I went into motherhood an oblivious idiot - and I don’t regret it | Emma Beddington

All the information about pregnancy and parenting can be understandably off-putting. It’s best to look at it clear-sightedly and, if you do decide to give it a go, accept that the path ahead is unpredictable

Can you know too much to have kids? “Maybe knowing too much about motherhood has ruined me,” journalist Andrea González-Ramírez mused on New York magazine’s The Cut website. She always assumed she would have children, González-Ramírez writes, but the “overload of brutally honest information” from the frontlines of millennial motherhood, and everything she knows about the horrifying rollback of reproductive rights, maternal mortality rates, the childcare crisis and the motherhood penalty, has left her deeply ambivalent.

Recent reports on birth trauma and grave failings in maternity care here in the UK add to the feeling it’s sensible to wonder if you’re ready to put your physical integrity, financial stability, mental health, or even your life on the line; at some level, we get the birthrate we deserve as a society. Plus, the news last week that pregnant women “shed grey matter” (“pruning” to prepare for caregiving life, the theory goes) wouldn’t win me over if I were on the fence.

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Maternity services need investment in people and training, not another review | Letters

Readers respond to Lady Amos’s damning interim report on the state of England’s NHS maternity care

Once again, we are faced with a report detailing the failures in maternity services (Cruel comments, racism and cover-ups: key findings from England’s maternity care report, 26 February, 26 February), highlighting deficiencies in both clinical staffing and care environments. Maternity services in the NHS are in crisis, but this is not new information. As clinicians, we have been aware of these systemic pressures for many years. Reports from the Healthcare Safety Investigation Branch, now Maternity and Newborn Safety Investigations, along with numerous other inquiries, have already identified the core issues. Collectively, they have produced some 748 recommendations that, if properly implemented, could meaningfully improve care.

Instead of directing funding towards implementing these recommendations, resources are being diverted into commissioning yet another review – one that is likely to reiterate what we already know. It is time to redirect investment to where it will make a tangible difference. We must return maternity services to strong, safe foundations: high-quality support, meaningful training and sustainable staffing levels for hardworking clinicians who continue to deliver care in chronically underresourced environments. These professionals strive daily to meet increasingly complex and often unrealistic expectations, frequently shaped by social media narratives that do not reflect the realities and risks inherent in maternity care.

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The scandal of women handcuffed while in labour: ‘I was so shocked when the restraints weren’t removed’

Pregnant women prisoners are being handcuffed to prison officers – often male – during intimate vaginal examinations and long, agonising births. Will this dehumanising treatment be stopped?

The worst moment of Joanna’s labour was an internal examination. She was handcuffed with her legs splayed apart and a male prison officer at the foot of the hospital bed saw everything. She had prepared for the arrival of her first baby as carefully as she could. But she understood that birth can be unpredictable – and this was complicated by the fact that, during the latter part of her pregnancy, she was serving a jail sentence.

Joanna was a model prisoner who followed the rules. She had been convicted for a non-violent drugs offence and was not deemed to be at high risk of escape, particularly not in the throes of an agonising labour. She hoped to use hypnobirthing, breathing and relaxation techniques to make the birth calmer and more comfortable. Thanks to information provided by the charity Birth Companions she knew it was her right not to be handcuffed during labour. She had highlighted the handcuffing points in the booklet.

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Jailed for losing a pregnancy: how progress on El Salvador’s harsh anti-abortion law is unravelling

Years of campaigning led to the release of 81 women imprisoned under the country’s strict reproductive laws, but the suspension of civil rights by President Nayib Bukele is fuelling a new wave of criminalisation

Her ordeal began with stomach cramps; 19 years old and training to be a nurse, she knew something was wrong. At the hospital she waited for hours in the emergency department. She had suffered an obstetric emergency.

Under El Salvador’s legal framework, emergencies including miscarriages and stillbirths place women under criminal suspicion. She lost the baby and doctors alerted the police. She was arrested and handcuffed.

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Giving stem cells in utero to babies with spina bifida boosts quality of life, trial finds

Experimental therapy of applying stem cells during surgery could be ‘major milestone’ in treatment of birth defects

Giving stem cells to unborn babies diagnosed with spina bifida while they have in utero surgery could be “a major milestone” in the treatment of birth defects, doctors say.

A trial in the US found that applying stem cells from the mother’s placenta to her baby’s spine while it was being repaired was safe and improved the child’s mobility and quality of life.

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What is the national maternity and neonatal investigation and why was it launched?

From racism to staff shortages, the interim report found a host of deep-rooted issues affecting women and babies

• NHS maternity units often cover up harmful errors in childbirth, report finds

• Cruel comments, racism and cover-ups: key findings from England’s maternity care report

On Thursday, a damning interim report published after a national investigation into England’s maternity services found deep-rooted issues affecting women and their babies, including insensitivity from maternity staff, racism and discrimination, and chronic staff shortages. Below is an exploration of what led to the report and what happens next.

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Placenta complications and how the NHS manages them | Letter

Prof Eric Jauniaux explains the causes of placenta previa and placenta accreta spectrum

I am the lead developer of the Royal College of Gynaecologists’ Green-top guidelines on placenta previa and placenta accreta spectrum (PAS), referenced in your article (Campaign urges NHS to improve diagnosis of potentially life-threatening childbirth condition, 18 February). I also have personal experience of placental delivery complications, as when my son was born, his placenta got stuck inside the womb of his mother after his birth (placental retention).

Placental retention is due to the premature closure of the cervix after the birth of the baby, and is a leading cause of uterine atony and postpartum haemorrhage, affecting around one in 100 births.

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