Her victory over Representative Tim Ryan, a 43-year-old congressman from a blue-collar district anchored in Youngstown, Ohio, ensures that the party will be led in the next Congress by the established "coastal" Democrats who have increasingly defined it - Ms. Pelosi, 76, who represents San Francisco, and Senator Chuck Schumer of NY, 66, who has held various leadership posts since 2005.
Pelosi was challenged by Ohio Rep. Tim Ryan in a secret-ballot vote among House Democrats.
In a tweet, Pelosi said she was "honoured" to be re-elected and urged the party to get to work, the Guardian reported. She was favored to prevail over Ryan, who has questioned whether Democrats are doing enough to win blue-collar voters who delivered the White House to Trump.
"I think it's very clear by sending Nancy Pelosi back into her leadership position that the Democrats have not received the message from November 8, which is that they have a problem here".
Pelosi's 134-63 victory means that - assuming she serves out her two-year term, through the 2018 midterms - she will have been the top House Democrat for 15 years, longer than chamber legends like Tip O'Neill (10) and Bob Michel (14).
Added Rep. Gerald Connolly (D) of Virginia, "we need stability and we need to regroup".
But some House Democrats did not hide their disappointment at the outcome.
House Democrats have re-elected Nancy Pelosi as their leader.
Republican states that expanded Medicaid want it kept
Hard issues related to the rationing of care and the control of health care budgets must be addressed by the new administration. Not even close: 16 million of those who gained coverage are enrolled in Medicaid, the public program for low-income residents.
Despite losing, Ryan and his supporters were comforted after forcing Pelosi to propose elevating junior lawmakers and creating a more inclusive table.
Aguilar's spokeswoman said the congressman voted for Pelosi. As of January 2016, Democrats have experienced significant losses in the House and Senate, yet Members have been asked for little to no input to address the reasons for these losses ...
On Tuesday, though, Pelosi said Ryan's charge that she wanted to "further consolidate her power over the caucus" was "almost pathetic". Democrats must adopt a progressive economic message that focuses on large, direct infrastructure investments, affordable health care, portable pensions, and public-private investments that promote advanced manufacturing.
In choosing their party leader on Wednesday, election-shocked Democrats in the House voted for decades of experience over youthful zeal. "When I talk to my colleagues, I said, 'Look, this is that uncomfortable family discussion you need to have, like when your parents or spouse tells you something you really don't want to hear but down deep you know it's right'". Democrats gained only about a half-dozen seats in the House of Representatives, when some had thought they would make double-digit gains.
Pelosi was the first woman to become House speaker, holding the gavel for four years starting in 2007.
The White House has not formally weighed in, but President Obama has continued to praise Pelosi since the election, saying last week: "I can not speak highly enough of Nancy Pelosi".
"The one thing we should notice is how many times there were changes in the last five days, such as rules changes, back and forth and moving around of committee assignments in order to placate the caucus", he told reporters. "We need the very best to lead us".
Republicans are also quite pleased, celebrating the win as a sure sign that the Democrats have not learned anything from the 2016 election. "Three years later, we remain one of only seven nations to allow abortion on-demand after five months - a point by which unborn children feel pain", said Dannenfelser. "Today, we made a caucus more responsible to its members". "He is open to new ideas and will listen to the concerns and suggestions of all Caucus members".