The United States is one of the only countries in the world without a national policy in place to provide mothers with paid time off to care for their health needs during and after pregnancy or to care for their newborn. As a result, nearly 1 in 4 women return to work within just 2 weeks of giving birth – a reality that has serious consequences for their health and that of their children. In a first-of-its-kind analysis, 1,000 Days builds the case for paid leave as a public health imperative and calls for a comprehensive paid leave policy that ensures all workers can take the time they need to care for themselves or their loved ones without jeopardizing their economic security.