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Pictures Report 

RTS2U5RE 
Caring alone for two small girls, Texas father grapples with loss 
Zak Tiemann, a 34-year-old father in Texas, steps into an unfamiliar role after his girls' mother, Amanda Garcia, died three years ago just days after giving birth at the age of 26. Garcia - whose family say she died after she suffered a blood clot - was one of an estimated 700 women who die of pregnancy-related complications each year in the United States, according to data from the Centers for Disease Control and Prevention. That is the highest rate in the developed world, and U.S. maternal deaths have been rising over the last two decades, according to investigations by ProPublica and NPR. 
HEALTH-MATERNAL/MORTALITY
RTS2U66A 
December 09, 2019 
Zak Tiemann, 34, dresses his daughter Zoey, 4, into a dress before putting her to bed at their home in... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zak Tiemann, 34, dresses his daughter Zoey, 4, into a dress before putting her to bed at their home in Seguin, Texas.

U.S. July 15, 2019. REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U67O 
December 09, 2019 
Zak Tiemann helps his daughter Zayleeana, 3, carry her candy bucket while trick-or-treating. For the... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zak Tiemann helps his daughter Zayleeana, 3, carry her candy bucket while trick-or-treating. For the 34-year old father, family occasions like Halloween have been bittersweet. The girls' mother, Amanda Garcia, died three years ago just days after giving birth to Zayleeana. She was 26 years old.

REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U671 
December 09, 2019 
Zak Tiemann and his daughter Zoey, 4, peer out of a window as their dogs bark at a passerby. "I just... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zak Tiemann and his daughter Zoey, 4, peer out of a window as their dogs bark at a passerby. "I just feel like they're missing something," he said during an interview at his home in Seguin, about 50 miles south of Austin, Texas. "Even though I'm doing the best I can... they still need a woman that's going to show them how to go about stuff in life."

REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U66L 
December 09, 2019 
Zak Tiemann rests on the couch while his children Zayleeana, 2, Zoey, 4, and Zay'dyn, 1, play at home.... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zak Tiemann rests on the couch while his children Zayleeana, 2, Zoey, 4, and Zay'dyn, 1, play at home. Tiemann has since fathered a third child, Zay'dyn, with another woman, although he said she is not consistently involved in the care of his two daughters.

REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U66J 
December 09, 2019 
Zoey, 4, and her sister Zayleeana, 2, eat popsicles in their room. Garcia - whose family say she died... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zoey, 4, and her sister Zayleeana, 2, eat popsicles in their room. Garcia - whose family say she died after she suffered a blood clot - was one of an estimated 700 women who die of pregnancy-related complications each year in the United States, according to data from the Centers for Disease Control and Prevention. That is the highest rate in the developed world, and U.S. maternal deaths have been rising over the last two decades, according to investigations by ProPublica and NPR.

REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U67C 
December 09, 2019 
Zak Tiemann helps to position Zoey's Elsa wig for her "Frozen" costume while the family get ready for... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zak Tiemann helps to position Zoey's Elsa wig for her "Frozen" costume while the family get ready for Halloween. After Garcia's death, Tiemann had to step into an unfamiliar role, one he said he was not prepared for. "I buy products for their hair, I buy little rubber bands," he said. "I've tried to paint their nails sometimes." The feeling of inadequacy weighs on him daily.

REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U66E 
December 09, 2019 
Zak Tiemann applies lotion onto his daughter Zayleeana, 2, after her bath. Advocates, healthcare professionals... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zak Tiemann applies lotion onto his daughter Zayleeana, 2, after her bath. Advocates, healthcare professionals and lawmakers have long been sounding the alarm on the high rates of maternal mortality and the effect on women of color, who are approximately three to four times more likely to die from pregnancy-related issues. "It's abysmal. I mean, we're worse than some Third World countries," said Shawn Thierry, a Democratic member of the Texas House of Representatives and the sponsor of numerous bills on the issue.

REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U67Q 
December 09, 2019 
Zayleeana, 3, rests her head on her father Zak Tiemann's chest before going to school. For every 100,000... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zayleeana, 3, rests her head on her father Zak Tiemann's chest before going to school. For every 100,000 live births in Texas, there are 14.6 maternal deaths, according to the most recent data by the state's Maternal Mortality and Morbidity Review Committee. As in the rest of the country, women of color are disproportionately affected.

REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U66U 
December 09, 2019 
Zak Tiemann holds an urn during a small memorial honoring Amanda Garcia's life. Elizabeth Warren, the... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zak Tiemann holds an urn during a small memorial honoring Amanda Garcia's life. Elizabeth Warren, the U.S. senator for Massachusetts who is running for president, has made improving maternal health a big part of her 2020 campaign. Warren's plan would modify insurance payment systems and reward hospitals that are successful in improving care.

REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U66N 
December 09, 2019 
Zayleeana, 2, and her sister Zoey, 4, play on a boat parked in the driveway of their family home. For... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zayleeana, 2, and her sister Zoey, 4, play on a boat parked in the driveway of their family home. For Tiemann, losing his partner due to pregnancy-related complications still stirs deep frustration. "I just look back and I wonder if it could have been prevented. But I don't know," he said.

REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U66X 
December 09, 2019 
Zayleeana, 2, and her father Zak Tiemann hold hands during a Father's Day trip to the river in Luling,... 
LULING, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zayleeana, 2, and her father Zak Tiemann hold hands during a Father's Day trip to the river in Luling, Texas. REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U66C 
December 09, 2019 
Zayleeana, 3, plays in a pool before a small memorial honoring the life of her late mother Amanda Garcia.... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zayleeana, 3, plays in a pool before a small memorial honoring the life of her late mother Amanda Garcia. REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U67U 
December 09, 2019 
Zoey, who recently turned 5, and father Zak Tiemann both stare into the mirror as they flex their muscles... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zoey, who recently turned 5, and father Zak Tiemann both stare into the mirror as they flex their muscles before Zoey's school's "superhero day". REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U67H 
December 09, 2019 
Zoey shuffles through papers on the kitchen table before going to school. REUTERS/Callaghan O'Hare 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zoey shuffles through papers on the kitchen table before going to school. REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U67K 
December 09, 2019 
Dressed as Elsa from the film "Frozen," Zoey reaches into the fridge while her family gets ready for... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Dressed as Elsa from the film "Frozen," Zoey reaches into the fridge while her family gets ready for Halloween. REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U67S 
December 09, 2019 
Zoey eats a bowl of ice cream in her Elsa costume on Halloween. REUTERS/Callaghan O'Hare 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zoey eats a bowl of ice cream in her Elsa costume on Halloween. REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U67Y 
December 09, 2019 
Zayleeana, 2, gives her father Zak Tiemann a kiss on Father's Day at their home. REUTERS/Callaghan O'Hare... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zayleeana, 2, gives her father Zak Tiemann a kiss on Father's Day at their home. REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U67A 
December 09, 2019 
Zayleeana, 3, squirms as she poses for a family picture with her father and her sister on Halloween.... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zayleeana, 3, squirms as she poses for a family picture with her father and her sister on Halloween. REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U66H 
December 09, 2019 
Zak Tiemann rubs his eyes after reprimanding his daughter Zayleeana, 2, for fighting with her sister... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zak Tiemann rubs his eyes after reprimanding his daughter Zayleeana, 2, for fighting with her sister on Father's Day. REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U66R 
December 09, 2019 
Zoey, 4, leans on a chair while playing in the living room of her home. REUTERS/Callaghan O'Hare 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zoey, 4, leans on a chair while playing in the living room of her home. REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U67Z 
December 09, 2019 
Zoey, 4, recites words during a meeting with her speech therapist at her home. REUTERS/Callaghan O'Hare... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zoey, 4, recites words during a meeting with her speech therapist at her home. REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U668 
December 09, 2019 
Zak Tiemann closes his eyes while his daughter Zoey, 4, presses her hands to his face at their home.... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zak Tiemann closes his eyes while his daughter Zoey, 4, presses her hands to his face at their home. REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U66D 
December 09, 2019 
Zayleeana, 3, leans her head back while wrestling with her father and sister. REUTERS/Callaghan O'Hare... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zayleeana, 3, leans her head back while wrestling with her father and sister. REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U66P 
December 09, 2019 
Zoey, 4, aims a toy water gun at her dog as she takes a bath with her sister Zayleeana, 2. REUTERS/Callaghan... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zoey, 4, aims a toy water gun at her dog as she takes a bath with her sister Zayleeana, 2. REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U66Z 
December 09, 2019 
Zayleeana and her sister Zoey sleep before their first day of school. REUTERS/Callaghan O'Hare 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zayleeana and her sister Zoey sleep before their first day of school. REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U674 
December 09, 2019 
Zayleena, 3, cries in the shower while brushing her teeth before school. REUTERS/Callaghan O'Hare 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zayleena, 3, cries in the shower while brushing her teeth before school. REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U66K 
December 09, 2019 
Zayleeana, 3, tries on her backpack before her first day of school. REUTERS/Callaghan O'Hare 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zayleeana, 3, tries on her backpack before her first day of school. REUTERS/Callaghan O'Hare 
HEALTH-MATERNAL/MORTALITY
RTS2U66S 
December 09, 2019 
Zak Tiemann carries his sleeping daughter, Zayleeana, 2, into the house after a family trip to the river... 
SEGUIN, UNITED STATES 
The Wider Image: Caring alone for two small girls, Texas father grapples with loss 
Zak Tiemann carries his sleeping daughter, Zayleeana, 2, into the house after a family trip to the river on Father's Day. REUTERS/Callaghan O'Hare 
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