الأحد، 11 ديسمبر 2022

Private ultrasound clinics are profiting from our anxiety | Eva Wiseman

Unregulated ultrasound clinics run without proper training are making money out of maternal fears

One morning some years ago I was at a clinic in Brighton, having an appointment about an upcoming abortion. An odd winter, my second away from home, I was brittle and irritated with adult life. And I was confused when, suddenly, the woman turned the ultrasound screen round and told me to look at the heartbeat. The clinic’s window looked towards the sea, near a nightclub where I worked on the door, and I remember looking at her, then out of the window, then at the screen, where her finger hung by the black image for what felt like many minutes. I felt puzzled at the time, later shocked, today horrified.

I was reminded of that day twice recently: first when I heard about an anti-abortion charity in Scotland that gives ultrasound scans to women considering terminations, and then again when I read about a recent case in America. A teenager asking a judge for an abortion was told to have an ultrasound because (said the judge), “If the proposed mother is shown the ultrasound, they will change their mind.” By humanising the embryo they try to psychologically coerce the woman into going through with a pregnancy she knows she shouldn’t have.

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السبت، 3 ديسمبر 2022

I’m pregnant for the fifth time. I’m sick of my miscarriages feeling like a secret shame | Julia Holman

My husband and now four-year-old son shouldn’t have to be the only ones to feel my grief, rage and devastation

I had started a list of baby names, called the hospital to apply for the midwifery program and familiarised myself with the foods to avoid. And every day as I obsessively did home pregnancy tests that second “positive” line on the test grew stronger, but then my doctor called.

The pregnancy hormone, which had been rising exponentially, had slowed down. Nothing definitive, we’d have to wait a week to be sure, but I was told not to get my hopes up.

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الثلاثاء، 29 نوفمبر 2022

Air pollution linked to almost a million stillbirths a year

First global analysis follows discovery of toxic pollution particles in lungs and brains of foetuses

Almost a million stillbirths a year can be attributed to air pollution, according to the first global study.

The research estimated that almost half of stillbirths could be linked to exposure to pollution particles smaller than 2.5 microns (PM2.5), mostly produced from the burning of fossil fuels.

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الاثنين، 28 نوفمبر 2022

A woman’s right to abort a foetus with Down’s syndrome | Letters

Every baby should be wanted, and forcing a woman to carry an unwanted foetus to term is hardly the best start, says Ruth Brandon

Re your article (Woman with Down’s syndrome loses court of appeal abortion law case, 25 November), in 1981, I aborted a foetus with Down’s syndrome at 20 weeks. At that stage, the procedure involves an induced birth. It was pretty harrowing, but was notable for the kindness of the hospital staff. I have never regretted my decision.

At that time, amniocentesis, in which Down’s and other birth defects can be picked up from a sample of amniotic fluid, was a relatively new procedure. It involves a risk of miscarriage, but I would not have risked pregnancy without it. I was 38 and well aware of the increased incidence of Down’s syndrome in older mothers. For me, amniocentesis, with the possibilities of choice that it granted, was one of the world-changing freedoms for women that began with the contraceptive pill.

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الثلاثاء، 22 نوفمبر 2022

No need for six-month wait to try for baby after pregnancy loss, study finds

Analysis challenges WHO health guidance on amount of time women should delay after miscarriage or abortion

Women don’t need to wait for at least six months before trying for another baby after a miscarriage or abortion, an analysis of data suggests, challenging World Health Organization guidance.

The research was also at odds with WHO advice that women should delay at least 24 months after a live birth before becoming pregnant again, to avoid complications in the next pregnancy.

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الاثنين، 21 نوفمبر 2022

Acupuncture relieves back and pelvic pain during pregnancy, study suggests

Analysis shows significant benefits with no major side-effects for mother or baby but more trials needed ‘to confirm results’

Acupuncture can significantly relieve the lower back or pelvic pain frequently experienced by pregnant women, according to a new global data analysis of the available evidence.

There were no observable major side effects for babies whose mothers opted for the procedure, the findings suggest, although only a few of the studies evaluated outcomes. The meta analysis was published in the journal BMJ Open.

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السبت، 19 نوفمبر 2022

‘I’m investing some hope’: four women on their decision to freeze their eggs

After scientists cautioned against egg freezing as an ‘insurance policy’, we hear what drives women to do it

At 42, Caroline, a financial analyst from Manchester, assumed she had left it too late to look into egg freezing.

“The people at the fertility clinic did tell me chances of success weren’t high – under 5% if I remember correctly. So, I was prepared for that,” Caroline, who was single at the time, says. “I wasn’t even 100% sure I wanted children at all at that point, but this was my last and only chance to have children that are biologically related to me, so I went for it anyway.”

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الأربعاء، 16 نوفمبر 2022

UK has second highest maternal death rate in eight-country European study

Women in UK three times more likely to die around the time of pregnancy than those in Norway

Mothers in the UK are three times more likely to die around the time of pregnancy compared with those in Norway, according to an international analysis of data.

Although maternal mortality is at historic lows in high-income countries, it remains an important indicator of quality of care, health system performance and, more specifically, maternal care. The comparison of maternal mortality rates in eight European countries was published in the BMJ.

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الثلاثاء، 15 نوفمبر 2022

‘Kangaroo mother care’ best for early and low birth-weight babies, says WHO

Premature or tiny newborns should go directly into sling worn by caregiver where possible, states latest advice

Premature and low birth-weight babies should be placed in immediate contact with their caregivers’ skin after birth to improve their health outcomes and chances of survival, the World Health Organization (WHO) has said.

The guidelines mark a significant change from earlier guidance, and will apply to all infants born before 37 weeks of pregnancy or under 2.5kg (5.5lb) in weight – apart from those needing breathing support, mechanical ventilation or who are in shock.

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الخميس، 10 نوفمبر 2022

Maternal mortality rises by nearly 20% in UK, report finds

Study leader says many women who die have multiple disadvantages, with suicide now the main direct cause of death

The number of women dying in pregnancy or shortly after giving birth in the UK has risen sharply, with evidence of widening health inequalities, a major report has found.

The report, MBRRACE Saving Lives, Improving Mothers’ Care, found that 229 women died during pregnancy or up to six weeks after in 2018-20, a 19% increase on previous years once Covid deaths were excluded. It also detailed the care of 289 women who had died up to a year after pregnancy in the same period.

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الأربعاء، 9 نوفمبر 2022

Indoor wood fires ‘dangerous’ for some pregnant women

Study finds link between smoke-related deaths and eclampsia, helping explain worse maternal health

Air pollution from cooking indoors over a fire of wood or charcoal could have life-threatening consequences for some pregnant women, according to a new study.

Researchers at King’s College London found “a significantly positive correlation” between deaths attributable to toxic smoke from cooking and heating and the rate of eclampsia, a rare condition in pregnancy where high blood pressure results in life-threatening seizures. Women with pre-eclampsia, characterised by high blood pressure or hypertension, are at significantly greater risk in pregnancy if they are cooking over an open fire.

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الاثنين، 7 نوفمبر 2022

Pill to prevent pre-eclampsia gets UK fast track for development

Exclusive: MHRA grants innovation passport to drug that could prevent women from developing condition

A new pill that could prevent pre-eclampsia has become the first pregnancy drug to be fast-tracked for development by the UK’s drug regulator.

Scientists at MirZyme Therapeutics, a biopharmaceutical company, believe they have developed a drug that when given to women from 20 weeks of pregnancy could stop them developing the condition.

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الأحد، 6 نوفمبر 2022

Fertility treatment and work are often incompatible – employers need to step up | Zeynep Gurtin

I know from experience how hard the balancing act can be. It’s in organisations’ interests to provide proper support

  • Zeynep Gurtin is a fertility consultant and a member of the Human Fertilisation and Embryology Authority

As a sociologist of reproduction who has spent the last two decades exploring the fertility journeys of people struggling to conceive, I know just how much infertility can wreak havoc on a person’s life. This week, a new study published by Fertility Network UK, has highlighted the many ways in which the condition and its associated treatment can have a detrimental impact on not only a patient’s mental health and their relationships, but also their work life.

Disturbingly, 40% of respondents said they experienced suicidal feelings and 83% felt sad, frustrated and worried often or all of the time. “Fertility patients encounter a perfect storm,” Gwenda Burns, chief executive of Fertility Network UK, notes, and often can’t access the support they need.

Zeynep Gurtin is a lecturer at UCL, a member of the Human Fertilisation and Embryology Authority and a fertility consultant

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الأحد، 30 أكتوبر 2022

Unlocking the mystery of placental disorders and recurrent stillbirths

The winning essay in the Max Perutz science writing award 2022, published below, was written by Emily Cornish, a clinical research fellow and PhD candidate at University College London

The Medical Research Council (MRC) Max Perutz science writing award is open to MRC-funded PhD students, who are invited to write about why their area of research matters. This year’s 10 shortlisted topics included immune therapies for cancer, Scotland’s drug-related death rate and the neglected tropical disease schistosomiasis. The high quality of the entries made judging hard. Ultimately, the panel, made up of the Observer’s Ian Tucker, Roger Highfield of the Science Museum, the journalist Samira Ahmed, the science communication lecturer Andy Ridgeway, the MRC’s Jennifer Anderson and the award-winning young science writer Zara Hussan, agreed that the £1,500 prize should go to Emily Cornish, a Phd candidate at University College London’s EGA Institute for Women’s Health, for her essay about recurrent pregnancy loss. “I am so thrilled to have won this inspirational prize,” says Emily.

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الجمعة، 28 أكتوبر 2022

‘Miracle’ baby opens debate over possible use of centuries-old sperm

Technology allows sperm to be frozen longer than the legal 50-year limit, but poses medical and ethical questions

A change of law has paved the way for more babies to be born from sperm frozen up to 50 years ago, but experts say there is no scientific reason why sperm hundreds of years old cannot be used.

This week, a boy was born using sperm frozen in 1996, collected when his father was diagnosed, aged 21, with Hodgkin lymphoma, in case his treatment caused infertility.

Described as a “miracle” by his now 47-year-old father, Peter Hickles, the baby is close to holding the record for the longest gap between sperm collection and birth – he was beaten by a baby born in the US using a 27-year-old sample.

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السبت، 22 أكتوبر 2022

Post-pregnancy body positivity? On Instagram, it’s hard to find

After analysing 600 images tagged #postpartumbody on Instagram, Australian researchers found stretch marks, bellies and scars were rarely in the picture

Stretch marks, abdominal fat, caesarean scars. This is the reality for many new mothers, but you’d think otherwise from scrolling social media, according to a new Australian study.

Researchers examined 600 Instagram images with the hashtag #postpartumbody and found that only 5% of images focused on bodies bearing stretch marks, cellulite, sagging breasts or scars.

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الخميس، 20 أكتوبر 2022

Care substandard at 39% of maternity units in England, NHS watchdog finds

Care Quality Commission reports deteriorating services and ‘the same concerns emerging again and again’

Two out of five maternity units in England are providing substandard care to mothers and babies, the NHS watchdog has warned.

“The quality of maternity care is not good enough,” the Care Quality Commission (CQC) said in its annual assessment of how health and social care services are performing.

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الأربعاء، 19 أكتوبر 2022

Maternity care is not on a journey of obvious improvement

History suggests that reports exposing NHS failings do not banish the culture that harms babies and mothers

Reports showing that babies and mothers died or were harmed as a result of failures by, and sometimes heartless cruel treatment in, NHS maternity units are becoming worryingly common.

Dr Bill Kirkup’s just-published 192-page exposé of an appalling catalogue of failings at East Kent NHS trust between 2009 and 2020 is the second in the last 12 months. As many as 45 babies and 23 mothers in East Kent died avoidably during that time because their care was substandard, his inquiry found.

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الثلاثاء، 18 أكتوبر 2022

What a pregnancy actually looks like at nine weeks – in pictures

In 13 US states, abortion is banned even in the earliest stages of pregnancy. But we rarely see what such tissue really looks like

Abortion is now banned or severely restricted in 14 states in the US, the outcome of a decades-long campaign by anti-abortion advocates. In many states, abortion is no longer seen as a health procedure, but a morality issue. Pennsylvania’s Doug Mastriano – once a state senator, now running for governor – is one of a number of Republican politicians who has called for murder charges for people who defy abortion bans.

In 13 of those 14 states, abortion is banned even in the earliest stages of pregnancy.

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السبت، 15 أكتوبر 2022

How the psychiatric ward rescued me from severe postpartum anxiety

Days after my baby was born, I was overwhelmed by raw terror. Soon, my son and I were living in a specialist unit. This is what I learned

“If you tried to leave now, we would section you.” It was my second day in the mother and baby unit, a psychiatric ward that treats women with perinatal mental health issues, while helping them care for their babies. I was sitting on the edge of my single bed, with its squeaky vinyl cover, my son asleep next to me in a cot that was impossibly huge for a four-week-old baby. I bit my lip and tried to stop my leg twitching up and down.

“You’d section me?”

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How the psychiatric ward rescued me from post-partum psychosis

Days after my baby was born, I was overwhelmed by raw terror. Soon, my son and I were living in a specialist unit. This is what I learned

“If you tried to leave now, we would section you.” It was my second day in the mother and baby unit, a psychiatric ward that treats women with perinatal mental health issues, while helping them care for their babies. I was sitting on the edge of my single bed, with its squeaky vinyl cover, my son asleep next to me in a cot that was impossibly huge for a four-week-old baby. I bit my lip and tried to stop my leg twitching up and down.

“You’d section me?”

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الاثنين، 10 أكتوبر 2022

After my miscarriage, it was hard to find reliable online support for an issue shrouded in shame – that’s about to change | Isabelle Oderberg

Miscarriage Australia is a first of its kind website that uses medically proven facts to help patients, and it’s been far too long in the making

When I was pregnant after having a miscarriage, there were a lot of things I didn’t do. I abstained from sex for the first 12 weeks. I stopped going to my beloved yoga. I didn’t lift anything heavier than my handbag. I refused even one coffee.

Not one of these things that I so fastidiously avoided cause miscarriage. But subliminal messaging all around us tells us that miscarriage must be something we did, right? Even the word miscarriage implies an error: did the birth parent carry the baby incorrectly? Eat sushi? Have a bath that was too hot?

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الأحد، 9 أكتوبر 2022

The future of surrogacy is in the balance. We should be wary of relaxing the rules | Sonia Sodha

With exploitation and health risks rife, we must tread with care before a change in law

I first thought about surrogacy when a friend was having issues conceiving. It made me think about the hypothetical: if I could carry a baby for someone I loved dearly, would I do it? I didn’t need to think long; I knew I personally could never hand over a baby I had given birth to.

Surrogacy is fraught with moral complexity. On the one hand, there are joyous parents who never thought they’d be able to have their own biological children and women who say they find being a surrogate fulfilling. On the other, heartbreaking stories of what happens when it goes wrong, tales of terrible exploitation of women in poor countries, and – recently – babies left stranded with no parents in countries such as Russia and Ukraine during Covid, then war.

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الأربعاء، 5 أكتوبر 2022

Toxic air pollution particles found in lungs and brains of unborn babies

Particles breathed by mothers pass to their vulnerable foetuses, with potentially lifelong consequences

Toxic air pollution particles have been found in the lungs, livers and brains of unborn babies, long before they have taken their first breath. Researchers said their “groundbreaking” discovery was “very worrying”, as the gestation period of foetuses is the most vulnerable stage of human development.

Thousands of black carbon particles were found in each cubic millimetre of tissue, which were breathed in by the mother during pregnancy and then passed through the bloodstream and placenta to the foetus.

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الثلاثاء، 4 أكتوبر 2022

Study links in utero ‘forever chemical’ exposure to low sperm count and mobility

PFAS, now found in nearly all umbilical cord blood around the world, interfere with hormones crucial to testicle development

A new peer-reviewed Danish study finds that a mother’s exposure to toxic PFAS “forever chemicals” during early pregnancy can lead to lower sperm count and quality later in her child’s life.

PFAS – per- and polyfluoroalkyl substances – are known to disrupt hormones and fetal development, and future “reproductive capacity” is largely defined as testicles develop in utero during the first trimester of a pregnancy, said study co-author Sandra Søgaard Tøttenborg of the Copenhagen University Hospital.

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السبت، 1 أكتوبر 2022

‘We are expected to be OK with not having children’: how gay parenthood through surrogacy became a battleground

In New York, a gay couple fighting to make their insurers pay for fertility treatment have found themselves in the middle of a culture war. What happens when the right to parenthood involves someone else’s body?

Corey Briskin and Nicholas Maggipinto met in law school in 2011, were engaged by 2014, and had their 2016 wedding announced in the New York Times. They moved to a waterfront apartment block in Williamsburg, Brooklyn, with a bright playroom for families on the ground floor.

“We got married and then we wanted all the trappings: house, children, 401K [retirement saving plan], etc,” Maggipinto, 37, tells me in their building’s shared meeting room, tapping the table in sequence with the progression of each idea.

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السبت، 24 سبتمبر 2022

Urgent call for review into sentencing pregnant women due to health risks

Experts and campaigners write open letter to justice secretary and Sentencing Council warning of dangers of giving birth in jail

A coalition of campaigners and health experts is calling for an urgent review into the sentencing of pregnant female offenders, warning of the increased risk of adverse outcomes to babies born in custody.

An open letter to Brandon Lewis, the justice secretary, and the Sentencing Council for England and Wales warns that pregnant women in jail suffer severe stress and highlights evidence suggesting they are more likely to have a stillbirth. The signatories include the Royal College of Midwives and Liberty.

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الجمعة، 23 سبتمبر 2022

‘Forever chemicals’ detected in all umbilical cord blood in 40 studies

Studies collectively examined nearly 30,000 samples over the past five years in ‘disturbing’ findings

Toxic PFAS chemicals were detected in every umbilical cord blood sample across 40 studies conducted over the last five years, a new review of scientific literature from around the world has found.

The studies collectively examined nearly 30,000 samples, and many linked fetal PFAS exposure to health complications in unborn babies, young children and later in life. The studies’ findings are “disturbing”, said Uloma Uche, an environmental health science fellow with the Environmental Working Group, which analyzed the peer-reviewed studies’ data.

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الخميس، 8 سبتمبر 2022

‘An amazing gift’: Australia’s first uterus transplants to take place in 2023

A dozen women to receive womb transplants as part of clinical trials at Royal Women’s hospital in Sydney

A dozen Australian women will become Australia’s first recipients of uterus transplants after a research project was granted approval to begin trials next year.

A dozen women will become Australia’s first recipients of uterus transplants after a research project was granted approval to begin clinical trials.

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الثلاثاء، 6 سبتمبر 2022

Pregnant women being sacked and demoted despite Victorian discrimination laws, study finds

One in seven calls to workers’ rights service JobWatch relate to pregnancy or breastfeeding according to research

Pregnant women are being sacked, demoted or bullied in the workplace despite laws prohibiting discrimination, a Victorian study shows.

Monash University researchers analysed calls from Victorians to employment rights service JobWatch between 2019 and 2020.

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الخميس، 1 سبتمبر 2022

Pregnant Texas mother ticketed again for carpool lane Roe protest

Brandy Bottone argued that, given the supreme court’s overturning on Roe v Wade, there were two people in her car

A pregnant woman from Texas who made news around the world after she protested against being cited for driving in a high-occupancy (HOV) lane in the wake of the state’s new anti-abortion law has been ticketed a second time.

Brandy Bottone, 32 and from Plano, became an international sensation when she was issued her first traffic ticket for violating the HOV rules in June.

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الأحد، 28 أغسطس 2022

Facing the uncomfortable possibility that healthcare is discriminatory

When Covid struck and BAME patients died disproportionately, students of heath inequalities were not surprised

As the first Covid wave hit, it quickly became clear that people from black and ethnic minority backgrounds were dying in disproportionate numbers.

The immediacy and visibility of these deaths was shocking and revealed a disparity so clear-cut that some wondered if the explanation could be genetic. But those who have spent a lifetime studying health inequalities were less surprised. People from black, Asian and minority ethnic (BAME) backgrounds do worse across a wide range of health outcomes.

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السبت، 27 أغسطس 2022

We need to talk about maternal-assisted caesareans, an experience some mothers crave | Sophie Walker

Being more actively involved in your child’s birth is empowering, but education and access is limited

If the concept of a maternal-assisted caesarean – when the birthing mother reaches her gloved hands down to lift her baby out of her abdomen and on to her chest – is news to you, and perhaps slightly shocking, it shouldn’t be.

According to the World Health Organization, Australia’s caesarean rate is rising, with a predicted rate of 45% by 2030.

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الجمعة، 26 أغسطس 2022

Four radical new fertility treatments just a few years away from clinics

Synthetic embryos and three-person babies among advances revised fertility laws need to consider

The fertility watchdog is pushing for the biggest overhaul of fertility laws in 30 years and discussing how to “future proof” any new fertility laws to make sure they can deal with current and future radical scientific advances.

Here are four of the new reproductive treatments that scientists say could be just a few years away from the clinic.

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الأربعاء، 24 أغسطس 2022

The pregnancy prescription: ‘I was told a baby might cure my chronic pain. I was sold a lie’

A difficult pregnancy is a lot like living with chronic pain – something to be quietly endured, because no one likes to talk about it

I was 14 the first time a doctor told me that having a baby would be the solution to the debilitating, menstrual cycle-centred pain that consumed me every month.

I was also told that I would struggle to get pregnant. In the face of my unrelenting pain, this advice, and the warnings, would be given to me repeatedly by health professionals over the next 20 years.

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الجمعة، 19 أغسطس 2022

‘I said, put me in a corset asap’: Zawe Ashton on period dramas, pregnancy and embracing silliness

After a series of harrowing roles, the former Fresh Meat star is rediscovering her ‘joyful side’, with a Bridgerton-esque romp – and a baby on the way with Tom Hiddleston

It’s the day after Zawe Ashton’s 38th birthday when we speak. She’s wearing a bright red, Regency-inspired, rose-covered headdress; she’s had it on since her celebrations with friends and family the night before. “I’ve worn this all weekend. And I thought: ‘Shall I act cool and take it off for Liv? Or will she appreciate it on some level?’” she says with a laugh.

Ashton is still buzzing from the birthday love – as well as, perhaps, the early praise for her leading role in the period film drama Mr Malcolm’s List. She insists she avoids looking at reviews or engaging with what the public think, but it’s impossible to remain completely in the dark. “Obviously, you end up hearing things … That’s the thing I’m hypersensitive to, what that means for the film-makers especially,” she says earnestly.

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السبت، 13 أغسطس 2022

I had babies in Germany 10 years apart. This is what I learned about healthcare, motherhood and race

My son was born soon after we moved to Berlin to open a bookshop. Last year I had twins – and things went far less smoothly

• More stories of Black women’s birth experiences around the world

Of the mothers in my circle, I thought I was the most “one and done”. I became pregnant with my first child at the age of 29, shortly after marrying my husband, and a year after I’d moved to Berlin following Boris Johnson’s election as mayor of London. I felt he would damage my home city, taking it further along the road to unaffordability and unfettered capitalism. The rise in the cost of everything in London meant the life I had assumed I would have as a third-generation Londoner wasn’t possible.

It was a childhood dream to open a bookshop and to have a family of my own, and Berlin made both those things possible. I was lucky to have a smooth pregnancy, and the public healthcare insurance scheme in Germany cost me the same as I would pay in national insurance contributions in the UK. Included in my plan was a monthly scan with my gynaecologist, as well as two deep scans and one 4D scan, so when my child arrived I knew everything about him. The care from my doctor was stern and medicalised – when my six-week scan showed two eggs, she told me not to get excited as one egg could vanish, which was alarming and upsetting. I chose to also get a midwife, paid for by my health insurance, who had a more holistic approach. My son was two weeks late, and she suggested that I insert a tampon soaked in olive oil and cloves, sit on a toilet filled with lavender and hay, and drink camomile tea. The doctor suggested that I be induced. I did both, and the latter brought me my son.

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‘I felt I was being assessed on my skin colour’: Black women around the world share their birth stories

From Rio to Reykjavik, London to Shanghai, Black women face a maternal health crisis. Six mothers share their stories of pregnancy, birth – and racism

• I had my babies in Berlin. My son arrived first, but the twins’ birth went less smoothly

Shakia Stewart, 34, global head of content, British Council, London

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الجمعة، 12 أغسطس 2022

‘It doesn’t need to be a setback’: how elite athletes return from pregnancy

Serena Williams says she does not want to be pregnant again as an athlete – she got back to the top before but it can take its toll

Serena Williams has never liked the word “retirement”. Her move away from tennis, announced in an essay in the September issue of Vogue, is an “evolution”, she says. In her transition, she will shift focus from tennis to “other things” that are important to her. One is her wish to have another child.

Williams and her husband have been trying for a baby in the past year, a move apparently encouraged by their four-year-old daughter, who has hopes of becoming a big sister. But, as Williams told the magazine: “I definitely don’t want to be pregnant again as an athlete. I need to be two feet into tennis or two feet out.”

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الثلاثاء، 9 أغسطس 2022

Total fertility rate rises for first time in a decade in England and Wales

Largest increase is among women aged between 35 and 39, ONS data reveals

The total fertility rate in England and Wales has increased for the first time in a decade, with the largest rise among women aged between 35 and 39, data shows.

Women with children have an average of 1.61 each, according to ONS data from 2021, up from 1.58 the previous year.

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الاثنين، 8 أغسطس 2022

Blackmores subsidiary kept selling pregnancy vitamins despite hundreds of complaints, ex-employee alleges

Whistleblower says he was instructed to tell customers the products were safe to consume, despite lack of testing evidence

A subsidiary of the supplements company Blackmores left a pregnancy multivitamin on shelves for nearly a year despite hundreds of complaints that it was contaminated with mould-like black spots, a former staff member has alleged.

In a complaint to the Therapeutic Goods Administration, Peter Ellis alleged FIT-BioCeuticals brushed aside concerns about its products, including pregnancy vitamins and vitamin D drops being used by a children’s hospital, in potential breach of quality regulations.

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الأحد، 7 أغسطس 2022

‘Difficult discussions’ as NHS faces shortage of childbirth pain relief

Some pregnant women denied usual choice as supplies of epidural kits and alternative drug both run low

The NHS has been hit by a shortage of epidural kits to give mothers-to-be, a key form of pain relief during childbirth, as well as the drug that women are offered as an alternative.

Supplies of epidural kits and the painkiller Remifentanil are now under such pressure that some hospitals cannot offer pregnant women their usual right to choose which one they want to reduce labour pains.

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الأربعاء، 3 أغسطس 2022

Chrissy Teigen announces pregnancy: ‘I’m feeling hopeful and amazing’

Teigen and her husband John Legend are expecting a baby nearly two years after a stillbirth they documented in heart-wrenching detail

Chrissy Teigen and her husband John Legend are expecting another child nearly two years after the couple suffered a pregnancy loss.

Teigen made the announcement Wednesday on Instagram, where she posted two photos of her baby bump. She wrote that joy has “filled our home and hearts again” after a miscarriage in 2020, which she documented in intimate detail in its aftermath.

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الثلاثاء، 2 أغسطس 2022

Australians seeking pregnancy counselling report coercive pressure as poll shows support for abortion care

Research says 15% of people seeking counselling after unplanned pregnancies experience behaviour that interferes with their own decisions

Fifteen percent of clients seeking pregnancy counselling have been subjected to “reproduction coercion and abuse (RCA)”, a study has found, as new polling suggests a majority of Australian voters want governments to take action to address barriers to accessing abortion care.

The new article, published in the journal Reproductive Health, says the 15% of people seeking pregnancy counselling after unplanned pregnancies were subjected to either “pregnancy preventing” or “pregnancy promoting” behaviour. The article defines RCA as “behaviour that interferes with a person’s decision to become pregnant or to continue the pregnancy”.

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السبت، 23 يوليو 2022

When a doctor announced my possible pregnancy, for the first time I didn’t feel frozen by dread

Though it was clear from the start Mary Rose Madigan’s new relationship was different, she didn’t comprehend the gravity of her feelings until a visit to a bulk-billed medical centre

Like many women in their 20s, I have a complex relationship with contraception. In other words, even though the thought of an unplanned pregnancy fills me with great anxiety, I sometimes forget to take the pill. That fear has been further fuelled by shows like MTV’s Teen Mums. I realise having a baby in my 20s wouldn’t make me a teen mum, but when it comes to having babies, I still feel about as prepared as a teenager.

Still, considering my struggles to find contraception that works for me, pregnancy has always been a real possibility.

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الخميس، 21 يوليو 2022

الأربعاء، 20 يوليو 2022

‘You are not being heard’: the devastating black maternal mortality crisis in the US

Aftershock, a grimly revealing new documentary, focuses on grieving families in a system that endangers women of colour

Shamony Gibson spent the final months of her life excitedly anticipating the birth of her second child. “Time is flying, four months already,” she says in a home video collage at the beginning of Aftershock, a new documentary about the black maternal health crisis in the US. “Every day is a new process, you wake up like, ‘Oh my god, I’m that much closer to being a mom again.’”

Gibson, a 30-year-old resident of Bedford-Stuyvesant, Brooklyn, gave birth to her son, Khari, in September 2019 via c-section. For days afterwards, she complained of shortness of breath. She and her partner, Omari Maynard, repeatedly called doctors, who told her it was fine, just relax.

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الثلاثاء، 19 يوليو 2022

Premature birth ‘almost twice as likely’ in England’s prisons than outside

Data says more than 11% of women who give birth behind bars do so before 37 weeks, compared with 6.5% in community

Female prisoners are almost twice as likely to give birth prematurely as women in the general population, leaving them and their babies at risk, research has revealed.

More than one in 10 (11%) women who have a child while behind bars do so before 37 weeks of their pregnancy, compared with 6.5% of mothers in the community, the Nuffield Trust found.

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الجمعة، 15 يوليو 2022

Experience: I gave birth at a Metallica concert

The doctor cut the cord as the band finished their set. It was magical

Jaime and I met at school when we were 12, got together two years later and have now been married 17 years. We run a tattoo studio in Curitiba, Brazil, are fans of rock and metal, and have done work for lots of musicians.

After becoming parents to our daughter, Letícia, it had been harder for us to get to concerts. But when Metallica announced they were coming to Brazil in 2020, we didn’t hesitate to get tickets. It would be a dream come true to see Metallica live – Jaime’s late dad used to listen to them all the time.

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الأربعاء، 13 يوليو 2022

Expectant mothers like me feel we’ve been abandoned to Covid | Letter

Beth Waters says she has no choice but to isolate due to difficulty in accessing fourth doses and the lack of Covid measures at large

As the latest wave of Covid-19 sweeps the country, pregnant women are being forgotten once again. Not so long ago, women were receiving mixed messages from healthcare providers on whether or not the new vaccines were safe in pregnancy, with many being actively discouraged. This resulted in disproportionately high numbers of otherwise healthy unvaccinated pregnant women in hospital with severe disease, and led to deaths.

Now we are in the midst of another wave. I am 37 weeks pregnant with my second baby, and I am not eligible for the fourth dose. I feel very vulnerable due to the lack of free testing and mask mandates. My midwife tells me that Covid-19 can increase the risk of blood clotting in the placenta, which can lead to stillbirth, and so pregnant women who catch it are prescribed blood thinners based on their risk. But surely prevention should come before management?

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الاثنين، 11 يوليو 2022

‘Thank the lord, I have been relieved’: when abortion was safer than childbirth

Abortion in the 19th-century US was widely accepted as a means of avoiding the risks of pregnancy. The idea of banning or punishing it came later

At our rural county’s historical society, the past lives loosely in bulletins, news clippings, maps and handwritten index cards. It’s pieced together by pale, grey-haired women who sit at oak tables and pore over old photos. Western sun filters in, half-lighting the women as they name who’s pictured, who has passed on. Other volunteers gossip and cut obituaries from local newspapers.

I was sent here by hearsay. For years, my neighbour has claimed that the old cemetery in the low-lying field on my Wisconsin property contains more bodies than the scant number of tombstones indicates. The epic flood of 1978 washed away the markers of the nameless – civil war soldiers, he says. I want to know who the dead were in life. After many walks through the cemetery, I’m familiar with the markers that remain. One narrow footstone reads simply: “MAS”. Three marble headstones rest at odd angles among the box elder trees. Stained, eroded and lichen-crusted, the stones belong to a boy and two baby girls who died in the 1850s and 60s. On the boy’s is a relief of a weeping willow; on the sisters’ are rosebuds. Signs of young lives cut short.

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الأحد، 12 يونيو 2022

From natural birth to caesarean: women must be given unbiased information | Kara Thompson

Fear-mongering with misleading statistics does not support the goal of empowering women to make decisions

Decisions in pregnancy and birth can be fraught with confusion and guilt. Many women wish to increase their knowledge by seeking health information from official sources. It is important that this information is factual and unbiased.

Every pregnant person prepares for their birth experience with a unique set of preferences. Naturally, these factors vary from person to person, and can result in vastly different choices. This can range from natural birth without intervention, to requesting a planned birth via induction of labour or caesarean section.

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How men can be better allies in the fight for reproductive rights | Rhiannon Lucy Cosslett

We can find a way for men to talk about abortion without infringing a woman’s autonomy or speaking over her

As the conversation about abortion rages, it strikes me that I have never heard a man tell his abortion story publicly. The emphasis on disclosure when it comes to abortion means that we have become used to hearing women’s stories. But what, if you’ll forgive me for ironically borrowing a well-worn phrase, about the men? We hear a lot, too much, from men who are anti-abortion, and little from those who support it, or who have benefited from it.

When the New York Times asked men to come forward with their abortion stories, the social media response was mixed. There were the men who thought the whole thing was hilarious, as though the thought of abortion had never troubled them. There were those who thought we shouldn’t hear from men about abortion at all, that men should stay out of it. And then there were those who felt perhaps that having men as allies could bolster the cause; that framing it as a “women’s problem” – and not a vital element of family planning that benefits people regardless of gender – plays into the hands of the conservative Christian right.

Rhiannon Lucy Cosslett is a Guardian columnist

Do you have an opinion on the issues raised in this article? If you would like to submit a letter of up to 300 words to be considered for publication, email it to us at guardian.letters@theguardian.com

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الجمعة، 10 يونيو 2022

الخميس، 9 يونيو 2022

Migrant women charged up to £14,000 for NHS maternity services in England

Doctors of the World’s report finds bills, often charged incorrectly, affected mothers’ mental health and led some to avoid healthcare

New mothers are being charged up to £14,000 to give birth in England, according to a report on the experiences of migrant women who have been billed for NHS maternity services.

The report, published on Thursday by the healthcare charity Doctors of the World (DOTW), reveals that more than a third (37.8%) of the mothers surveyed – who include undocumented, refugee and asylum-seeking women – received a bill for maternity care after their babies were delivered, ranging from £296 to £14,000. Of that group, half were charged £7,000 or more.

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الثلاثاء، 7 يونيو 2022

Will anti-abortionists use ‘uterus surveillance’ against women in the US? | Arwa Mahdawi

If, as is expected, Roe v Wade is overturned by the US supreme court, 26 states are certain or likely to ban abortion – and data tracking could mean there’s nowhere for women to hide

If you are looking for a cheerful column that will make you giggle and distract you from everything that is wrong with the world, click away now. This week I have nothing but doom, gloom and data trackers for you. If you are hoping to sink into a well of existential despair, maybe let out a few screams into the void, then you’ve come to the right place.

Here goes: the US supreme court, as you are no doubt aware, is expected to overturn Roe v Wade and the federal right to an abortion very soon. At least 13 Republican-led states have “trigger laws” in place, which means that the moment Roe is overruled, abortion will be fully or partly banned. Other states will follow suit. According to the Guttmacher Institute, a pro-choice research organisation, 26 states are certain or likely to ban abortion when Roe falls.

Arwa Mahdawi is a Guardian columnist

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الخميس، 2 يونيو 2022

Women in UK ‘seldom’ told drug used in surgery can impede contraception

Study at NHS trust finds no patients were informed of risk of unplanned pregnancy from sugammadex

Women undergoing NHS operations are not being routinely informed that a drug commonly used in anaesthesia may make their contraception less effective, putting them at risk of an unplanned pregnancy, doctors have warned.

Administered at the end of surgery before patients wake up, sugammadex reverses the action of drugs that are given earlier in the procedure to relax the patient’s muscles. The drug is known to interact with the hormone progesterone and may reduce the effectiveness of hormonal contraceptives, including the progesterone-only pill, combined pill, vaginal rings, implants and intra-uterine devices.

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الأربعاء، 1 يونيو 2022

Woman stored baby’s remains in fridge after London hospital refused them

Laura Brody had to deliver son at home after miscarriage and was then told Lewisham A&E could not take remains

A London hospital has launched an investigation after a woman whose baby died in the womb had to deliver her son at home due to a lack of beds, and keep his remains in her fridge when A&E staff said they could not store them safely.

Laura Brody and her partner, Lawrence White, both 39, were “tipped into hell” after being sent home by University hospital Lewisham and told to wait seven days for a delivery bed when it was discovered their baby no longer had a heartbeat.

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Women’s fertility problems are not theirs to bear alone. Men are also delaying childbirth | Alexandra Collier

In my late 30s I kept crashing into a frustrating ceiling in my dating life – men who were ambivalent to the idea of having children

Two and a half years ago I opened my legs so a doctor could inseminate me with a stranger’s sperm. At 39, and single, after years of dating, I had finally realised that having a baby – which I wanted ravenously – wasn’t going to just happen.

So I took my life by the ovaries and decided to try for solo motherhood using donor sperm. The result – equal parts joy and infuriating chaos – was a small person who’s currently rattling wooden trains near my feet while talking to himself in a happy sing-song.

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الأحد، 22 مايو 2022

Racism in UK maternity care risks safety of Black, Asian and mixed ethnicity women – study

Participants in charity’s year-long inquiry describe being ignored and feeling patronised and dehumanised

Systemic racism within UK maternity care is risking the safety of people from Black, Asian and mixed ethnicity backgrounds, often with devastating consequences, according to a report by the childbirth charity Birthrights.

More than 300 people with lived and professional experience of racial injustice in a maternity setting gave evidence to an expert panel chaired by Shaheen Rahman QC, a barrister who specialises in clinical negligence, as part of the charity’s year-long inquiry into the issue.

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الجمعة، 20 مايو 2022

UK fertility watchdog could recommend scrapping donor anonymity law

Exclusive: HFEA says rise of genetic testing websites may soon make it impossible to conceal identities

The fertility watchdog is considering whether to recommend scrapping anonymity for future sperm and egg donors as part of an expected overhaul of UK fertility laws.

Peter Thompson, the chief executive of the Human Fertilisation and Embryology Authority (HFEA), said the rapid rise of consumer genetic testing websites such as 23andMe could soon make it impossible to guarantee donor anonymity – and that the law needs to be brought into line with this new reality.

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الأربعاء، 18 مايو 2022

‘I’m a pregnant woman making choices’: Shauna Coxsey on climbing – and the ‘bullies’ who want her to stop

With a baby due in just days, the Olympian is still reaching for the heights. She talks about the sport she loves, the criticisms she ignores, and the example she hopes to set

The week her baby is due, Shauna Coxsey is, as usual, at her local climbing centre in Sheffield. The British Olympic climber has scaled climbing walls and rocks throughout her pregnancy, and videos shared on her Instagram account show her making her way gracefully and powerfully upwards, in control of her body, as she switches holds to accommodate her growing bump.

Her decision drew criticism – as she knew it would – and she was forced to hit back at the online “bullying”. For a start, she says, with nearly 450,000 Instagram followers, she knows social media “is a place where you’re going to get criticised, regardless of what you say”. But she had also seen the reaction other women have faced. “One of my good friends, who is incredibly strong and confident, stopped climbing because she couldn’t be bothered with the judgment and the funny looks she got in her late pregnancy,” says Coxsey. “The idea that someone would stop doing something they absolutely love because of the judgment; it’s so sad we’re in a position where that happens still.”

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الاثنين، 16 مايو 2022

E-cigarettes ‘as safe as nicotine patches’ for pregnant smokers trying to quit

Pregnant smokers were more likely to quit when using e-cigarettes than patches after four weeks, study shows

E-cigarettes are as safe to use as nicotine patches for pregnant smokers trying to quit, and may be a more effective tool, researchers have revealed.

Smoking in pregnancy can increase the risk of outcomes including premature birth, miscarriage and the baby having a low birth weight. But stubbing out the habit can be a struggle.

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The people making a difference – the woman breaking down stigma for mothers with HIV

Angelina Namiba founded a group that supports new mothers living with HIV. Now it is her turn to be looked after

When Angelina Namiba was diagnosed with HIV in 1993, the virus was commonly believed to be a death sentence. “People were being told they had six months to live,” says Namiba, who is 55 and lives in east London.

Thinking that if she was going to die, she may as well take a job to keep her busy, Namiba began working for a health authority. In her spare time, she volunteered for an HIV charity.

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الجمعة، 13 مايو 2022

My husband was hopeless with our babies and I’m still angry. How do I forgive him? | Ask Annalisa Barbieri

It’s no wonder you are furious, despite your husband’s attitude improving. But living with this resentment is not sustainable

My husband and I have been married for seven years, and we have three young children. Before we got married, we talked about having kids and both agreed we wanted three.

However, when I got pregnant with our first, my husband didn’t seem to care. He showed me no consideration when I felt unwell during the pregnancy, and when our first baby was born he barely interacted with her, sleeping in a different room so as not to be bothered by her at night, and refusing to take her out in the pram during the day so I could rest. He came home from work late and insisted on a significant amount of alone time at weekends. Getting him to do a nappy change was a huge fight. It was as if he thought our daughter was nothing to do with him.

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الخميس، 12 مايو 2022

Under Boris Johnson, the rights of working women have become a feeble joke | Angela Rayner

The government promised us an employment bill to protect women at work. Where is it?

Everyone deserves to be treated fairly at work. But too many women find themselves discriminated against by their employer because they are pregnant. Many are pushed out of work because they have caring responsibilities for their children or elderly parents, and many still experience sexual harassment at work.

Three years ago, the government promised to publish an employment bill that would extend redundancy protections to prevent pregnancy and maternity discrimination, and allow parents to take extended paid leave when newborns need neonatal care. Ministers have promised – no less than 20 times – to publish the bill. But the government has since abandoned this promise. The Conservatives are failing working women once again.

Angela Rayner is the MP for Ashton-under-Lyne, Labour deputy leader, shadow chancellor of the duchy of Lancaster and shadow secretary of state for the future of work

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الأربعاء، 11 مايو 2022

Lack of drugs for use in pregnancy ‘resulting in needless deaths’ in UK

Experts call for urgent investment and effort to transform pregnant women’s access to modern medicine

Women and babies in the UK are “dying needlessly” because of a lack of suitable medicines to use in pregnancy, according to a report that calls for a radical overhaul of maternal health.

A “profound” shortage of research and the widespread exclusion of pregnant and breastfeeding women from clinical trials means hardly any new drugs are approved for common medical problems in pregnancy or soon after childbirth, the report finds.

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الثلاثاء، 10 مايو 2022

Covid vaccines safe for pregnant women and cut stillbirth risk, says review

Chance of stillbirth reduced by 15%, researchers find, after examining studies and trials that enrolled 117,552 women

Doctors have stressed the importance of Covid vaccinations for pregnant women after a major review found the shots were not only safe, but reduced the risk of stillbirth by 15%.

Researchers at St George’s, University of London, and the Royal College of Obstetricians and Gynaecologists analysed 23 published studies and trials that enrolled 117,552 pregnant women vaccinated against Covid, to assess the safety of the shots.

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الاثنين، 9 مايو 2022

Plymouth maternity staff missed chances to save baby’s life, report finds

Giles Cooper-Hall died at Derriford hospital at 16 hours old after overstretched staff failed to carry out checks

A baby died after maternity staff repeatedly missed chances to intervene to save his life, an official investigation has found.

Giles Cooper-Hall was just 16 hours old when he died after a catalogue of errors in the maternity care of his mother, Ruth Cooper-Hall, at Derriford hospital in Plymouth.

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Turns out breastfeeding really does hurt – why does no one tell you? | Rhiannon Lucy Cosslett

I get that they don’t want to put us off, but there are many reasons people might have to stop. Guilt trips and secrecy don’t help

I never thought breastfeeding would be hard. When I thought about it at all, my mind conjured beatific scenes suffused with a sort of religious glow. There I was, genteelly offering the child a nipple in the manner of a renaissance Madonna, which the child accepted politely and cherubically. What a pretty picture we made.

Well, those preconceptions were – excuse my language – complete horseshit. These days I envisage more of a triptych: the infant Jesus spluttering at the breast, face purple with hangry fury; the infant Jesus possetting milk down Mary’s front; the infant Jesus and the nappy explosion.

Do you have an opinion on the issues raised in this article? If you would like to submit a letter of up to 300 words to be considered for publication, email it to us at guardian.letters@theguardian.com

Rhiannon Lucy Cosslett is a Guardian columnist

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الأحد، 8 مايو 2022

Tories urged not to betray working women by ditching employment bill

Fears flagship bill will be left out of Queen’s speech despite promise to fight sexual harassment and pregnancy discrimination

A coalition of campaigners has urged the UK government not to betray working women by ditching its promises to clamp down on sexual harassment and workplace pregnancy discrimination in its flagship employment bill.

Before the Queen’s speech on Tuesday, campaigners are calling on the government to push forward with the bill, which was promised in 2019 and promoted as the way to protect UK workers after Britain left the EU.

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الجمعة، 6 مايو 2022

‘Inclusive’ language on maternity care risks excluding many women | Letter

When discussing inherently sexed processes such as pregnancy, birth and breastfeeding, there are risks to desexing language, writes Prof Jenny Gamble

Rhiannon Lucy Cosslett’s article emphasised the importance of respectful, individualised maternity care, including in the language used to address transgender people (The language of maternity is alive and well – so why not expand it to include trans parents, 5 May). This idea is entirely uncontroversial. What has become contentious, however, is whether terms like “women” and “mothers” should be used in a broader sense, including in health communication and policy or replaced with other words that do not reference the female sex.

It is a well-established principle of communication that the sex of individuals should be made visible when relevant and should not be made visible when not. This ensures that sex-related needs and issues are not overlooked and sex stereotyping is avoided. As I and others outline in a recent paper in Frontiers in Global Women’s Health, when discussing inherently sexed processes like pregnancy, birth and breastfeeding, there are risks to desexing language.

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الخميس، 5 مايو 2022

The language of maternity is alive and well – so why not expand it to include trans parents? | Rhiannon Lucy Cosslett

We could all do with a little more solidarity between those entering into parenthood, regardless of their gender

“Hey, Mama!” This is how I was greeted by a friendly member of staff every morning during my week-long stay in hospital after my baby’s birth. Theoretically, I had had my whole pregnancy to get used to the idea of being a mother in the eyes of the world, because almost immediately you become, to the professionals you interact with, “Mum”. As in: “could Mum pop herself up on the bed, please?” (Mums seem to do a lot of “popping”). But nonetheless, it was still surreal to feel my identity shift.

Meanwhile, the baby’s father wore a name tag that proclaimed: “I am [name]. I am husband.” It made me laugh, recalling as it did “I am woman, hear me roar”, or at least a labour ward version of that: “I am husband, hear me … ask politely once again for pethidine.”

Rhiannon Lucy Cosslett is a Guardian columnist

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الأحد، 1 مايو 2022

UK government drops maternity charity after critical tweets

Group championing rights of new mothers and pregnant women removed after commenting on government’s lack of progress

A charity that champions the employment rights of pregnant women and new mothers has been dropped from a government advisory board after posting critical tweets.

In recent months, senior Tories including the culture secretary Nadine Dorries and her predecessor Oliver Dowden have taken pains to position themselves as champions of free speech, decrying “cancel culture”.

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السبت، 23 أبريل 2022

‘A symbol of strength’: how Rihanna’s bump has changed pregnancy style

Always a trendsetter and a risk-taker, Rihanna is normalizing see-through lace, crop tops and bare bellies as maternity wear

Walking through the streets of Harlem in January, accompanied by partner A$AP Rocky and wearing an open coat to reveal her baby bump covered in jewels, Rihanna didn’t just tell the world she was pregnant.

“She democratised the celebrity pregnancy reveal,” says Karen Hearn, curator of Portraying Pregnancy, a 2020 exhibition at the Foundling Museum in London.

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الثلاثاء، 19 أبريل 2022

The NCT deserves thanks, not criticism | Letters

Caroline Flint explains how the National Childbirth Trust has worked tirelessly to safeguard women’s health for more than 60 years

Re your article (‘I was told they didn’t offer C-sections’ – the dangerous obsession with ‘natural births’, 14 April), the National Childbirth Trust has worked tirelessly for women for more than 60 years. Do you expect your partner to be with you in the labour ward? Thank the NCT for that. When I had my first baby, I decided to have a home birth because men were not “allowed” in the delivery suite.

Do you expect your baby’s father to be with you during ultrasound scans? Thank the NCT for that too; similarly, his presence on the postnatal ward. Interesting that many of these humane situations have so quickly been removed “due to Covid”.

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الاثنين، 18 أبريل 2022

Maternal health must be prioritised | Letter

A false dichotomy between ‘natural’ and safe birth deflects attention from the real cause of this crisis: years of government cuts, writes Sarah Davies

Having been a midwife for more than 40 years, I am shocked and saddened to read the catalogue of poor care and callous behaviour described in the Ockenden report. It is scandalous that it has taken a series of tragedies to focus attention on the dire state of English maternity services, and especially the greater risks for Black women (‘I was told they didn’t offer C-sections’ – the dangerous obsession with ‘natural births’, 14 April).

As your article says, all women must be listened to and have their wishes respected. Many women also opt for out-of-hospital births, but it is now commonplace for them to have to go into hospital to give birth, often at the last minute, due to no midwife being available.

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الأحد، 17 أبريل 2022

Sodium valproate: what are dangers of epilepsy drug for unborn babies?

Drug used to treat epilepsy and bipolar disorder is being given to pregnant women despite risks, data shows

The anti-epilepsy drug sodium valproate can cause birth defects, but data has revealed it is still being prescribed to pregnant women, with concerns also raised that they are not always given information about the risks. But what is the drug, and how big is the problem?

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MHRA to look into cases of unsafe epilepsy drug being given to pregnant women

Sodium valproate, associated with birth defects, reportedly being prescribed without proper warnings

Regulators will investigate cases where an epilepsy drug that can cause birth defects has been prescribed without proper warnings, in light of reports that pregnant women are continuing to be given it.

Sodium valproate is a drug used to treat epilepsy, and is also used in some people with bipolar disorder or migraines. However, it has been associated with a raised risk of birth defects and developmental problems if taken by pregnant women.

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السبت، 16 أبريل 2022

Mums-to-be still being given unsafe epilepsy drug

A pill linked to physical malformations, autism and developmental delay in children is still being prescribed to pregnant women

A anti-epilepsy drug, which causes health problems for babies when taken by pregnant women, is still being given to patients without safety warnings, it was reported.

Former health secretary Jeremy Hunt has called for an “immediate fix” concerning sodium valproate, which has been linked to physical malformations, autism and developmental delay in many children when taken by their mothers during pregnancy.

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الخميس، 14 أبريل 2022

First year of Covid pandemic did not lead to baby boom in England and Wales

Latest data shows a small decline in the conception rate for 2020

Despite people being cooped up in their homes, coronavirus lockdowns did not lead to a baby boom in England and Wales, according to the latest data that shows a small decline in the conception rate for 2020.

In 2020 there were 817,515 conceptions among women aged 15 to 44 years, a decrease for the sixth year in a row, albeit a smaller one than in previous years at 0.4%, according to the Office for National Statistics.

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الثلاثاء، 12 أبريل 2022

Culture of silence on prolapse is doing serious harm to women | Letter

One reader suffered a needless prolapse as she was not given information on the risks during pregnancy or postpartum

I was so relieved to see your article breaking the taboo of prolapses (‘You feel so sexless and dirty’: the women living with incontinence after childbirth, 7 April). There has been a culture of silence around women’s health issues that has left women like me walking blindly into harm’s way. I suffered a needless prolapse because I made uninformed decisions during my pregnancy and labour, and postpartum. I did heavy and awkward lifting during pregnancy, and high-impact exercises postpartum. Most people reading this probably won’t know what prolapse is because we have never been told, because it is taboo. Prolapse is where internal organs can fall out of place and into the vagina, leaving sufferers in permanent discomfort.

At the time I was left to feel stupid and ashamed. I asked myself how could I not have known that? Had I been so caught up in focusing on the pregnancy and birth that I hadn’t paid any attention to any advice postpartum? When I was finally able to see a doctor, he said: “Oh that’s just what happens. Women are designed badly.”

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الاثنين، 11 أبريل 2022

‘Enjoy it while you can’. Is there a more chilling phrase to hear while pregnant? | Rhiannon Lucy Cosslett

Strangers are so keen to tell me my life as I know it will be over soon – thank goodness for those who have told me it will be OK

“Enjoy it while you can”: how I’ve come to dislike these five little words, which have followed me everywhere since my pregnancy became obvious. Suddenly, they are applied to anything pleasurable – sleep, holidays, a meal in a restaurant. “Enjoy it while you can,” people say (because when the baby comes, your life as you know it will be over).

They mean well, I think, but I’ll confess that I’ve been shocked by the negativity surrounding parenthood. People seem to feel that they simply must tell you how hard it is, warts and all, maybe because no one told them, and they do it with the zeal of missionaries: they have seen the truth, and it is terrible to behold. Hollie McNish has a book of poetry about parenthood called Nobody Told Me. Mine would be called Everybody Told Me, All the Time, Until I Had to Ask Them to Stop.

Rhiannon Lucy Cosslett is a Guardian columnist

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السبت، 9 أبريل 2022

I gave birth, then they put me in a coma: Grace Victory on surviving Covid and bonding with her baby

The YouTuber was admitted to hospital seven months pregnant and ended up in a coma. A year after she finally met her son, she talks about her incredible recovery

While in a coma and on life support, Grace Victory had hallucinatory and terrifying dreams. She was sex trafficked. Doctors removed her legs. Her ovaries were operated on, and her children harvested. She woke up dead, in Reading.

It was January 2021, and the 31-year-old influencer was in hospital with Covid-19. She remembers the dreams as vividly as if they were the plot of her favourite TV show. They’re “embedded in my brain”, Victory says, “as real memories. Being told it didn’t happen – it’s like, well, it did.”

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الأحد، 3 أبريل 2022

To have a child or not is a huge decision. So why is there so little discussion of it?

More open conversations and better support are needed for people grappling with this momentous choice

Long before I became pregnant, I would ask people how they knew that they wanted to have children. Was there a lightning moment, or had the longing grown and grown until it became too much to ignore? Of course, the answers I got were as varied as people themselves. Some were able to distill it into a clear instant: taking hold of a small child’s hand for the first time, or seeing a baby on a bus one day and knowing, suddenly. Others were influenced by life events: the death of a parent was a common one, leading them to reflect on how bloodlines unfurl, wanting to see a little of that beloved parent manifest in a new being. Others had always known, in their bones, since their own childhoods.

Then, for women, there was the so-called biological clock. Not so much a desire for a child, but an awareness that time could be running out, and a sort of not-wanting, a double negative: not-wanting to have not had a child. Many of these women expressed guilt at not having felt “the longing”, as though an innate-seeming, visceral dose of baby fever was the norm, and, in their absence of strong maternal feelings, they were deviating from it. But it does not seem that way to me, and besides, my own feelings were far from simple. At times it felt as though my body was at war with my brain. There were so many rational reasons not to become a parent, and yet the longing I felt was so powerful that it was making me unspeakably sad not to be.

Rhiannon Lucy Cosslett is a Guardian columnist

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السبت، 2 أبريل 2022

Why are women who suffer extreme sickness in pregnancy told it’s all in their heads?

Dr Kate Womersley relives the horror of having hyperemesis gravidarum – which affects up to 14,000 women a year in the UK – and finds new hope for mothers of the future

My “morning sickness” started in the evening. That was the first clue the antenatal guides and obstetric textbooks were not telling women the whole truth. When the nausea lasted all day, and then for 245 days, that was the second clue. If I’d known then that I would feel sick until my baby was born, I’m not sure I would have braved pregnancy at all.

A fortnight after I saw those two pink lines, I started to feel unwell. Blaming a rushed dinner after getting home late from the hospital – I was a junior doctor at the time, and still am – a tightness lodged itself where my bottom ribs meet my stomach. By morning, I felt hungover, though I hadn’t touched alcohol in weeks. At a patient’s bedside, I suddenly tasted something sour. I ran to the ward sluice. Holding my hair back from my face, I cried out in shock at how violently I was sick. Food and then acid and then air. Leaning against the wall, my knees fizzing, I wiped my mouth with a paper towel that absorbed almost nothing. It was the last time I would be at work for more than two months.

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الخميس، 31 مارس 2022

The horrific birth stories from Shrewsbury NHS trust are haunting. Sadly, they’re not unique | Gaby Hinsliff

More than 200 babies died through lack of care. Why are women in childbirth repeatedly treated so badly?

Had she lived, Kate Stanton-Davies would have just turned 13. She should have been a teenager with her whole life before her, yet as it was she survived for only six short hours. The legacy of that brief time is a harrowing report published this week into the failure of maternity services at the Shrewsbury and Telford hospitals trust, where her mother, Rhiannon, gave birth to her.

The senior midwife leading the inquiry, Donna Ockenden, said that after talking to some of the hundreds of bereaved families who gave evidence she would sometimes go home and cry. I did too on reading the report, which concludes that no fewer than 201 babies and nine new mothers who died over a period stretching back to the millennium could or would have lived with better care.

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Sajid Javid vows to ‘go after’ those responsible for NHS maternity scandal

Health secretary says he wants people held to account for Shrewsbury and Telford hospital trust failings

Sajid Javid has vowed to “go after” the people responsible for the biggest maternity scandal in the history of the NHS, saying he will “leave no stone unturned” to ensure they are held to account.

An independent inquiry led by Donna Ockenden found that 201 babies and nine mothers could have or would have survived if Shrewsbury and Telford hospital NHS trust had provided better care. Not a single staff member or health leader in charge was identified in the damning 234-page report published on Wednesday, despite presiding over catastrophic failings.

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الأربعاء، 30 مارس 2022

Mothers were shamed and traumatised at Shrewsbury hospital. I was one of them

I had two babies there and my experience was so terrible that the memory haunts me 20 years later. Even now I feel a deep, scorching rage

I have been having so many baby dreams recently. Nonsensical images of babies sliding down chutes and falling into deep water below. Dreams where I dive in and swoop the babies to safety, pushing the water from their lungs and wrapping them in soft blankets, lined up as I watch over them. I know why. There is no deep Freudian meaning to find – the publication of the Ockenden report into failings in maternity services in England has meant that the events of nearly 20 years ago, yet again, have begun to stalk both my conscious and unconscious mind.

I gave birth twice at Royal Shrewsbury hospital. “Gave birth” sounds so everyday, so ordinary, so gentle, but in reality both of my experiences were visceral, violent and have stayed with me for two decades. For the birth of my first child, a son, I arrived at the ward, contracting regularly and close to needing to push. The baby was back to back so I was in lots of pain. I was given pethidine, a drug that rendered me drunk and forgetful, my agency gone. Perhaps it is a blessing that I can only remember snapshots of the next four hours; the abject terror on my partner’s face, the hastily inserted drip to restart my contractions and the fretful scribbling of the CTG machine showing them rising off the scale. After interminable hours, a doctor was called and then another. They attempted a ventouse delivery and I can remember the cup popping off the baby’s head and the doctor reeling backwards. Next the forceps were used and finally after hours of pain my son was delivered. He was big for a first baby and bore the scars of the forceps blades down both sides of his face.

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Baby deaths inquiry: police look at 600 cases linked to Shrewsbury NHS trust

Report says ‘systemic change’ needed after blunders ignored and mothers blamed when babies died

Police are examining 600 cases linked to the biggest maternity scandal in the history of the NHS, Sajid Javid has said after a damning report into baby deaths condemned health staff for blaming mothers while repeatedly ignoring their own catastrophic blunders for decades.

The independent inquiry into maternity practices at Shrewsbury and Telford hospital NHS trust uncovered hundreds of cases in which health officials failed to undertake serious incident investigations, while deaths were dismissed or not investigated appropriately.

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Shropshire baby deaths report: parents express relief and anger

Campaigners hope damning report on inadequate maternity care at Royal Shrewsbury hospital will bring lasting change

In the months after the birth of her son Adam at Royal Shrewsbury hospital in 2011, Charlotte Cheshire just felt grateful that the NHS had managed to save his life after he contracted group B streptococcus meningitis (GBS) and was placed in an induced coma.

“My husband did a 23-mile sponsored walk for the hospital, raising just over £4,000, six months after Adam was born. We sent the money to them and had a photo op in the ICU with all the staff. We just didn’t know,” she said.

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الثلاثاء، 29 مارس 2022

Women and babies remain at risk of unsafe NHS care, experts warn

Exclusive: health leaders say they cannot meet recommendations in review into failures at Shropshire hospitals because of midwife shortage

A shortage of more than 2,000 midwives means women and babies will remain at risk of unsafe care in the NHS despite an inquiry into the biggest maternity scandal in its history, health leaders have warned.

A landmark review of Shrewsbury and Telford hospital NHS trust, led by the maternity expert Donna Ockenden, will publish its final findings on Wednesday with significant implications for maternity care across the UK.

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الاثنين، 28 مارس 2022

Female former inmates protest against UK imprisonment of pregnant women

Two babies have died in women’s prisons in UK in the past three years, when their mothers gave birth without medical assistance

Fifty babies, accompanied by their parents, have gathered outside parliament as part of a protest calling for an end to custody in prison for pregnant women.

The protest on Monday, attended by women who had previously been in prison when pregnant or after having given birth, or who had been threatened with custodial sentences, along with midwives and advocates for an end to the imprisonment of pregnant women, was organised by Level Up, a feminist organisation fighting gender injustice in the UK, and the campaigning organisation No Births Behind Bars.

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