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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