الاثنين، 28 ديسمبر 2020

England's first not-for-profit IVF clinic to open in 2021

British Pregnancy Advisory Service is setting up fertility network to address inequalities in provision

England’s first not-for-profit IVF clinic is to open in London next year, run by a charity better known for providing abortions.

The British Pregnancy Advisory Service, which has been helping women terminate pregnancies for more than 50 years, has decided to set up its own fertility network to address the inequalities in IVF provision in England.

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Giving birth seemed to spell disaster for my mental health. Were my anxieties unfounded?

I feared isolation, sleep deprivation and an end to the activities that had been keeping me well. I never expected to be filled with such love and wonder

I hadn’t expected to have a baby. But when I turned out to be wrong about that, I found myself expecting the whole thing to be a disaster. It wasn’t just that people tend to be rather negative about what early parenthood entails, focusing on the sleepless nights and endless nappy changes. It was also because I had a mental illness that I thought would make it impossible for me to cope at all, let alone enjoy motherhood. Neither had I expected to be giving birth in the middle of a pandemic, in which I would be cut off from much of my support network.

In the three years since I was diagnosed with post-traumatic stress disorder, as a result of a serious trauma in my personal life, I had spent a great deal of time trying to work out how to manage my illness. I planned my weeks around activities that research told me would help mend my mind a little. I knew that cold-water swimming, for instance, appears to help us control the fight-or-flight instinct that often goes so awry in mental illness. I knew that running could encourage the body to produce chemicals that lift the mood. I had discovered that birdwatching and looking for wild flowers were much more effective for me than mindfulness apps, with their calls to sit in silence in a room. I had just written a book about the healing power of outdoor pursuits and was starting to feel mildly in control of my life.

My illness had wreaked havoc for long enough: it seemed much nicer when my fat little baby was responsible instead

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الثلاثاء، 22 ديسمبر 2020

The best of the long read in 2020

Our 20 favourite pieces of the year

What links an eccentric Oxford classics don, billionaire US evangelicals and a tiny, missing fragment of an ancient manuscript?

Related: The best of the Long Read in 2019

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Microplastics revealed in the placentas of unborn babies

Health impact is unknown but scientists say particles may cause long-term damage to foetuses

Microplastic particles have been revealed in the placentas of unborn babies for the first time, which the researchers said is “a matter of great concern”.

The health impact of microplastics in the body is as yet unknown. But the scientists said they could carry chemicals that could cause long-term damage or upset the foetus’s developing immune system. The particles are likely to have been consumed or breathed in by the mothers.

Related: Revealed: microplastic pollution is raining down on city dwellers

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الخميس، 17 ديسمبر 2020

Tell us: what do you feel went wrong during your NHS maternity care in England?

We would like to hear from people in England who feel they received problematic maternity care during pregnancy and birth

Urgent and sweeping changes are needed in all English hospitals to prevent avoidable baby deaths, stillbirths and neonatal brain damage, according to a damning internal review into one of the biggest scandals in the history of the NHS.

In light of these findings, we’d like to hear from people who feel the care they received during pregnancy and childbirth in NHS settings in England was problematic and could have been better.

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الأربعاء، 16 ديسمبر 2020

How does a pregnant woman get to hospital when there's no road? By stretcher ...

Women from the mountains of Uttarakhand in India have been guaranteed palanquins so that they can reach vital transport

Narendra Kumar is going to become a father in early January. His wife, Kavita, became pregnant two months after they got married in February and since then he has been worrying about getting her to hospital when the time comes.

It’s a steep three-kilometre walk along a narrow, unpaved mountain path through oak and rhododendron forests from their village of Gwalakot to the main road where they could pick up a car or ambulance to ferry them to hospital in Nainital.

There will be plenty of palanquins available and they will be in the right place at the right time

Related: 'Yellow bindis' mean high-risk: India's new health map for women and children

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Covid: NHS hospital trusts told to rethink pregnant women partner ban

Fresh guidance issued after growing outrage about women being forced to go through labour alone

Hospital trusts have been ordered by the NHS to review their current rules and allow pregnant women to have their partner present throughout scans, labour and birth.

The new guidance comes after increasing outrage that women were being forced to go through labour alone, and hear devastating news about miscarriages without the support of their partners as trusts restricted access to maternity services to decrease the risk of spreading coronavirus.

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السبت، 12 ديسمبر 2020

The Observer view on the inquiry into maternity care at Shrewsbury and Telford Hospital NHS trust | Editorial

The distressing interim report finds repeated failures resulting in disabilities and death

Babies suffered fatal skull fractures as they were forced out of their mothers using forceps. Women were left screaming in agony for hours and were told by medical professionals that their agony was “nothing” and that they were “lazy”. Infants developed lifelong and life-changing disabilities as a result of terrible maternity care. Mothers were blamed for the death of their babies.

The findings of the interim report of the Ockenden inquiry into maternity care at Shrewsbury and Telford Hospital NHS trust are distressing in the extreme. The independent review is considering 1,862 cases, most between 2000 and 2019; it is likely to be one of the biggest healthcare scandals in the history of the NHS. Mothers and babies needlessly died and were left with avoidable and profound disabilities as a result of substandard care. In a breathtaking double injustice, it has taken an 11-year fight for grieving parents to get to the truth. They lack any assurance that this will not happen again. Parents are still fighting to get anything approaching minimum standard of care from underfunded services for their disabled children.

Related: Maternity scandal report calls for urgent changes in England's hospitals

Related: Midwives and doctors at odds over 'normal' births in English hospitals

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The natural birth cultists care little about leaving women in agony | Barbara Ellen

The horrors found by the Ockenden report are not alas confined to one maternity unit

What will it take for people to realise that childbirth is not a game, unless it’s a game of chance? It can all go wonderfully to plan, or it can be random and potentially lethal. Ultimately, the only thing that matters is the safety of the mother and child.

An independent investigation into Shrewsbury and Telford Hospital NHS (SaTH) trust, led by senior midwife Donna Ockenden, was courageously fought for by the families of two babies who died, Kate Stanton-Davies and Pippa Griffiths. It has since expanded, finding 1,862 serious incidents mostly between 2000 and 2019, including the deaths of hundreds of babies, abnormally high maternal deaths and a catalogue of incompetence, neglect and cruelty. Failure to handle high-risk cases correctly. Reluctance to perform caesarean sections in the overzealous pursuit of “natural” (vaginal) births. Inadequate consultant supervision. Adversarial attitudes between midwives and doctors. Mocking of struggling mothers as “lazy”, and blaming of mothers for their babies’ deaths.

Why is high risk and lack of pain management deemed normal and laudable in maternity, but not other branches of medicine?

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الجمعة، 11 ديسمبر 2020

The Guardian view on a maternity care scandal: reform without delay | Editorial

Once again, a report has laid bare shocking treatment of mothers and babies. Ministers and NHS bosses must now do what it says

“Kate was the most beautiful baby you’ve ever seen … when Kate was born, quite literally, a light lifted inside me, it was so physical the love I felt … and that love turned into sheer determination.” Six hours after she was born at Ludlow community hospital in 2009, Kate Stanton-Davies was dead. If not for the “sheer determination” described this week by her mother, Rhiannon Davies, the Ockenden report into maternity care may never have come about.

Along with Kate’s father, Peter Stanton, and Colin and Kayleigh Griffiths – the parents of another newborn baby, Pippa, who died in 2016 – Ms Davies pushed and pushed for an independent review of the service offered to mothers giving birth by Shrewsbury and Telford NHS Trust. This week’s publication of what are described as “emerging findings” is only a staging post, based on 250 cases; the total number being examined has risen to 1,862 since the report was commissioned by the then health secretary, Jeremy Hunt.

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Mistakes in maternity care are still being made, 12 years after I lost my son | James Titcombe

Many of the systemic failures identified in the Ockenden report gave me a dreadful sense of deja vu

The Ockenden report looking at failures in maternity care at Shrewsbury and Telford hospitals (SaTH) published this week makes for truly harrowing reading. The report looks at the first 250 cases of potentially avoidable harm to mothers and babies reviewed as part of a wider investigation of maternity services at the trust going back two decades and beyond.

As the father of a baby boy who died avoidably due to serious failures in his care at the Morecambe Bay trust in 2008, the report paints a grim picture of systemic issues that are sadly only too familiar.

Related: Covid-19 has turned back the clock on working women's lives | Gaby Hinsliff

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الخميس، 10 ديسمبر 2020

Key points: Shrewsbury and Telford hospitals maternity services review

Review of first 250 cases out of 1,862 finds pattern of repeated serious harm to mothers and babies

The Ockenden review into maternity services at Shrewsbury and Telford hospitals uncovered a pattern of repeated serious harm to mothers and babies.

The review into the first 250 cases, out of 1,862 serious cases, also identified a series of “missed opportunities to learn in order to prevent serious harm to mothers and babies”.

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Maternity scandal report calls for urgent changes in England's hospitals

Report on Shrewsbury and Telford scandal includes series of ‘must do’ recommendations for all hospitals

An interim report into the biggest maternity scandal in the history of the NHS has called for urgent and sweeping changes in all English hospitals to prevent more avoidable baby deaths, stillbirths and neonatal brain damage.

It includes a series of “must do” recommendations for all hospital trusts to improve maternity safety “at pace”. These include formal risk assessment at every antenatal contact, twice-daily consultant-led maternity ward rounds, women and family advocates on the board of every NHS trust, and the appointment of dedicated lead midwives and obstetricians.

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الأربعاء، 9 ديسمبر 2020

Author who suffered miscarriage alone demands end of NHS Covid partner ban

Feminist campaigner Caroline Criado Perez says practice is ‘traumatising’ and ‘inhumane’

A prominent feminist campaigner and writer has described in devastating detail how she was left feeling “humiliated and alone” as she was forced to deal with a miscarriage without her partner.

Caroline Criado Perez, the author of Invisible Women, called on NHS trusts to allow partners to attend medical appointments, scans and emergencies in maternity services, because the refusal to do so was “traumatising an already traumatised woman”. She added: “It needs to stop, now.”

Related: My four miscarriages: why is losing a pregnancy so shrouded in mystery?

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الثلاثاء، 8 ديسمبر 2020

‘It feels like a lost year’: the women who fear 2020 has stolen their chance of motherhood

With dating on hold, jobs lost and IVF postponed, many women fear their last chance to have a child may have disappeared. How are they coping?

Saturday mornings are the worst. Claudia, a teacher, wakes up alone in bed in her London flatshare. The weekend stretches out before her, an interminable expanse to be filled as best she can – with walks, and TV, and more walks. Sometimes, she finds it hard to summon the motivation to get out of bed. “It sounds dramatic,” Claudia says, “but I’ll lie there, thinking: ‘What’s the point of getting up?’”

She goes over the arithmetic that has tortured her all year long. She will be 34 next month, single, no closer to finding a partner to have kids with. Even if she did meet someone next year, say, would they be ready to start conceiving within a year? Probably not. That could mean she will be 36 before she even starts trying – if she meets someone next year. And there’s the rub – because the Covid-19 restrictions have made dating nearly impossible. “My friends are either pregnant or looking after small children,” Claudia says, “and I struggle to even get men to talk to me online. It feels hopeless.”

You feel the need to put on a brave face … but underneath, it’s just frustration, despair and dread

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الجمعة، 4 ديسمبر 2020

‘Women feel they have no option but to give birth alone’: the rise of freebirthing

As Covid infections rose, hospital felt like an increasingly dangerous place to have a baby. But is labouring without midwives or doctors the answer?

On the morning of 3 May, Victoria Johnson prepared to give birth at her home in the Highlands. One by one, her three children came downstairs to where she was labouring in a birthing pool surrounded by fairy lights, the curtains tightly shut against the outside world.

Suddenly, she felt an urge to get out of the pool. “I stood up and it felt as if the weight of the universe crashed from my head to my toes.” Her waters broke – “all over the carpet, which wasn’t ideal” – and the baby started to crown. “Everyone was there, including both grandmothers on video call,” she says. “Once the baby was out, my eight-year-old son came over and said, ‘I’m so proud of you.’ And that was everything.”

My partner held the shower head on my back for pain relief. After my son was born I was high as a kite – we’d done it

Women labour best when they feel comfortable and safe. They know things can go wrong – there is rarely zero risk

Related: 'There are more births in the car park': a midwife's experience of the Covid-19 crisis

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'It can't just be me': Guardian readers share their stories of miscarriage

After praise for Duchess of Sussex’s disclosure, readers say there has been a culture of silence around the subject

“I was at my 10-week scan and I just felt something wasn’t right. The doctor became very quiet and I instantly knew. Then I heard the words ‘I’m sorry, there is no heartbeat’,” recalls Emma Redston, a 38-year-old primary school teacher who lives in Surrey. “I remember falling to my knees, feeling like the floor had been ripped from under me.”

It was 2016 and Emma had suffered a miscarriage after falling pregnant quickly when she and her husband, Steve, tried for a baby. She was given medicine to induce the miscarriage, and after four hours of extreme bleeding and cramps she passed her baby in her bathroom.

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الأربعاء، 2 ديسمبر 2020

Two-child benefit cap influencing women's decisions on abortion, says BPAS

Charity says policy was important factor in many deciding to terminate pregnancies during the pandemic

The controversial “two-child limit” restricting the amount that larger families can receive in social security benefits was a key factor in many women’s decisions to terminate their pregnancy during the pandemic, according to a leading abortion charity.

The British Pregnancy Advisory Service (BPAS) said over half of the women it surveyed who had an abortion during the pandemic, and who were aware of the two-child limit and likely to be affected by it, said the policy was “important in their decision-making around whether or not to continue the pregnancy.”

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الاثنين، 30 نوفمبر 2020

Reframe how we talk about miscarriage | Letter

Jean Simons on the Duchess of Sussex’s experience and how we can start a conversation about grief or loss

The Duchess of Sussex deserves every sympathy for revealing her experience of miscarriage, but I remain doubtful that her expressed desire to “normalise conversations around miscarriage” will be easily achieved, given the apparent and continuing “pervasive taboos” around the subject, described by Zeynep Gurtin (Miscarriage is still taboo – which is why Meghan’s words are so powerful, 26 November).

Meghan’s advice to approach anyone suffering grief or loss, rather than ignoring them, and to open an opportunity for them to speak about their experience, is spot-on. But the “three little words” that she advises, “Are you OK?” (Meghan, Duchess of Sussex, reveals she had a miscarriage, 25 November), play into our reluctance to open up about feelings, provoking the response, “Yes, I’m fine”. Reframing those three words into the more open “How are you?” may give a grieving person the sense that you really do want to know, and the confidence to reply honestly.
Jean Simons
Lewisham, London

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الخميس، 26 نوفمبر 2020

Miscarriage is still taboo – which is why Meghan's words are so powerful | Zeynep Gurtin

The mixed reaction to her speaking up proves that there’s a long way to go before women feel comfortable sharing their pain

Yesterday, the Duchess of Sussex became the latest public figure to reveal her membership of a secret club that no one wants to join. In a piece that was rapidly read around the world, Meghan described the July morning on which she suffered the miscarriage of her second pregnancy and the “almost unbearable grief” she and her husband have experienced. “I knew,” she writes, “as I clutched my firstborn child, that I was losing my second.” It is an arresting image, unusual in its representation of the two opposing truths about reproduction – nurturing new life on the one hand, loss and death on the other – in such close proximity to each other.

Although miscarriages are surprisingly common – experienced by approximately one in four women – there continue to be pervasive taboos around the subject. This is partly because around 85% of miscarriages occur within the first trimester, before most women publicly announce their pregnancies. This leaves many, like Meghan, mourning the loss of a much-wanted baby that no one even knew about. The infertility activist Katy Lindemann has called the early months “a sort of Schrödinger’s pregnancy”, when women are expected to hedge their bets and accept miscarriages without a fuss. She points out that the 12-week rule imposes an unnecessary and harmful secrecy around pregnancy loss, leaving women to cope alone just when they most need support and community.

Related: Meghan, Duchess of Sussex, reveals she had a miscarriage

Related: The 12-week pregnancy rule makes the pain of miscarriage worse | Katy Lindemann

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الأربعاء، 25 نوفمبر 2020

Baby loss charities call for cultural shift to break silence around miscarriage

Charities praise Meghan, Duchess of Sussex for speaking openly about her experience

Baby loss charities have called for a cultural shift to empower couples to talk more openly about pregnancy before their 12-week scan, in an effort to break the silence around miscarriage.

Baby loss experts praised the Duchess of Sussex for speaking openly about having had a miscarriage and said that too often women and their partners still felt stifled and silenced by outdated cultural norms.

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Meghan Markle reveals she had a miscarriage

Duchess of Sussex writes about her grief and pain in losing a baby, and addresses the stigma of miscarriage

The Duchess of Sussex has revealed her grief after suffering a miscarriage, in an article that speaks to loss and the importance of asking about others’ welfare in times of pandemic and polarisation.

Meghan shared the devastation that she and Prince Harry felt after she lost a baby in July and was admitted to hospital.

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الاثنين، 16 نوفمبر 2020

Mothers needlessly separated from babies under UK hospital Covid rules

Restrictions are causing trauma and increasing risk of physical and mental health problems, warn doctors and charities

Mothers are being needlessly separated from their babies under strict hospital restrictions introduced to stop the spread of Covid-19, doctors and charities have warned.

The measures preventing UK parents from staying with their babies when one or both require hospital treatment are causing trauma and increasing the risk of physical and mental health problems, it is claimed.

Related: 'I couldn't hold my baby': how Covid hit the families of very ill children

Related: Sign up for Society Weekly: our newsletter for public service professionals

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الجمعة، 13 نوفمبر 2020

'I can't fail Mary': the bereaved man fighting for pregnant women threatened by Covid

Ernest Boateng lost his wife Mary Agyeiwaa Agyapong shortly after the birth of their second child after she tested positive for coronavirus

Before the pandemic struck, Ernest Boateng and his wife, Mary Agyeiwaa Agyapong, were planning for the future. She was expecting their second child and – after her maternity leave – wanted to become a specialist diabetes nurse; Ernest hoped to join the RAF.

But as the virus tore through the UK, Mary became ill. On 7 April she was admitted to Luton and Dunstable university hospital, where she worked as a nurse, with shortness of breath. She tested positive for coronavirus and was taken to theatre for an emergency caesarean section. Her baby, five weeks early, was born alive. But after five days fighting Covid and pneumonia in intensive care, Mary died, aged just 28. Ernest was suddenly alone, with a premature newborn, and his two-year-old son to look after.

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الخميس، 12 نوفمبر 2020

Alcoholic anaesthetist jailed for killing Briton during caesarean birth in France

Helga Wauters imprisoned for three years and banned from practising after death of Xynthia Hawkes

An alcoholic anaesthetist who botched an emergency caesarean operation leaving a young British mother dead has been sentenced to three years in prison and banned from practising medicine.

Helga Wauters, 51, was found guilty of manslaughter after pushing a breathing tube into 28-year-old Xynthia Hawke’s oesophagus instead of her windpipe. Even after Hawke cried out in pain, vomited, turned blue and went into cardiac arrest, the anaesthetist, who admitted she had an alcohol problem and had been drinking since early morning on the day of the operation, failed to react.

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الأربعاء، 11 نوفمبر 2020

Twenty doctors threaten to quit over baby deaths at Blacktown hospital

Government review underway following the death of four babies in less than two years

About 20 obstetricians have threatened to resign from Blacktown hospital in western Sydney, as a government review is underway into the safety of the hospital’s birthing and maternity service following the deaths of four babies in less than two years.

The extensive review is being conducted by the New South Wales Health chief obstetrician and the Clinical Excellence Commission. It commenced in late August after Blacktown hospital confirmed that of about 6,000 babies delivered in the 18 months prior, four unexpected neonatal deaths had occurred. The final report is expected “soon”, Blacktown hospital general manager Ned Katrib told Guardian Australia.

Related: When will Australia have a Covid-19 vaccine?

Related: The lesson from aged care in Victoria? For-profit services drive standards down | John Quiggin

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الخميس، 5 نوفمبر 2020

UK government urged to protect pregnant women in second Covid wave

Husband of new mother who died in April says women past 20 weeks should be allowed to work from home

The husband of a nurse who died of Covid-19 just days after giving birth to their daughter has pleaded with the prime minister to protect other pregnant women, as research reveals they are being put at greater risk during the second wave of the pandemic.

Ernest Boateng, whose wife, Mary Agyeiwaa Agyapong, died on 12 April after contracting the virus, said he didn’t want his wife’s “death to be in vain”, and called on the government to make it a legal requirement for employers to allow all pregnant women who pass 20 weeks gestation to work from home or be suspended on full pay.

57% of pregnant women did not feel safe at work

A quarter of employers who had done a risk assessment were not following it

54% of pregnant women did not understand their legal rights if they feel unsafe at work

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الأربعاء، 28 أكتوبر 2020

'I needed to fix myself for my kids': breaking the cycle of domestic abuse

Families with complicated lives are being helped by a project that supports both parents during their child’s first two years

When Jess* was 11 weeks pregnant, she got into an argument with her boyfriend, Robbie*, who lashed out and hit her. Jess had suffered a previous miscarriage and was terrified of losing another baby.

“I couldn’t go through it again,” says Jess. “The idea of losing another baby because of a decision taken by Robbie was really traumatic for me.”

Related: Camilla, Duchess of Cornwall: For many in Britain, the lockdown of domestic abuse isn't over. But there is help

For a long time, services have treated the symptoms, not the causes

Related: Sign up for Society Weekly: our newsletter for public service professionals

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الثلاثاء، 27 أكتوبر 2020

Chrissy Teigen describes losing baby in heartbreaking detail: 'Utter and complete sadness'

Model and author thanks strangers for reaching out – and hits back at those who accused her of oversharing about pregnancy loss

A few weeks after Chrissy Teigen made her harrowing stillbirth public in candid social media posts, the model and author has shared an intimate testimony about her experience, including her decision to have photos taken from her hospital bed during the event and what the public response to them has meant to her.

In an essay published on Medium, Teigen detailed how she and her husband, the musician John Legend, lost their third child just over halfway into the pregnancy. Teigen was admitted to hospital after persistent bleeding and multiple blood transfusions, and diagnosed with partial placenta abruption. She was induced to give birth to the infant, whom they had named Jack.

Related: I have huge respect for Chrissy Teigen sharing her pregnancy loss when she knew what would happen next | Isabelle Oderberg

pic.twitter.com/iBFKYtYwi2

I ♥️ you @chrissyteigen thank you for this, your transparency and all the healing you've inspired. We shouldn't have to suffer in silence and everyone who truly understands is incredibly grateful for this and you, always. https://t.co/m8Znd7vNm4

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الاثنين، 26 أكتوبر 2020

We need to keep talking about miscarriage – and share the pain | Suzanne Moore

Whether its in discussions of miscarriage or menstruation, the words ‘woman’ and ‘mother’ are being erased by some. Why can’t we just say that women and trans men have periods?

You know something is wrong when they pause and say: “I am just going to get a colleague.” It was a 20-week scan. The baby was dead. They thought it had possibly died a couple of weeks earlier, and sent me home to “let nature take its course”. The idea of a dead thing inside me, black stuff leaking out of me, was horrible. My GP was sympathetic, the risk of infection was high and she got me back into hospital. I had a new job so I made up some story about an ovarian cyst, as I found the whole experience very hard to explain. After all, I had two healthy children, so I shouldn’t be sad. Some women have repeated miscarriages. One medic told me I should think myself lucky.

The next time was way more dramatic. In a normal pregnancy, the level of certain hormones climbs slowly. The blood tests showed mine were zigzagging. This meant the pregnancy was ectopic – the embryo was stuck and growing in the fallopian tube. The baby would never be born. Again I was “lucky” as, during one checkup, everything happened very quickly. A floaty feeling came over me. The danger of ectopic pregnancy is that, if the fallopian tube ruptures, there is severe internal haemorrhaging. Weirdly, you feel the pain in your shoulder.

I was banged on to a trolley and rushed along underground tunnels that stretched beneath the hospital, with people shouting: “Get plasma in her”, “She is tachycardic”, “Tell theatre we are getting her in now”. It really is like ER, I remember thinking; they do get very excited.

Haemorrhage is a strange experience, in that you don’t much care. (Once I went round to see a friend who was miscarrying and found her sitting in a huge pool of blood, apparently feeling no real urgency to get to A&E.) When I woke up, my throat hurt, I had bruises everywhere: emergency surgery is necessarily violent. There were catheters and tubes and, opposite, an old guy was staring at me. I was on a mixed ward. “Heart attacks, mainly,” the nurse explained. At least I had a diamorphine syringe driver, but it was making me throw up constantly. A close friend visited and burst into tears at the sight of me. Someone came and asked if I wanted counselling. “Yes I do,” I replied. He wrote down a number, but the phone was at the end of the ward and at that point I couldn’t walk.

These are tales of average loss. This is what it is like to think you are to be a mother and then have that taken away. The veiled, secret mourning. Miscarriage is extremely common and we talk about it a little more now than we used to, as we do menstruation, so that the shame and pain of it can be shared and hopefully slightly dissipate.

In having that conversation, it’s important to be clear about our terminology. On Twitter this weekend, there was consternation when a month-old ad from Tampax resurfaced that read: “Fact: not all women have periods. Also a fact: not all people with periods are women. Let’s celebrate the diversity of all people who bleed.”

In our world of alternative facts, it sometimes seems women cannot be named. Women and trans men have periods. Why not just say that? It then emerged that, two weeks ago, Sands, a stillbirth and neonatal-death charity, had tweeted: “Often the focus of support and comfort is on the birthing parent, which can leave partners or non-birthing parents feeling isolated and alone. Sands is here for you.” It later apologised, as bereaved mothers were rightly appalled.

Now, whether we are talking about menstruation or miscarriage, mother as well as woman is considered by some to be exclusionary language. Women have been told our fear of being erased is something we just have to suck up. But I’m genuinely sure that most trans people have sympathy for grieving women. Men are never required to make space or to change their language. Meanwhile, women die in menstrual huts in Nepal; in the US, the infant mortality rate for black women is shockingly high; and all over the world we still have period poverty.

When I went back for my checkup after my ectopic pregnancy, I fell in love with the doctor because a) he was gorgeous, b) he saved my life and c) he was the most pro-women doctor I have ever met. As I wept that, at 41, I was too old to have another child, he said he could help. Most of his female colleagues didn’t want children until they were consultants, he said, which was usually in their late 30s, so he considered it his job to aid the process if necessary through IVF or other medical means. “Impregnate me now!” I had to stop myself screaming. The pregnancy hormones were still running around my brain. “I am so glad to see you,” he said as we parted. “The last woman I opened up in your condition, I lost on the table.”

Language matters. As Andrea Dworkin – a trans ally – once said: “Men have defined the parameters of every subject.” They still do. It is not transphobic for women to name our experiences as females and mothers. To insist our bodies matter and that our losses are real. It is a matter of life and death.

• Suzanne Moore is a Guardian columnist

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السبت، 24 أكتوبر 2020

Partners still banned from UK maternity wards despite rule change

Growing number of NHS hospitals continue to block attendance at antenatal scans and during labour

When Jess and Patrick discovered they were expecting their first baby in the new year, they looked forward to an early glimpse of their unborn child via an ultrasound scan.

But the couple, who live in the north-west of England, were soon told that Patrick would not be able to attend any antenatal appointments, including routine scans at 12 and 20 weeks. When their baby begins its journey into the world, Patrick will be permitted to join Jess only when labour is fully established, and he must leave an hour after delivery. He will not be able to visit his new family in hospital again.

You can go to a restaurant or hairdresser but you can’t have your partner by your side at these significant moments.

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الثلاثاء، 20 أكتوبر 2020

Polluted air killing half a million babies a year across globe

State of Global Air report says indoor air quality causing two-thirds of the deaths and affecting health in the womb

Air pollution last year caused the premature death of nearly half a million babies in their first month of life, with most of the infants being in the developing world, data shows.

Exposure to airborne pollutants is harmful also for babies in the womb. It can cause a premature birth or low birth weight. Both of these factors are associated with higher infant mortality.

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الأحد، 18 أكتوبر 2020

How my new baby’s first weeks and lockdown blurred together

In the middle of another sleepless night, it’s sometimes hard to tell what’s what

When was 12, I’d go to batmitzvah classes every Friday after school, and the highlight was breaktime, when we would sit crosslegged on the carpet while a formidable lady called Suzanne told us that day’s plot of Neighbours. One day she entered the room with unusual solemnity. She said there had been a terrible bomb at Lassiters and everybody had died, and Neighbours had finished forever. She waited a minute or so before breezily admitting she’d missed the lunchtime showing and so had no idea what had happened, but the joke was lost on us, a gasping room of pubescent Jews for whom Neighbours was our true religion. My main memory of that day is the thought: I have missed something important, we have suffered great loss and time cannot go backwards. Anyway hi, I’m back from maternity leave, I trust nothing has changed?

No, no I jest, I jest! My sense of taste and smell may be compromised, but my sense of humour, never. Pandemic. There’s a pandemic on. Instead of the calm birth and relaxing maternity leave I had planned, littered with pretty cakes and galleries and bawdy chatter about tits, I left work as lockdown started, had a baby at its bitter height and was sent home the same day to wait for death or Ocado, whichever came first.

I left work as lockdown started, had a baby and was sent home to wait for death or Ocado, whichever came first

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السبت، 10 أكتوبر 2020

The wall between what’s private and what’s not is dissolving. Which side am I on? | Hadley Freeman

In our performative age, we’re rewarded for sharing every crisis that happens in our bodies, every thought that passes through our heads

A celebrity story broke last week that gave me, as my fellow young people would say, all the feels. But they were not good feels. In fact, they were pretty much every feel except the good kind: sad for the celebrity, bad about myself, uncertain about the world today.

This story was about Chrissy Teigen, a model and the wife of the singer John Legend, although neither of those descriptors really explains her popularity. Rather, that is down to what is frequently described as her “relatability”, or her willingness to share her personal life with the world. This, according to current thinking, makes this extremely beautiful and wealthy woman more real to the public. Over several days, she posted videos of herself on Twitter and Instagram, talking about how she’d been having heavy bleeding while pregnant. “Chrissy Teigen shares updates from hospital bed as she prepares for second blood transfusion” and “Pregnant Chrissy Teigen’s horror scare as she scrambled to hear baby’s heartbeat” were just two of the newspaper headlines, as if it were totally normal that a woman’s intimate pregnancy issues should be international news.

Related: Barbara Amiel’s memoir is a reminder of the tenacity of Trump and his gilded gang | Hadley Freeman

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الأربعاء، 7 أكتوبر 2020

Health visitors are crucial for families | Letters

Mental illness such as post-natal depression is helped by home visits from a specialist community public health nurse, writes Woody Caan

I share the concerns of Cheryll Adams that spreading health visitors too thinly across families will lead to missing mental health problems, especially “for new mothers” (Overstretched health visitors caring for up to 2,400 families each, 4 October). When the last Labour government supported our group Regenerating Health Visiting, training and supporting an adequate workforce were central to our plans. I was delighted in 2010 when the coalition agreement included a commitment to training more health visitors, so it is discouraging to see this workforce shrivel in 2020.

Mental health, such as post-natal depression, is helped by home visits from a specialist community public health nurse. Visits during the preschool years are also invaluable in identifying children with disabilities, which means help can be mobilised early and parents navigated through the complex systems for various special needs. My own research suggested that very few children with disabilities (including autism or intellectual disabilities) are picked up before school entry, unless a health visitor is following their development.
Woody Caan
Retired professor of public health, Duxford, Cambridgeshire

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الأحد، 4 أكتوبر 2020

Overstretched health visitors caring for up to 2,400 families each

Exclusive: concerns for mental health and breastfeeding rates owing to already overstretched service in England

Overstretched health visitors have been forced to care for up to 2,400 families with newborns at a time, 10 times the recommended number, according to the sector’s most senior figure.

Prompting fears that breastfeeding rates will drop to new lows and a generation of babies could face a troubled future, Cheryll Adams, the chief executive of the Institute of Health Visiting, told the Guardian that as sickness and redeployment struck, some health visitors were having to care for thousands of families.

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السبت، 3 أكتوبر 2020

f Chrissy Teigen wants to share the agony of losing her baby, let her | Barbara Ellen

No one has the right to tell the model how she should deal with her tragedy

If somebody howls out their pain on social media, do they automatically lose their right to be perceived as a human being?

Model Chrissy Teigen went on Instagram to tell her millions of followers about the loss of her baby, Jack, halfway through pregnancy. Teigen, who’s known as an open social media figure, wrote: “We are shocked and in the kind of deep pain you only hear about, the kind of pain we’ve never felt before.” Later, Teigen tweeted: “Driving home from the hospital with no baby. How can this be real?”

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الجمعة، 2 أكتوبر 2020

'Something has to be done': tackling the UK's Black maternal health problem

As the issue is raised in parliament, two women are campaigning for change within the medical community

Tinuke Awe hadn’t been long at her midwife’s appointment when her pregnancy started spinning out of her control. Despite her body swelling uncomfortably as her baby grew, it was only at that 38-week check-up that preeclampsia was diagnosed. The midwife’s message was stark: go straight to the hospital, your life could be in danger.

Once there she was given a vaginal pessary to induce labour, and told to expect nothing to happen for at least 24 hours. But a few hours later she was in agony. “I kept saying, ‘I’m in pain, I’m in pain’, but I was completely dismissed and fobbed off – no one looked at me,” says Awe.

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I have huge respect for Chrissy Teigen sharing her pregnancy loss when she knew what would happen next | Isabelle Oderberg

The questions and ‘helpful feedback’ from insensitive internet commenters mirror what women face in the real world

When she revealed her pregnancy loss on Twitter and Instagram, Chrissy Teigen knew exactly what was going to happen next.

Of course there was the expected and rightful outpouring of sympathy and empathy for both her loss and sharing her raw pain, a brave gesture, but underlying that nest of support and love, came the questions from insensitive internet commenters.

pic.twitter.com/iBFKYtYwi2

Related: Chrissy Teigen and John Legend speak of 'deep pain' of losing baby

October is Pregnancy Loss Awareness Month.

Isabelle Oderberg is a journalist and communications professional working in the non-profit sector. On her journey to have her two children she had seven pregnancy losses. She is now writing a book about miscarriage in Australia, tentatively titled Hard To Bear.

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الأربعاء، 30 سبتمبر 2020

How egg freezing got rebranded as the ultimate act of self-care

The procedure has gotten a makeover thanks to fertility startups, but some doctors are pushing back on efforts to appeal to younger women

When Valerie Landis underwent her first round of egg freezing in 2015, she was younger than many of the other patients. Landis, a healthcare sales professional, was 33 at the time. Between the pressures of work, which often required traveling internationally for business, and a breakup a few years prior, she was drawn to the idea of buying herself more time to decide if she wanted to become a parent.

Back then, “the lowest age I heard was 37”, Landis said. “Now there are people as young as 25 are freezing their eggs. The whole landscape has shifted.”

Related: The reverse birth tourists: US women seek cheaper countries to have babies

There are people as young as 25 are freezing their eggs. The whole landscape has shifted

I still have my eggs frozen [in storage]...I do want to hold on to them. Who knows what life looks like?

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الاثنين، 28 سبتمبر 2020

A quarter of adopted UK children affected by drinking during pregnancy

Survey by Adoption UK finds 17% of adopted children are suspected of having foetal alcohol spectrum disorder

One in four adopted children are either diagnosed with or suspected to have a range of conditions caused by drinking in pregnancy, according to a recent survey of nearly 5,000 adopters in the UK.

Among the adopters surveyed by the charity Adoption UK, 8% of children had a diagnosis, and a further 17% were suspected by their parents to have foetal alcohol spectrum disorder (FASD), the neurodevelopmental condition characterised by difficulty with impulse control, as well as behavioural and learning difficulties.

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الجمعة، 25 سبتمبر 2020

Only 23% of NHS trusts letting birth partners stay for whole of labour

Exclusive: data on Covid rules for England, Scotland and Wales also shows 40% of women go to 20-week scan alone

Three-quarters of NHS trusts are not allowing birth partners to support mothers throughout their whole labour, despite being told by the NHS and the prime minister that they must urgently change the rules around visiting, the Guardian can reveal.

According to data collected for 144 trusts in England, Scotland and Wales by an independent doula and analysed by the Guardian, half of the trusts and health boards covered by the research were restricting partners from attending at least two of three key moments: the 12-week scan, the 20-week scan and the duration of labour.

Related: 'I started shouting at the midwives': the stress of giving birth under lockdown

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الأربعاء، 23 سبتمبر 2020

Drinking during pregnancy is not without risk | Letters

David J Wilson, John Freeman and Phyll Hardie respond to an article by Zoe Williams

Zoe Williams could not be more wrong (Bilge, booze and misogyny: why I’m outraged by a new idea to police pregnant women, 18 September): drinking in pregnancy is everyone’s concern. The National Institute for Health and Care Excellence (Nice) consultation document provided compelling arguments explaining why society should be concerned about foetal alcohol spectrum disorder (FASD).

For example, a systematic review and meta-analysis in the Lancet in 2017 revealed that the UK was among the five countries with the highest (41.3%) estimated prevalence of alcohol use during pregnancy. According to Nice, this results in an annual societal cost of over £2bn to support victims of FASD. Williams’ article simply perpetuates the debate about how much alcohol causes birth defects, when the advice should always be based on the argument that “absence of evidence is not evidence of absence”.
David J Wilson
Professor of medical education, Cardiff University School of Medicine

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الجمعة، 18 سبتمبر 2020

Bilge, booze and misogyny: why I'm outraged by a new idea to police pregnant women

Perhaps I should be more shocked by the latest proposal to control women. But what else can you expect in this supremely sexist era?

Last week I got an email from a reproductive rights campaigner I have known, liked and admired for many years. “Good morning,” it began. “I thought this would make you cross.” She went on to describe a fresh frontier in the war against pregnant women: that any woman drinking anything during pregnancy, even a glass of wine in the first week of it, would have that marked on her medical records, which would then be transferred to her baby’s records. It was a Nice idea (for clarification, National Institute for Health and Care Excellence – this is not a nice idea), being put out for consultation.

It did make me cross. Not because of the gross infringement of women’s privacy – it would probably be illegal to transfer a woman’s health records over to those of her child – and complete obliteration of trust between a prospective mother and her midwife, but because this is just bilge. Welcome to the age of bilge, where mindless hysteria accrues around risks for which there is no evidence; where experts are disregarded in favour of fanatics; where real and demonstrable threats to pregnant women – which come mainly from underfunded services – are ignored in preference for finger-pointing; where no explanation is ever more complicated or less divisive than: “People (especially women) are weak.” But far more than cross, I felt nostalgic. Because I remember a time when this unusual approach was limited to pregnant women, and now it’s our whole politics.

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الثلاثاء، 15 سبتمبر 2020

Why are celebrities arguing over shapewear? | Arwa Mahdawi

Kim Kardashian West, Jameela Jamil and Chrissy Teigen are having a three-way altercation about control pants and pregnancy

What happened? I thought the pandemic had prompted a collective realisation that uncomfortable clothes are not to be tolerated. I thought we were all going to burn our skinny jeans and emerge from lockdown in loungewear. Alas, it seems that, instead of embracing baggy bliss, some pregnant people are squeezing themselves into the modern equivalent of corsets.

If there is a feminist-adjacent argument online, the odds are high that Kim Kardashian West, Jameela Jamil or Chrissy Teigen will be at the centre of it. This particular incident stars all three. To cut a long and tedious story short, Kardashian West jumped into the growing market for “shapewear” – control pants that squish your squidgy bits – last year. This caused a ruckus when it happened because she named her brand “Kimono”, but, after lots of outrage and free PR, she renamed it Skims. Now the enterprising Kardashian West has come out with a line of Maternity Solutionwear. Jamil, an actor who has built a brand on getting offended by Kardashian shenanigans, immediately started bemoaning the conversation around pregnancy shapewear, noting that she wished we could focus “on the inside of a pregnant body, not the outside”. At which point Teigen, who is expecting a third child, jumped in to say that, actually, pregnancy shapewear isn’t about looking small, but about support and pain relief. Kardashian West then explained: “Skims maternity line is not to slim, but to support.”

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Plans to record pregnant women's alcohol consumption in England criticised

Pregnancy charities suggest the guideline could fall foul of data protection regulations

Pregnant women’s alcohol consumption could be recorded on their child’s medical records under plans for England being considered by National Institute for Health and Care Excellence (Nice), prompting criticism from pregnancy rights advocates.

The proposal from Nice has been drawn up as part of a consultation to cement guidelines for doctors to diagnose and prevent foetal alcohol spectrum disorder (FASD).

Related: Pregnancy warning mandatory on alcoholic beverages within three years

Related: Alcohol industry 'puts pregnant women at risk', researchers say

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الخميس، 3 سبتمبر 2020

Genome editing for heritable diseases not yet safe, report states

Scientists warn embryos that have had DNA edited should not be used in pregnancies

Powerful genome editing procedures that could prevent parents from passing on heritable diseases to their children are far from ready for clinical use, and must be proved safe and effective before nations permit them, leading scientists warn.

In a major report on the procedure, an international commission said no human embryos that have had their DNA edited should be used to establish pregnancies until a substantial body of work shows genetic faults can be corrected precisely and reliably with no harmful consequences.

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الثلاثاء، 1 سبتمبر 2020

Pregnant women in hospital with Covid-19 may not show symptoms, study finds

Analysis shows that pregnant women may be at a higher risk of needing admission to an ICU

Pregnant women in hospital with coronavirus are less likely to show symptoms and may have a greater risk risk of being admitted to an intensive care unit than non-pregnant women of similar age, a study has found.

The analysis, which encompassed 77 studies conducted globally and was published in the British Medical Journal, looked at 11,432 pregnant women admitted to hospital and diagnosed as having suspected or confirmed Covid-19.

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الجمعة، 28 أغسطس 2020

Experience: I thought I’d never meet my newborn son

Our baby was on the way when Thailand banned commercial surrogacy. Clinics were raided. Calls and emails went unanswered

My husband and I were on holiday in Greece when the email arrived to tell us we were having a baby. Our surrogate was pregnant after the first embryo transfer. This was the news Bill and I had dreamed of; it was our final attempt at parenthood, whatever the outcome. We had been trying to have a baby for nine years, and I had experienced five miscarriages. We were emotionally and physically drained.

A couple of weeks before the news came, we had flown from our home in Australia to Bangkok. My eggs were collected and Bill made his contribution. Later, an embryo was transferred into the Thai surrogate’s womb. I was 37 by then, and surrogacy was not a decision we had taken lightly. I had done a lot of research to find the right country with the right laws and an ethical clinic; surrogates there had completed their own families and were not financially pressured.

Related: Experience: I'm a translator for criminals and the voiceless

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الاثنين، 24 أغسطس 2020

No safe level of coffee drinking for pregnant women, study says

Cut out caffeine to help avoid miscarriage, low birth weight and stillbirth, paper advises

Pregnant women should cut out coffee completely to help avoid miscarriage, low birth weight and stillbirth, according to a study of international evidence about caffeine and pregnancy.

In contradiction to official guidance in the UK, US and Europe, there is no safe level for caffeine consumption during pregnancy, according to a peer-reviewed study published in the journal BMJ Evidence-Based Medicine.

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السبت، 22 أغسطس 2020

‘Suzanne wears a necklace that reads Mama-To-Be. The rest of her is blood and gore’: notes from the nursing frontline

In 20 years as a paediatric nurse, I have witnessed the extremes of pain and joy. What keeps me coming back is hope

My daughter is here. Curled up in a hedgehog ball, but softer than anything in the universe. She is born with a quiff of thick black hair and an expression that says she’s been here before. A knowing, testing look. She is early, and small. I begin assessing my baby as if she’s one of my intensive-care patients. I check her reflexes, pupil reaction, respiratory rate and capillary refill time. Mary, the maternity support worker, watches me and laughs. “Nurses and doctors – always the worst patients.”

I try not to think of all the babies, children and adults I’ve cared for who were seriously ill, but I can’t stop. I realise that when my daughter hurts, I will hurt more. And she is not hurting. She is fine. But something in me shifts. I think of all the faces of the mothers and fathers and aunts and uncles and grandparents of my patients through all my years of paediatric nursing. I try to imagine their primal pain. How could I not have appreciated the extent of it? In the most desperate of unimaginable horrors, in the face of disability, or serious illness, or pain, or loss, how do patients’ families stand upright? How do they find the courage to care?

‘She’ll lose the baby, won’t she? It’s too early. She was on the phone to me from the car, hands-free, but still...’

‘Is that the adopted one?’ My son turns and listens, and I know in my bones that he understands what she has said

Born addicted to crack cocaine and heroin, even in his tiny state Michael shows signs of foetal alcohol syndrome

Related: The Language of Kindness by Christie Watson review – what it means to be a nurse

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الثلاثاء، 18 أغسطس 2020

I don’t regret my abortion. But the coronavirus lockdown made it a guilty secret

I got pregnant when I should have been social distancing. So now I can’t tell my friends or family about the termination

There are two pink lines. Amid the chaos of this spring – the pandemic, lockdown, looming economic crisis – just one thing is certain: I am pregnant.

I am 36 and, strictly speaking, single. Before lockdown, I had secretly started seeing my ex, Jon, again. It wasn’t perfect, but freed us from pressure to define our relationship to anybody. Then lockdown hit. The arts industry in which I work vanished overnight. I was alone in my tiny flat, depressed, desperately missing my work, friends, family … and Jon. I craved the feel of skin. He believed he had already had Covid-19, and we both lived alone, so surely it couldn’t be so bad if we met up?

Two days before my appointment, I had a surprise call from the hospital

Related: It shouldn’t be left to women to fight alone for abortion rights | Gaby Hinsliff

With lockdown came new versions of shame and judgment for rule-breakers, and I dread the extra explaining

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الجمعة، 14 أغسطس 2020

Katy Perry: 'I've done a lot of falling flat on my face'

Nine months pregnant with an album due at the same time as the baby, the star once known for her unfiltered goofiness has evolved. She talks depression, cancel culture – and her return to pure pop

Via a webcam into her Los Angeles home, Katy Perry slowly descends into frame, nine months pregnant with her first child. She looks like the Virgin Mary via Warhol in a voluminous azure dress and a matching pearl-studded headband. “The conception was not virginal, I’ll tell you that,” she says with trademark cartoonish verve. All that’s visible of her house is a lustrous brown curtain, the stage for her recent promo activities. She estimates that this is her 70th interview about her fifth album, Smile. (Going by the banal, grin-and-bear-it US radio interviews, she has the patience of a saint if not the impregnation tactics.) Baby and record were neck-and-neck until production delays bumped the latter to 28 August: the girl she and fiance Orlando Bloom have nicknamed “Kicky Perry” comes first.

The pandemic only slightly skewed her plans: Perry, 35, always intended to release the album, have a baby and skip touring, resenting the suggestion that she should have to choose. That said, it has helped that every pop star is working from home. “It’s not like I was some witch with a spell: I’m gonna do it this way so you’re gonna do it this way,” she says with mock glee. “But yes, I probably don’t have as much Fomo as I would have if the world hadn’t shifted.” Last night she was filming a video until 2am, her last big commitment: “There is definitely a groundedness of: ‘Here’s the music, enjoy, love ya, I’m out!’”

No one can make you feel or believe something about yourself that you don’t already

Related: ‘I created this character called Katy Perry. I didn’t want to be Katheryn Hudson. It was too scary’

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الاثنين، 10 أغسطس 2020

Study links cannabis use during pregnancy to autism risk

Research suggests 50% greater risk for children whose mothers report using cannabis

Children born to mothers who report using cannabis during pregnancy have about a 50% greater risk of developing autism, research suggests.

While the team behind the work said more research was needed to unpick whether cannabis itself was behind the link, they said the results were concerning.

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الخميس، 23 يوليو 2020

Covid-19 threatens access to abortions and contraceptives, experts warn

Unplanned pregnancy rates have fallen globally, report finds, but coronavirus could endanger access to services

Rates of unplanned pregnancies have fallen around the world, according to new data published by health research organisation the Guttmacher Institute and the UN Human Reproduction Programme (HRP) on Wednesday.

Global rates of unintended pregnancies have fallen from 79 per 1,000 women aged 15 to 49 in 1990 to 64 in 2019, thanks in part to a concerted effort to increase access to contraceptives, but there are concerns that decades of progress in reducing the numbers risk being undone by Covid-19, as lockdown restrictions hamper health services.

Related: Climate, inequality, hunger: which global problems would you fix first? – interactive quiz

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الثلاثاء، 21 يوليو 2020

From undercooked statistics to over-simplification: what The Bold Type got wrong about pregnancy loss

Stories of miscarriage are so rare in popular culture, it’s even more disappointing when they’re mishandled

Twenty-seven seconds. That’s how long it took for a doctor on the American comedy-drama The Bold Type to give lead character Sutton a scan and then tell her she was having a miscarriage.

The entire appointment, from the time the doctor walked in the door to the time she walked out, was depicted in one minute and 51 seconds.

Related: On the Sauce: Shaun Micallef brings sobering eye to Australia's relationship with alcohol

Ask women gently in an appropriate setting and it’s astonishing how many will have experienced pregnancy loss

Related: Abbie Chatfield is the best thing about Bachelor in Paradise. Don't make her the villain | Matilda Boseley

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الجمعة، 17 يوليو 2020

Pregnancy warning mandatory on alcoholic beverages within three years

Warning labels have been voluntary since 2011, but AMA president says they can not be left in the hands of those motivated by profit

The alcohol industry has been given a 12-month extension but will have to ensure pregnancy health warning labels are placed on all bottles and cans within three years.

Australian and New Zealand ministers on Friday granted beverage makers an extra year for the transition with the labels to say “pregnancy warning” rather than “health warning” as initially proposed.

Related: Harm from drinking alcohol at home spikes in Australia amid coronavirus

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The power of touch: I didn't hold my daughter until she was three days old | Salamishah Tillet

I was afraid my inability to breastfeed her or engage in skin-to-skin contact would harm her, but I was also burdened by another history

Welcome to the Guardian’s Power of Touch series

I had to wait three days after my daughter Seneca was born to hold her. She arrived punctually just before sunrise on her due date, a fact I have interpreted as her over-accommodating me, because it enabled me to drive to UPS and mail off my tenure dossier on time.

Nine hours later, as my partner, Solomon, my sister, Scheherazade, and I drove to the hospital with a maternity bag filled with a lavender-scented eye mask, breastfeeding pyjamas and a white-noise machine, I noticed only a handful of cars on the highway, the glare of their headlights guiding us to the hospital, four suburbs and 30 minutes away from our New Jersey townhouse.

Enslaved black women knew that to touch and hold their babies, who could be sold off at any minute, was a huge risk and a revolutionary act

Salamishah Tillet is the Henry Rutgers professor of African American studies and creative writing at Rutgers University, Newark.

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الثلاثاء، 14 يوليو 2020

Baby boy infected with coronavirus in womb

French study is believed to be first such confirmed case but doctors say infant has made good recovery

Doctors in France have reported what they believe to be the first proven case of Covid-19 being passed on from a pregnant woman to her baby in the womb.

The newborn boy developed inflammation in the brain within days of being born, a condition brought on after the virus crossed the placenta and established an infection prior to birth. He has since made a good recovery.

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الأحد، 12 يوليو 2020

The Guardian view on a women’s health scandal: under the skin | Editorial

An official review of vaginal mesh and medicines in pregnancy reveals systemic weaknesses, and sexism too

Greater openness about women’s bodies was one of the big themes of postwar feminism. Access to contraception and the right to terminate a pregnancy were crucial stepping stones on a path to liberation from a social order that for centuries constrained women. The right to choose whether to have children is now well established, along with access to education, employment and equal pay (although gender pay and pension gaps remain). But sexism has not gone away. Among the findings of the Independent Medical Devices and Medicines Safety Review set up to investigate vaginal mesh implants is that the UK’s health system has a habit of ignoring women.

One patient likened the search for a doctor who would take seriously her concerns about the implants, which were widely used to treat pelvic organ prolapse and stress urinary incontinence until 2018, to “traipsing through treacle”. A former doctor referred to an “unconscious negative bias” towards middle-aged women in chronic pain. The report described a culture in which “anything and everything” women said about their discomfort was put down to the menopause.

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الخميس، 9 يوليو 2020

The pelvic mesh scandal makes it clear: doctors must declare any funding | Margaret McCartney

We need a public register to show if healthcare professionals are in the pay of industry – or more patients will suffer

It was never “just women’s problems”. After decades of having their suffering dismissed, many patients will have been relieved about the publication of the Independent Medicines and Medical Devices Safety Review yesterday. Led by Julia Cumberlege, the review has spent two years investigating three medical interventions: pelvic mesh, used in prolapse surgery, which resulted in chronic, life-changing pain for many women; Primodos, a hormonal pregnancy test, used up until 1978; and sodium valproate, an epilepsy treatment. The latter two have both been linked with birth defects.

Related: Denial of women's concerns contributed to decades of medical scandals, says inquiry

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After a miscarriage, advice to ‘just make another baby’ made me feel worse

Up to half of all pregnancies end in miscarriage. It’s not uncommon to endure anxiety and depression – and many face pressure to get pregnant again

My husband, Peter, sat in a chair watching me pace a small, sterile room. I was supposed to be lying on the examination table, but I needed to move.

In the days leading up to our appointment, every time I felt a cramp, I went to the bathroom expecting to see blood. When my daily morning sickness briefly subsided, I assumed it was because I had miscarried. For weeks, I battled to fit into my regular pants every morning, jumping up and down to try to get them on. But I refused to unpack my maternity clothes that were stored in the basement.

Related: 'I went to bed hungry': being denied an abortion can lead to financial turmoil

It made me question my ability to carry a healthy pregnancy, sparking an anxiety to quickly get pregnant again

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الاثنين، 6 يوليو 2020

My four miscarriages: why is losing a pregnancy so shrouded in mystery? – podcast

After losing four pregnancies, Jennie Agg set out to unravel the science of miscarriage. Then, a few months in, she found out she was pregnant again – just as the coronavirus pandemic hit

Read the text version here

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الأربعاء، 1 يوليو 2020

Woman loses legal challenge to NHS charges for pregnant migrants

Charity and woman argued government policy hindered access to maternity healthcare

A woman who faces decades of repayments to the NHS for maternity care has lost a case in the high court challenging the government’s healthcare charging regime for migrants.

The woman, who cannot be named, brought the legal challenge along with the charity Maternity Action, which works to end inequality and improve healthcare for pregnant women.

Related: Charging migrant women for maternity care puts us all to shame | Nell Frizzell

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السبت، 27 يونيو 2020

‘Parents can look at their foetus in real time’: are artificial wombs the future?

Scientists are currently pushing on an ethical boundary. Will out of body gestation ever replace the experience of human birth?

The lamb is sleeping. It lies on its side, eyes shut, ears folded back and twitching. It swallows, wriggles and shuffles its gangly legs. Its crooked half-smile makes it look content, as if dreaming about gambolling in a grassy field. But this lamb is too tiny to venture out. Its eyes cannot open. It is hairless; its skin gathers in pink rolls at its neck. It hasn’t been born yet, but here it is, at 111 days’ gestation, totally separate from its mother, alive and kicking in a research lab in Philadelphia. It is submerged in fluid, floating inside a transparent plastic bag, its umbilical cord connected to a nexus of bright blood-filled tubes. This is a foetus growing inside an artificial womb. In another four weeks, the bag will be unzipped and the lamb will be born.

When I first see images of the Philadelphia lambs on my laptop, I think of the foetus fields in The Matrix, where motherless babies are farmed in pods on an industrial scale. But this is not a substitute for full gestation. The lambs didn’t grow in the bags from conception; they were taken from their mothers’ wombs by caesarean section, then submerged in the Biobag, at a gestational age equivalent to 23-24 weeks in humans. This isn’t a replacement for pregnancy yet, but it is certainly the beginning.

In the incubator there is a lamb, its chest rising and falling, submerged in yellowish fluid in a transparent bag

I lost a baby at 20 weeks. If a fake womb might save a sick foetus, could it also save a healthy 20-week-old?

Pregnancy is remarkable, but I have never felt more like a thing, being acted on by doctors

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Prioritise pregnant BAME women because of coronavirus risk, NHS England says

Doctors and midwives told to relax criteria for reviewing and admitting BAME women to hospital

Pregnant women from black, Asian and minority ethnic backgrounds should be fast-tracked to hospital because of their increased risk of coronavirus, NHS England has said.

Doctors and midwives have been told to relax their criteria for reviewing and admitting BAME women to hospital or escalating any concerns about their health. NHS England also said it wanted to see “tailored communications” specifically aimed at supporting women from BAME backgrounds.

Related: BAME women make up 55% of UK pregnancy hospitalisations with Covid-19

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الجمعة، 26 يونيو 2020

'One in a 50m chance': woman with two wombs carrying a twin in each

Kelly Fairhurst found out about uterus condition when she went for 12-week scan

The case of a woman who found she had two wombs and was pregnant with a twin in each has been described as “one in 50m” by doctors.

Kelly Fairhurst, 28, only learned she had uterus didelphys – a condition where a woman has two wombs – when she went for her 12-week scan. She was also told she was carrying twins, one in each womb.

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الاثنين، 22 يونيو 2020

Birth in lockdown: a doula photo essay

Photographer Alicia Canter has been investigating how people have been coping with pregnancy and birth during the coronavirus lockdown, photographing doulas, and new and expecting parents

Alicia: “After my best friend gave birth at the start of March and a pregnant friend told me she was shielding, I started thinking about how people were coping with pregnancy and birth during lockdown. With women only allowed to have one birth partner and home births restricted for a time, I spoke to women and men about how having a baby during lockdown has been for them and their new families. The project is ongoing.”

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الجمعة، 19 يونيو 2020

I got pregnant by mistake. Was I ready for single motherhood?

Having a baby lay somewhere in the future. Until suddenly, after a night in a Hollywood hotel, it didn’t

I hadn’t meant to have a baby at all. I hadn’t meant not to have a baby either, by which I mean I always thought I’d have children one day. I just thought those children would grow up with me and their yet-to-materialise father in a lovely farmhouse, hugged by the hills, with an Aga and a dog and long, invigorating walks through the fields. This was not how I had grown up in Yorkshire, but it wasn’t a million miles from it either. It was an idealised version of home, and it lived somewhere vaguely in my future as an unspecified certainty.

Exactly how I thought La Vida Farmhouse was going to appear when I was, in fact, living in a one-bedroom rented apartment in West Hollywood in 2010 isn’t clear. My apartment was just behind the Sunset Strip part of Sunset Boulevard. The Strip is the glamorously cheesy bit, full of rooftop pools and famous people, and it was a place that encouraged in me a relationship with reality that could at best be described as negligible. I was working as a journalist, interviewing Hollywood celebrities for newspapers and magazines back home.

Laughing, I took a big gulp of whisky and said we didn’t need to use anything as I definitely couldn’t get pregnant

The loneliness of the long-distance runner has nothing on that of the single person in an antenatal class

A single parent is both structure and playground, walls and soft landing, good cop and bad cop

Even though the doctor said the baby was his, I knew it wasn’t true. That baby wasn’t his at all. She was mine

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الخميس، 18 يونيو 2020

To Kid Or Not to Kid review – why women choose to be childless

Director Maxine Trump’s heartfelt documentary explores the pressures and prejudices facing women who do not want to be mothers

British-born, New York-based film-maker Maxine Trump puts herself front and centre for this honest, heartfelt documentary about her own and other women’s decision to not have children. While no one should ever have to defend such a personal choice, Trump lays out just how she got there.

She’s not anti-child and takes delight in other people’s children, especially her nephews and nieces. Partly, what concerns her is the environmental impact of overpopulation. But she and many other women are also increasingly coming to see this as an identity in its own right; one in opposition to the natalist, reproduction-boosting society we accept as the norm. They even have their own conferences, websites and boozy meet-ups.

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الثلاثاء، 16 يونيو 2020

Women at risk of babies being put in care more likely to have mental health issues

Wales study shows 53% have condition, showing need for early support for mothers

Pregnant women who are at risk of their babies being removed from their care in the first year of life are far more likely to have had mental health problems compared with other expectant mothers, a report has found.

A study of more than 1,000 women in Wales who were subject to care proceedings found that just over half reported an existing mental health condition at their initial antenatal assessment, and three-quarters had a GP or hospital contact or admission related to mental health at some point prior to their child’s birth.

Related: Children in care services are at ‘breaking point’

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