice off his red and blistered hands, Aughtry said.

    After she called 911 and no one came to help, Aughtry said, she took to Facebook to plead for assistance and ended up getting White to the hospital with help from good Samaritans who came and snowplowed them out, she said.

    Social media also proved useful when a woman went into labor two days before Christmas.

    When Erica Thomas began having contractions, the snow from the winter storm had piled up about halfway up the front door of her Buffalo home and she and her husband, Davon Thomas, couldn’t get out.

    The soon-to-be father called 911 for help and was told they’d attempt to get an emergency vehicle there as soon as possible. He was later told responders had attempted to get to their house but couldn’t.

    Davon Thomas called a friend who made a post for the couple on a Buffalo Facebook group, asking for help and the couple ended up getting in touch with Raymonda Reynolds, an experienced doula of five years.

    Reynolds and her friend, doula and nurse Iva Blackburn, got on a video call with the couple and guided them through delivering the baby and cutting the umbilical cord.

    “We started screaming like it was a Buffalo Bills touchdown,” Reynolds said, describing the moment the baby girl was born. “It was the most beautiful thing I’ve been a part of.”

    In another act of kindness, a Buffalo barbershop owner, Craig Elston, ended up opening his store for people to seek refuge from the storm. “A lot of people slept in the barber chairs a lot of people put the chairs together,” Elston said.

    “I was just thinking about just keeping people warm. It was really that simple,” he said.

    Vehicles drive down Jefferson Avenue in Buffalo on Wednesday, December 28, 2022.

    After six days of restrictions on traveling while road conditions were unsafe, Buffalo is lifting its winter storm driving ban at midnight Thursday and replacing it with a travel advisory, Poloncarz announced.

    The driving ban had been in place in Buffalo since Friday morning.

    “We still have a ways to go but we have come a long way in just a couple of days. This will allow our residents to get back to work – allow them to get to supermarkets, pharmacies, and to get to medical appointments,” Mayor Brown said.

    Poloncarz was asked Wednesday about the timing of the driving ban, and whether there had been discussion among officials about issuing it earlier.

    Officials started discussing a potential ban Thursday, Poloncarz said, but they initially believed the snow band wouldn’t reach the Erie County until 10 a.m. the next morning.

    On Friday morning, temperatures “dropped dramatically,” but whiteout conditions didn’t hit until about 10 a.m., he noted, after the ban was issued.

    “If anyone is to be blamed, you can blame me. I’m the one who has to make the final call on behalf of the county,” Poloncarz said.

    Poloncarz also criticized how Buffalo’s mayor has handled storm cleanup efforts, saying Brown has not been on daily coordination calls with other municipalities and that the city has been slow to reopen.

    When asked about those remarks, the mayor told CNN, “I’m not concerned about those comments, my concern is for the residents of the city of Buffalo.”

    Hundreds of pieces of equipment were plowing and hauling snow on Wednesday, and most streets were passable in Buffalo by the evening, Brown announced in a Wednesday evening update.

    As temperatures warm up, there have been concerns about a possible “rapid melt” leading to flooding, Erie County officials said.

    The Department of Homeland Security and Emergency Services Commissioner Daniel J. Neaverth, Jr. said they feel “very comfortable” in their positioning to be able to handle potential flooding.

    “We have an ample supply ready to go ready to be deployed with personnel in the event that we have some type of flooding,” Neaverth said.

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  • Prince Harry says William ‘screamed’ at him over royal split with Meghan, in final episodes of Netflix documentary | CNN

    Prince Harry says William ‘screamed’ at him over royal split with Meghan, in final episodes of Netflix documentary | CNN

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    CNN
     — 

    Prince Harry said it was “terrifying” to have his brother, Prince William, scream at him during his bitter split from the royal family, in the final installments of the Duke and Duchess of Sussex’s controversial Netflix documentary that were released Thursday.

    The fourth, fifth and sixth episodes of “Harry & Meghan” cover the pair’s challenges since their 2018 wedding, Meghan’s deteriorating mental health and her 2020 miscarriage, and ultimately their decision to quit as working members of the family.

    Harry said he initially asked for a “half in, half out” arrangement, where Harry and Meghan would have their own jobs but still work in support of the Queen, during a crunch family meeting. “But it became very clear very quickly that that goal was not up for discussion or debate,” Harry said.

    “It was terrifying to have my brother scream and shout at me, and my father say things that just simply weren’t true, and my grandmother quietly sit there and take it all in,” he said, recalling the conversations with Prince William, then-Prince Charles, and Queen Elizabeth II.

    “But you have to understand that from the family’s perspectives, especially from hers, there are ways of doing things. And her ultimate mission and goal, responsibility, is the institution … she’s going to go on the advice that she’s given,” Harry said.

    The pair describe throughout the new episodes how, in their view, their position within the royal family became untenable after constant hounding from Britain’s media and repeated disregard for the couple’s wellbeing inside palace walls.

    Buckingham Palace reiterated it will not comment on the documentary on Thursday. Royal engagements are meanwhile continuing, with King Charles and Camilla, the Queen Consort, set to visit a community kitchen in London and attend a carol service with the Prince and Princess of Wales and other members of the family.

    Harry hinted that there was jealousy from other royals towards Meghan given the amount of media attention she was initially receiving. “The issue is when someone who is marrying in, who should be a supporting act, is then stealing the limelight or is doing the job better than the person who is born to do this,” he said.

    “That upsets people. It upsets the balance. Because you have been led to believe that the only way that your charities can succeed and your mission can grow is if you are on the front pages of those newspapers.”

    The series also touches on Meghan’s deteriorating mental health and her miscarriage in July 2020. “I was pregnant. I really wasn’t sleeping. The first morning that we woke up in our new home is when I miscarried,” Meghan said.

    She described experiencing suicidal ideation, telling the filmmakers she believed “all of this will stop if I’m not here. And that was the scariest thing about it, it was such clear thinking.”

    “The lies, that’s one thing. You kind of get used to that when you live within this family,” Harry added. “But what they were doing to her, and the effect it was having on her… enough. Enough of the pain, enough of the suffering.”

    “I just did everything I could to make them proud, and to really be a part of the family,” Meghan said in the fifth episode, speaking of her relationship with the other royals. “And then the bubble burst.”

    “I realized that I wasn’t just being thrown to the wolves, I was being fed to the wolves,” she said.

    The highly anticipated Netflix documentary marks the Sussexes’ latest attempt to reclaim the narrative surrounding their departure from royal life.

    It features details on the increasingly tense relationships between Harry and his brother, WIlliam, and his father, King Charles III. And it emphasizes the suggestion that the royals wanted to sideline and isolate the couple, often through the planting of negative media reporting, rather than have them dwarf more senior royals in popularity.

    “My dad said to me: ‘Darling boy, you can’t take on the media. The media will always be the media,” Harry said, describing the palace’s relationship with news outlets as a “dirty game.”

    The culmination of the breakdown between the royal institution and Harry and Meghan, who were once touted by parts of the media as the modernizing force the monarchy needed, was their historic and controversial decision in early 2020 to quit as working royals and leave the UK.

    Harry said he spoke to Queen Elizabeth II and arranged to meet her, with Meghan, before that split was finalized.

    “She knew that we were finding things hard. I’d spoken to her many times about it,” Harry said. But as the meeting approached, Meghan said they received a message from an aide telling them they were not allowed to see the monarch.

    “I’ve actually been told that I’m busy all week,” the Queen then told Harry, according to his recollection. “I was like, wow,” Harry said. “This is when a family and a family business are in direct conflict … really what they’re doing is blocking a grandson from seeing his grandmother,” added Meghan.

    The couple were critical of the Queen’s aides but again were again complimentary of the late monarch herself, who died aged 96 in September, shortly after filming concluded for the series.

    Their documentary, and Harry’s upcoming memoir, focus more attention on the difficult relationship between the prince and his father, King Charles.

    Thursday’s release follows last week’s batch of episodes, in which Prince Harry criticized “unconscious bias” inside the family.

    It remains to be seen whether the venture will enhance the reputation of the couple as they look to sculpt their post-royalty personas.

    Six in 10 Brits believe it was a bad idea for the duke and duchess to release the Netflix documentary, according to a Savanta poll of 2,250 British adults carried out online between December 9 and 11, between the release of the first and second parts of the series.

    The same poll found that Harry and Meghan both have negative approval ratings among the British public – -3 and -19 respectively, when subtracting those with a negative opinion from those with a positive one – unlike the high popularity of Prince William (+60) and Charles III (+36).

    If you or someone you know is struggling with suicidal thoughts or mental health matters, please call the National Suicide Prevention Lifeline at 800-273-8255 to connect with a trained counselor or visit the NSPL site. The International Association for Suicide Prevention and Befrienders Worldwide also provide contact information for crisis centers around the world.

    Sign up for CNN’s Royal News, a weekly dispatch bringing you the inside track on the royal family, what they are up to in public and what’s happening behind palace walls.

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  • North Dakota governor signs law banning nearly all abortions in the state | CNN Politics

    North Dakota governor signs law banning nearly all abortions in the state | CNN Politics

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    Washington
    CNN
     — 

    Republican Gov. Doug Burgum of North Dakota signed a near-total abortion ban bill into law Monday.

    Senate Bill 2150, which passed in the state’s legislature last week, defines abortion as “the act of using, selling, or prescribing any instrument, medicine, drug, or any other substance, device, or means with the intent to terminate the clinically diagnosable pregnancy of a woman.”

    The law is one of the most restrictive abortion bans in the US and only allows exceptions for rape or incest within the first six weeks of pregnancy.

    Exceptions are permitted in the case that the procedure is “deemed necessary based on reasonable medical judgment which was intended to prevent the death or a serious health risk to the pregnant female.”

    Efforts to treat an ectopic or molar pregnancy would also be permissible at any stage of pregnancy under the law.

    Abortion rights activists have furiously objected to similar bans, saying most women do not know they are pregnant at six weeks.

    The bill joins other GOP-led legislation aimed at restricting abortion access that has become law in a post-Roe v. Wade world. Georgia, South Carolina, Florida, Ohio and Texas have also passed six-week abortion bans, sparking legal challenges.

    North Dakota’s new law follows a legal battle over a 2007 trigger law that was blocked by a district judge last year.

    The state’s Supreme Court upheld that ruling in March.

    The trigger abortion ban was set to take effect last August and would have made it a felony to perform an abortion in the state but it did allow exceptions in cases of rape or incest.

    With the trigger ban on pause, North Dakota law had allowed abortion up until 20 weeks or more post-fertilization.

    In a statement to CNN, Burgum said SB 2150 “clarifies and refines existing state law which was triggered into effect by the Dobbs decision and reaffirms North Dakota as a pro-life state.”

    Physicians who violate the new law could be charged with a felony. In addition, an abortion can’t be performed until a woman is offered the opportunity to see an “active ultrasound” at least 24 hours before the scheduled procedure.

    Any physician who fails to comply could face a misdemeanor charge.

    Last week, Burgum signed a bill banning gender-affirming care for most minors with the possibility of a felony for health care professionals who provide it.

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  • First US senator to give birth in office offers heartfelt Mother’s Day message: ‘You’re what keeps this country strong’ | CNN Politics

    First US senator to give birth in office offers heartfelt Mother’s Day message: ‘You’re what keeps this country strong’ | CNN Politics

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    Washington
    CNN
     — 

    Illinois Sen. Tammy Duckworth, the first sitting US senator to give birth while in office, offered a heartfelt Mother’s Day message on Sunday, celebrating moms nationwide for “growing the next generation for our nation.”

    “Hang in there, sister. We’re in this together, and nobody has perfect work-life balance, everybody struggles, and so do the best that you can,” the Democrat told CNN’s Dana Bash on “State of the Union.”

    “You’re what keeps this country strong.”

    Duckworth and her husband, Bryan Bowlsbey, are the parents of two daughters, Abigail and Maile. Abigail was born while Duckworth was serving in the US House as a Chicago-area congresswoman.

    In 2018, after giving birth to Maile, Duckworth became the first US senator to cast a vote on the floor with her newborn by her side.

    Her vote came just one day after the Senate changed long-standing rules to allow newborns on the chamber floor during votes. The rule change, voted through by unanimous consent, was done to accommodate senators with newborn babies and lets them bring children under 1 year old onto the Senate floor and breastfeed them during votes.

    “It feels great,” Duckworth told reporters at the time. “It is about time, huh?”

    The Illinois Democrat on Sunday spoke about Democratic efforts to pass legislation to address rising child care costs.

    “Families spend as much as a quarter to half of their income on child care, and there’s no way for working families to survive under those burdens,” Duckworth said.

    “We keep trying,” she added when asked by Bash about finding bipartisan solutions.

    Duckworth is a retired Army lieutenant colonel who was a helicopter pilot during the Iraq War. She was the first female double amputee from the war after suffering severe combat wounds when her Black Hawk helicopter was shot down.

    Duckworth served in the Obama administration as an assistant secretary of Veterans Affairs. She was first elected to the US House in 2012 and the Senate four years later.

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  • Iowa House passes 6-week abortion ban in special session called by GOP governor | CNN Politics

    Iowa House passes 6-week abortion ban in special session called by GOP governor | CNN Politics

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    CNN
     — 

    Iowa’s state House passed a bill Tuesday night that would ban most abortions in the state as early as six weeks into pregnancy, acting quickly in the special session ordered by GOP Gov. Kim Reynolds with the sole purpose of restricting the procedure in the state.

    The bill now heads to the Senate, where it must earn approval before it can move to Reynold’s desk for her signature.

    Senate File 579 prohibits physicians from providing most abortions after early cardiac activity can be detected in a fetus or embryo, commonly as early as six weeks into pregnancy, before many women know they are pregnant.

    The bill includes exceptions for miscarriages, when the life of the pregnant woman is threatened and fetal abnormalities that would result in the infant’s death. It also includes exceptions for pregnancies resulting from rapes reported within 45 days and incest reported within 140 days.

    The state House voted 56-34 largely along party lines to advance the measure following a roughly 12-hour day that saw the measure move through rounds of consideration and debate. Debate in the state Senate continued late into Tuesday night.

    The bill would immediately take effect with Reynolds’ expected signature.

    However, while the bill language makes clear it is “not to be construed to impose civil or criminal liability on a woman upon whom an abortion is performed in violation of the division,” guidelines on how physicians would be punished for violating the law are left up to Iowa’s board of medicine to decide – leaving the potential for some vagueness in how the law ought to be enforced in the interim.

    “There may or may not ever be rules promulgated,” said Iowa Senate President Amy Sinclair, a Republican, amid several questions from Democrats on the floor. There were no legal penalties for physicians added in the bill, she said.

    “As far as clarity, this is about as clear as mud,” Democratic state Sen. Molly Donahue said on the floor.

    Reynolds last week called for Iowa’s legislature to convene for the special session “with the sole purpose of enacting legislation that addresses abortion and protects unborn lives,” weeks after Iowa’s Supreme Court declined to lift a block on the state’s 2018 six-week abortion ban, deadlocking in a 3-3 vote whether to overturn a lower court decision that deemed the law unconstitutional.

    The new bill and its 2018 predecessor are nearly identical, though the latter was not enacted immediately, granting the board of medicine time to flesh out how it planned to administer the law.

    Democratic backlash to the bill and Reynolds’ special session grew throughout the day, with state House Minority Leader Jennifer Konfrst saying in a statement, “Women are not free when they cannot make their own healthcare decisions. And after today, women won’t be free.”

    Iowa’s Senate Democratic Leader Pam Jochum said in a statement that her Republican colleagues were “ignoring Iowans in their rush to pass an extreme ban” and that “their actions today threaten the health and futures of all Iowa women.”

    “This extreme Republican power grab infringes on the personal freedom of every Iowa woman and girl. There are women alive today who will not be alive in six months because of this law,” Jochum added.

    Iowa’s position as the first-in-the-nation caucus state for the coming GOP presidential primary has thrust its state politics onto the national stage, with Republican candidates jockeying for the favor of its voters.

    Former Vice President Mike Pence posted his support of the bill on Twitter Tuesday night, writing, “Grateful to see Iowa Republicans and Governor @KimReynoldsIA Standing For Life! Pro-Life Americans are Cheering You On!”

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  • Pence says he supports banning abortions for nonviable pregnancies | CNN Politics

    Pence says he supports banning abortions for nonviable pregnancies | CNN Politics

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    CNN
     — 

    Former Vice President Mike Pence said abortion should be banned when a pregnancy is not viable, according to the Associated Press.

    “I’m pro-life. I don’t apologize for it,” Pence told the AP in a recent interview. “I just have heard so many stories over the years of courageous women and families who were told that their unborn child would not go to term or would not survive. And then they had a healthy pregnancy and a healthy delivery.”

    CNN has reached out to the Pence campaign for comment.

    Pence strongly opposes abortion and has been perhaps the most outspoken Republican candidate about the issue as many of his GOP rivals have avoided staking out a clear position on abortion.

    During a CNN town hall in Iowa last month, Pence said he supports a federal abortion ban including exceptions for rape, incest, and life of the mother. He also backs federal legislation limiting the procedure and has called on other 2024 GOP candidates to support a 15-week national abortion ban.

    Pence told CNN’s Wolf Blitzer back in March that he would support legislation restricting abortion to six weeks of pregnancy. Florida Gov. Ron DeSantis signed a bill into law in his state that banned abortion at six weeks while President Donald Trump has suggested the legislation was “too harsh.”

    Clinicians use ultrasound results and measure pregnancy hormone levels in order to determine “whether a pregnancy is viable beyond the first trimester,” according to the American College of Obstetricians and Gynecologists.

    Pregnancies that are deemed unviable regardless of gestational age include tubal ectopic pregnancies and early pregnancy loss, according to the ACOG, which can be deadly for the pregnant person. There are cases, such as “genetic or isolated structural abnormalities in which essential structures do not develop properly,” in which survivability is poor and patients may choose to end their pregnancies or give birth with palliative care options, the ACOG notes.

    Since Roe v. Wade was overturned last year, several women have shared their harrowing stories of trying to obtain medically necessary abortions in states that have greatly restricted the procedure. One Texas woman told CNN’s Elizabeth Cohen that she nearly died after her water broke four months into her pregnancy, putting her at high risk for a life-threatening infection. Doctors in Texas had to wait until the woman was sick enough so they felt legally safe to terminate her pregnancy and then bring her to the ICU after she started developing symptoms of sepsis.

    A Christian conservative, Pence views the “cause of life” as “the calling of our time.”

    “As your President, I will always stand for the sanctity of life and I will not rest and I will not relent until we restore the sanctity of life to the center of American law in every state in the land,” he said in his presidential campaign announcement last month.

    Pence has called for more support and resources for women in crisis pregnancies and advocated for adoption as alternatives to abortion.

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  • Iowa governor signs 6-week abortion ban into law | CNN Politics

    Iowa governor signs 6-week abortion ban into law | CNN Politics

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    CNN
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    Iowa Republican Gov. Kim Reynolds signed a bill into law Friday that bans most abortions in the state as early as six weeks into pregnancy.

    “This week, in a rare and historic special session, the Iowa legislature voted for a second time to reject the inhumanity of abortion and pass the fetal heartbeat law,” she said in remarks ahead of signing the bill at the Family Leadership Summit.

    The law, which is effective immediately, comes after Reynolds ordered a special legislative session last week with the sole purpose of restricting the procedure in the state. But it is already facing a legal challenge after a group of abortion providers in the state filed a suit to try and stop the law.

    The bill, which passed the state’s Republican-controlled legislature earlier this week, prohibits physicians from providing most abortions after early cardiac activity can be detected in a fetus or embryo, commonly as early as six weeks into pregnancy, before many women know they are pregnant.

    It includes exceptions for miscarriages, when the life of the pregnant woman is threatened and fetal abnormalities that would result in the infant’s death. It also includes exceptions for pregnancies resulting from rapes reported within 45 days and incest reported within 140 days.

    While the bill language makes clear it is “not to be construed to impose civil or criminal liability on a woman upon whom an abortion is performed in violation of the division,” guidelines on how physicians would be punished for violating the law are left up to Iowa’s board of medicine to decide – leaving the potential for some vagueness in how the law ought to be enforced in the interim.

    Iowa joins a growing list of Republican-led states that have championed sweeping abortion restrictions in the wake of last year’s Supreme Court ruling overturning Roe v. Wade.

    Reynolds’ push for abortion restrictions in the state comes weeks after Iowa’s Supreme Court declined to lift a block on the state’s 2018 six-week abortion ban, deadlocking in a 3-3 vote whether to overturn a lower court decision that deemed the law unconstitutional.

    “The Iowa Supreme Court questioned whether this legislature would pass the same law they did in 2018, and today they have a clear answer,” Reynolds said Tuesday in a statement following the bill’s passage. “The voices of Iowans and their democratically elected representatives cannot be ignored any longer, and justice for the unborn should not be delayed.”

    Abortion rights supporters have been speaking out against the abortion ban in the state. National Committee Chair Jaime Harrison called the ban the “latest show of abortion extremism from MAGA Republicans.”

    “Governor Kim Reynolds just signed a cruel abortion ban into law among a crowd of extremists who cheered as Iowan women’s abortion rights were stripped away,” Harrison said in a statement Friday.

    Meanwhile, anti-abortion groups, including National Right to Life and Iowa Right to Life, praised Reynolds and the law’s supporters in the state legislature for the abortion ban.

    “We will continue to advocate for life and will not stop fighting until abortion becomes unthinkable,” Kristi Judkins, executive director of Iowa Right to Life said in a statement. “We want to see lives saved and women no longer placed in harm’s way because of abortion.”

    This story has been updated with additional information.

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