The Black women who choose to have children on their own: ‘We’re going in eyes open’

With growing support networks online and in person, these moms say they’re changing the narrative around Black single motherhood

When Chamise Alston was ready to have a child, she connected her computer to her TV and scrolled through profiles with her best friend, dismissing people who seemed like the wrong fit. Unlike the average millennial on a dating app, Alston was scanning a sperm bank catalogue for potential donors. The Maryland-based therapist hoped to conceive a child through the assisted reproductive technology in vitro-fertilization (IVF).

That winter day in 2023, Alston and her friend chose a donor who would help her become pregnant with her now 16-month-old daughter. As a Black woman, she felt empowered taking control of her reproductive destiny.

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Spermageddon, ‘greedy jobs’ and abject fear: why birth rates are plummeting – and why it matters

The author of Generation Maybe, Camilla Cavendish, explains the many reasons people are having fewer children, from dating apps to unaffordable housing and the climate crisis

Generation Maybe is the most tactful possible title for Camilla Cavendish’s bracing new book – because the trend she’s describing is anything but a “maybe”. “The wave of childlessness that is sweeping the globe is extraordinary,” she writes. It’s in the UK, where the fertility rate hit 1.39 children per woman in 2025, the lowest on record. It’s across the Organisation for Economic Co-operation and Development, visible in so many measures – nearly half of Canadian women surveyed in their 40s said they’d had fewer children than they would have liked. But it’s also a global story. “The UAE, Chile and Tamil Nadu in India have even lower birthrates than Germany,” Cavendish writes. “China is growing old before it gets rich, and Russia has maintained its population size purely by annexing Crimea and parts of Ukraine.” In fact, when it comes to falling populations, “only the Black Death in the 14th century is comparable to what is happening now”.

When I meet her in central London, Cavendish is tailored, self-possessed, you might even say poised, but very open – she never gives an opinion without asking yours, she talks very freely about her family and she is upfront about what she sees as her faults. Now 58, she started her career at McKinsey, the mega-management consultancy, having done PPE at Oxford at the same time as David Cameron, for whom she worked as policy director when he was in government and to whom she remains intensely loyal (every time his name comes up, we have a fight).

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The girl with a will to live: the love, hope and pain of raising Elsie – my one in 163 million daughter

She was born with an ultra-rare genetic disorder. After my decades working in film PR, I now face the biggest campaign of all: the fight for her life

My daughter Elsie has beautiful curls – blond like a little Botticelli cherub’s, hair that someone dark like me could only ever dream of. She laughs a lot, has a cheeky sense of humour and soaks in all the sounds around her – rustling leaves, the sea, a dog barking, children playing around a pool, me impersonating the alarm clock every morning, me impersonating monkeys. Indeed, me impersonating any animal.

Sound is important for Elsie because she has a visual impairment and, while we know she has some peripheral vision, is legally classed as blind. As a result, she uses her tongue to check her environment. When she’s excited it sticks out, tasting the air around her, licking anyone close, sensing space. And when she likes the taste of something she keeps her tongue out until you give her more. This is how we know she likes lollies.

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Customers of UK-owned surrogacy firm in Mexico allegedly face huge bills after insurance denied

UK government reviewing allegations about My Surrogacy Journey after complaints about medical costs

The UK government has said it is reviewing allegations about a British-owned surrogacy service after surrogates in Mexico who faced health complications including a hysterectomy had their insurance claims rejected.

The Department of Health and Social Care is considering whether the UK-based provider My Surrogacy Journey should remain listed on gov.uk as one of four domestic surrogacy agencies available to intended parents, after its Mexican sister company received complaints.

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Babies born to anaemic mothers have smaller brains, study finds

Key regions of the brain linked to movement, learning and emotions were affected and may lead to cognitive problems

Babies born to mothers with anaemia have smaller brains, particularly in key regions linked to movement, learning and the regulation of emotion, according to a study.

Researchers said the differences, first detected at the age of one, could lead to cognitive problems when children started school.

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‘Grief becomes a routine’: Farhana lost five babies. A ‘culture of silence’ exacerbated her pain

A first-of-its-kind study shows the prevalence of miscarriage in Australia but experts fear multicultural groups remain underrepresented

On a quiet street in western Sydney, Farhana Laffernis races her curious English staffy and boisterous three-year-old daughter in the front door.

Inside, her three-year-old wears a pink tutu and excitedly babbles as she cuddles her toy doll. The family life Laffernis has built did not come easy.

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Experience: I didn’t know I was pregnant until I gave birth

There’d been no morning sickness, cravings or tiredness. My mum didn’t believe I’d had a baby – even after seeing her on FaceTime

When I was 19, I went to college in Texas, where I met my ­boyfriend Preston. It was 2023 and I had big plans. After ­finishing my degree in criminal justice, I wanted to go to law school. I wasn’t in a rush to get married or have kids. My mum had drilled into me a fear of getting pregnant at a young age. I was on the pill and careful with contraception.

In May 2025, I took a trip to London, returning to campus in August after the summer holidays. I noticed I was slowly gaining weight; by January this year I’d gained 10lb. I put it down to my late-night snacking and lack of exercise.

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More than a third of prenatal reports to NSW protective services not investigated, ombudsman finds

Other families have been unlawfully compelled to be case-managed without consent, watchdog finds

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More than a third of all reports raising concerns about the future welfare of unborn children were closed due to a shortage of allocated caseworkers, while families were unlawfully compelled to take part in prenatal case work, the New South Wales ombudsman has found.

In its findings after investigating the Department of Communities and Justice’s practice of responding to prenatal reports, which were released on Friday, the watchdog raised concerns about the number of reports about particularly high-risk children that were not referred on to further support services or a dedicated case manager due to a lack of resources.

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Judge tells jury in Lindsay Clancy trial to keep deliberating after deadlock

Clancy does not deny strangling her three children but says postpartum psychosis led to her actions

The judge has told the jury in the Lindsay Clancy trial to keep deliberating after it said it was unable to come to a unanimous decision in the controversial case of the mother who killed her three children.

Clancy, a former labor and delivery nurse in Massachusetts, does not deny strangling her children but says postpartum psychosis led to her actions. Prosecutors argue she knew what she was doing. Clancy, 36, has pleaded not guilty by reason of lack of criminal responsibility.

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I’m giving birth as a battle rages over maternity care in Ireland. We shouldn’t have to pay to feel safe | Caelainn Hogan

An unfair two-tier system is, at last, giving way to universal state care. But private interests and highly paid doctors are resisting

There were no chandeliers in the public ward where I spent my first days as a mother, at the oldest continuously operating maternity hospital in the world. The room echoed with cries, the well-worn floor bouncing under footsteps, the windows looking out on Dublin’s city centre.

Now the Rotunda hospital, where I’m due to give birth again soon, is counting down to its 1 millionth baby. It is also at the centre of a bitter debate over plans to reform Ireland’s two-tier state healthcare system, so that those who pay to “go private” in public hospitals no longer gain an unfair advantage over those who don’t.

Caelainn Hogan is a journalist and the author of Republic of Shame: How Ireland Punished ‘Fallen Women’ and Their Children

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‘There’s no place to go’: providers see more abortions later in pregnancy as bans spread in US

Patients are showing up ‘later and sicker’ for abortion care as more US states adopt bans and significant restrictions

Providers are seeing more patients in need of abortions later in pregnancy as abortion bans and restrictions proliferate in US states, all while access to insurance falls.

Those bans and restrictions have also meant that later abortion care access has grown over the past decade in a handful of haven states and cities.

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What is postpartum psychosis, the condition central to the trial of Lindsay Clancy?

Clancy’s defense team argues she killed her three children under the condition, and should not be convicted of murder

Postpartum psychosis, a rare and severe mental health illness, is central to the trial of Lindsay Clancy, who has pleaded not guilty to three counts of first-degree murder. Her defense team argues that she killed her three children while experiencing the condition, which can cause hallucinations, delusions and rapid mood changes.

While the outcome of the trial may hinge on a determination of Clancy’s mental state, women who have experienced postpartum psychosis say the attention surrounding the case could help raise awareness about the need for better support, including more research and improved medical training.

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Queensland woman gave birth to twins with different parents after surrogacy coincides with natural pregnancy

Both children were born on same day in November 2025 in situation so rare it had not been contemplated by state surrogacy laws

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A Queensland woman gave birth to twin children with separate sets of biological parents last year, in what is believed to be an Australian first situation so rare it had not been contemplated by state surrogacy laws.

The woman, anonymised in a court judgment, conceived an unplanned natural pregnancy about the same time as she received an IVF embryo transfer under a surrogacy arrangement with another couple.

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‘My ability to cope was unravelling’: how I navigated ADHD and childbirth – and seven things I learned

Neurodivergence can make an already challenging process far trickier — and in the UK support isn’t automatically available. A new book aims to help mothers prepare

It’s 7am in a postnatal ward. I’ve been brought here having given birth around four hours earlier. I’m hot and have not slept since arriving at the hospital at 9pm for an induction, only to go into labour spontaneously before it could begin. All around me is incandescent hospital light and the sound of crying newborns. This would be challenging enough for someone who isn’t neurodivergent, but coupled with my attention deficit hyperactivity disorder (ADHD) I could feel my ability to cope unravelling.

I remember looking around, crying, unable to shut off the noise in my brain. “What if I don’t ever sleep again,” the little voice asked. I shut my eyes and the noise grew. Then there was my newborn son, lying next to me in a cot, and the fact that I had absolutely no idea how to look after him. I pressed the emergency buzzer and told the midwife who arrived that I could not breathe and needed to be discharged immediately. She said they couldn’t do that because I was under the mental health team and needed to speak to them first. I cried more.

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John Oliver on fetal personhood: ‘It effectively treats women as incubators’

The host discussed problems with giving fetuses equivalent rights to humans after the overturning of Roe v Wade

On his HBO show on Sunday night, John Oliver discussed the debate over fetal personhood and how the topic has become central to the anti-abortion movement in the US.

About a third of US states have established fetal personhood by law, giving legal rights and protections to fetuses and in some cases embryos. As a result, hundreds of women have lost custody to their children for reasons related to their pregnancies.

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Nothing less than radical whole-system change is required to fix the NHS's maternity services | Julia Sanders

It’s vital that Yvette Cooper’s taskforce acts on the Amos and Ockenden reports – and puts the needs of women and families at the heart of maternity services

It is hard to find the words to describe the agony for those who have experienced preventable baby loss, injury or maternal death. Understandably, families who have been through this have campaigned relentlessly for local and national investigations. Every family deserves to know what caused their loss or trauma, but current and past reviews have failed to deliver on resolution and accountability.

The vital debate about how to ensure safe maternity care has intensified since the publication of two reports, led by Valerie Amos and Donna Ockenden, and the appointment of Yvette Cooper as secretary of state for health and social care, offering a golden opportunity for system-wide change. “I want to make it a personal crusade to put the cradle back at the heart of the NHS,” Cooper told the Guardian last week, adding that she was committed to introducing a new national maternity commissioner.

Julia Sanders is professor of clinical midwifery at Cardiff University and was an expert adviser to the national maternity and neonatal investigation led by Valerie Amos

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How surrogacy helped my sister and friends | Letters

Hazel Davis responds to a letter about the regulation and ethics of surrogacy

I wish to respond to Lexi Ellingsworth’s letter (Regulation cannot eliminate surrogacy risks, 23 July). I gave birth to a baby for my friends in January. While the baby is living with its parents, my husband and I are the legal parents. We are waiting for our family court date in September to recognise the baby’s biological parents as legal parents.

My surrogacy story started when my sister suffered complications following the birth of her first child. After a second difficult birth, the doctors told her that it wouldn’t be safe for her to carry any more children. I became an auntie via surrogacy when my sister’s friend carried her third child. Now my niece is a determined five‑year-old, just as much a part of the family as her older siblings, and I see no evidence that her origins have any impact.

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AOC’s public egg-freezing shouldn’t feel radical. But in today’s US, it does

The congresswoman’s decision is an assertion of women’s freedom and dignity at a time when our status is rapidly eroding

“Don’t be weird about this,” representative Alexandria Ocasio-Cortez, the progressive star and rumored 2028 presidential contender, said on her live video broadcast as she raised her shirt to angle the syringe into her abdomen. Then, with resignation, “even though I know all of you will be.”

The New York Democrat is 36 years old, and this week, she revealed that she is beginning the process of freezing her eggs during Congress’ August recess. In the video, Ocasio-Cortez said that she was seeking to destigmatize the realities of women’s lives as they navigate the conflicting demands of professional aspiration and family building; she explained to viewers the process of the hormonal injections she was administering to herself, showing them the drugs and injector she was using arrayed on a paper towel, beside a disinfecting towelette. The procedure, Ocasio-Cortez explained, was not covered by her insurance, and she would be paying “100% out of pocket”. She had been saving to afford it for some time. “This is a choice that I am making to feel more in control of my life,” she said, going on to assert her hope that transparency about such questions will destigmatize women’s reproductive lives and promote their dignity.

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I thought having a second baby would be easier – but, from food to teeth to poos, I’ve forgotten so much | Bim Adewunmi

My mum has been a huge help with the practical stuff. She’s also stirred up memories of my own blissfully bored childhood

I gave birth to a second child a few months ago. I don’t think I will ever get over the fact that this is the way people come into the world. It’s a ridiculous endeavour, from start to finish.

My first pregnancy was almost comically miserable for the first 20 weeks, then glorious for 10 weeks, then scary and stressful for the remainder. And this time? More intense in every way, but with added toddler. Which is to say: no breaks, suck it up, keep on moving.

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The culture surrounding ‘ideal’ childbirth has to evolve | Letters

Molly O’Brien responds to an article by Natalie Morris about her five-day labour, while an NHS doctor shares her personal experience of feeling ‘othered’

It is not clear whether Natalie Morris’s labour began spontaneously or was induced (By day five of my labour, I didn’t want an ‘ideal birth’. I only wanted to survive, 6 August). Nevertheless, what is described is not a debate about “ideal birth”, but an account of undiagnosed labour dystocia.

By day four she had contractions but no cervical dilatation, was exhausted, unable to sit down, and knew instinctively she needed help. These are features of pathophysiology that should have prompted reassessment. That failure was not ideology. It was a lack of education and training among both midwives and doctors in recognising difficult labour, also known as labour dystocia. This same issue, with tragic consequences, was highlighted in the Nottingham maternity review. That system’s failure receives far less attention than the “culture wars” surrounding birth.

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Let’s all get on board with travel etiquette | Letters

Readers add to a guide for handling tricky situations on public transport

Re your article on travel etiquette (The ultimate guide to travel etiquette: how to handle 36 tricky situations, from manspreaders to smelly armpits, 4 August), it’s totally wrong to advise people not to give up seats for a woman any more. Women could be menstruating, in the first trimester of pregnancy (the most exhausting time, and not one you advertise with badges saying “Baby on board”), perimenopausal, menopausal or have endometriosis (excruciating pain). Women live with a level of pain and discomfort as routine, for much of their lives. Yes, of course men can be suffering with specific ailments at specific times, but it is not part and parcel of being a man. Gentlemen, please just do it.
Helen Walker
London

• To your list of dubious travel behaviours, I’d like to add constant sniffing and its more guttural and nauseating relation, snorting. It seems that handkerchiefs, tissues and even the concept of blowing your nose have gone out of fashion. I am frequently nauseated by this on planes and trains, and if I don’t have headphones with me I have to resort to blocking my ears. I have not yet had the courage to speak to a culprit (although I have often been tempted to pass them a tissue).
Judith Milburn
Hartlepool, County Durham

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By day five of my labour, I didn’t want an ‘ideal birth’. I only wanted to survive | Natalie Morris

Yvette Cooper’s maternity reforms must change a system that too often fails women when they’re at their most vulnerable

On the third day of being in labour with my first child, I entered a new state of being. It was time to dig deep. This is what I had learned in all the childbirth classes. As long as I remained calm, breathed as instructed, moaned through the pain, things would happen as they were meant to. My body knew what it was doing. Only, it didn’t.

On the fourth day, I started to beg. This wasn’t right. Despite contraction after relentless contraction, I wasn’t dilating. I hadn’t slept, I couldn’t even sit down. I needed help. And still, they waited. For what, I never understood.

Natalie Morris is the author of Mixed/Other: Explorations of Multiraciality in Modern Britain

Do you have an opinion on the issues raised in this article? If you would like to submit a response of up to 300 words by email to be considered for publication in our letters section, please click here.

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A Child of My Own review – barely believable true crime tale of desperation and delusion

Candy-coloured recreations of one woman’s pregnancy unravel as dark truths are revealed in Maite Alberdi’s intimate docudrama

This cheekily inquisitive docudrama by Chilean director Maite Alberdi features a unique variation on the long con, and one with a precise duration: nine months. After suffering three miscarriages and under pressure from her husband and in-laws to give them a child, Eleonor Alejandra Marín Mendoza (aka Ale, and played by Ana Celeste in re-enactments) decides to fake her next pregnancy. She is determined to have something to show at the end of it: after meeting single mother Mayra, who wants to abort her second pregnancy, at the hospital where she works, Ale agrees to take her baby once it is born.

The details are hardly believable: eating copiously to gain weight, Ale manages to convince husband Arturo (Armando Espitia) and his family that this pregnancy is on track for her entire term. She reflexively tenses her muscles while he strokes her baby bump and smiles through a swirl of conflicting thoughts at her baby shower. While most con artists must dupe themselves on some level, it is true down to a physiological level in Ale’s case: a judge later testifies that her desperation to bear children may have resulted in a pseudo-pregnancy. How else to explain that the doctor signing off her maternity leave appears to hear the baby’s heartbeat?

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Women must not feel pressure to have ‘ideal birth’, says Yvette Cooper

Exclusive: New health secretary promises root-and-branch reform after damning maternity scandals

Women should not feel pressurised into experiencing an “ideal birth”, the new health secretary, Yvette Cooper, has said, promising a root-and-branch reform of standards after several damning maternity scandals.

Cooper, who returns to the department 27 years after she was the minister for public health under Tony Blair, said maternity and child health would be a major focus in the role, where she will also be expected to implement significant reforms to social care.

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‘She wasn’t acting, she wanted to live it’: how a fake pregnancy resulted in the wildest true crime film of the year

Netflix documentary A Child of My Own tells the stranger-than-fiction story of a hospital worker who went to extreme lengths in her efforts to become a mother. Its director recounts their meetings in a Mexican prison

The CCTV footage of the hospital corridor is grainy but you can make out a young woman carrying an oversized gift bag. Nothing unusual there. Except that inside the bag is a newborn baby girl, just hours old. And the woman carrying the bag, walking out of the hospital’s main entrance, past two security guards who are idly chatting, is not the baby’s mother.

Her name is Eleonor Alejandra Marín Mendoza, known to everyone as Alejandra. When film-maker Maite Alberdi met her in a low-security Mexican prison, Alejandra was in the final year of a 13-year jail sentence for snatching the baby. Alberdi listened rapt as Alejandra told her story: “Everything she was telling me was extraordinary, stranger than fiction.”

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Regulation cannot eliminate surrogacy risks | Letter

Lexi Ellingsworth of Stop Surrogacy Now UK responds to news that the rise in the use of surrogates abroad is leaving more babies at risk of becoming stateless

Your article (Rise in overseas surrogates ‘increases risk of stateless babies, 19 July) suggests that the solution lies in better regulation to make surrogacy safe and ethical. But regulation cannot remove the central ethical problem: every surrogacy arrangement begins with the deliberate separation of a newborn baby from their mother, who they have naturally bonded with throughout the pregnancy.

Regulation is also not able to eliminate the physical risks borne exclusively by surrogate mothers. A study in Canada has suggested that surrogate mothers are more likely to experience severe complications including postpartum haemorrhage and pre-eclampsia than women who conceived naturally or with IVF.

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‘I was full of fears’: the story of a premature birth – in pictures

João Linneu’s raw and intimate photographs capture his partner and child as they navigate isolation, lumbar punctures and even a lightning storm

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I was struggling after eight rounds of IVF – and then a former midwife became my surrogate

Narzny McKinney and her surrogate, Sarah, discuss their experience – and the misconceptions that surround the practice

After struggling with infertility and eight unsuccessful rounds of IVF, Narzny McKinney had two precious embryos left – her last chance to have biological children. After considering her options, she made the decision to find a surrogate to carry her child for her.

“We were eight years down the line at this point and I just didn’t want to risk anything going wrong,” she said. “It was a tough decision but it was absolutely the right thing to do.”

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UK surrogacy law ‘creaking at seams’ as demand rises sharply

Experts urge ministers to update legislation to prevent intended parents resorting to riskier arrangements abroad

Surrogates, parents and children are being failed by the UK’s archaic laws, which are “creaking at the seams” as demand for surrogacy grows rapidly, experts have said.

Figures obtained by the Guardian show there were just under 1,000 children born to surrogates in 2025, double the number in 2015. The rise has been driven by a rise in the number of gay couples seeking to be parents, increasing infertility and shifting cultural attitudes.

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A friend, Facebook or ... Ukraine? No easy surrogacy options for Australian families desperate for children

With huge amounts of money at stake and power imbalances in play, the Australian Law Reform Commission is looking at how to better regulate the industry

Over eight years, Ethan and his wife went through nine rounds of IVF in Melbourne.

They travelled to Spain for two more, without success.

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For survivors of forced adoption, the trauma can last a lifetime | Letters

Readers respond to an article by David Batty about the postwar removal of babies from unmarried mothers, and his call for proper redress for survivors like him

I gave up my child for adoption in the late 1960s. I was just 20. It was my choice, but no choice at all (Britain’s apology for the scandal of forced adoption won’t – on its own – heal the wounds of survivors like me, 2 July). The circumstances were such that unless you had parental or a partner’s support, or a trust fund, it was practically impossible to keep your child. I have discovered through coverage of the government’s apology that some state funding was available. It was never mentioned to me.

I had planned to give up my child because I believed the propaganda: as an unmarried mother I could not give her a proper home. What I had not expected was the love I felt. When her father offered to marry me, I jumped at the chance and took the child away from prospective adopted parents. Three days before our wedding, the child’s father left me. My mother had not let me into the house once my pregnancy became obvious, so going home was not an option. I called the adoption agency and said goodbye to her in a small room somewhere near Baker Street.

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People keep asking me why I’m choosing to have a caesarean – here are my reasons | Sharon Gaffka

This isn’t an argument against vaginal birth, and caesareans aren’t without risk. But in the context of failing maternity services, it gives me the greatest sense of calm

• Sharon Gaffka is a reality TV star and political activist

One thing nobody really prepares you for when you’re pregnant is how interested everyone suddenly becomes in your body. People ask if you’re planning on breastfeeding. Whether you’ll have an epidural. If you’re hoping for a water birth. Whether you’ll “try naturally”.

I’ve chosen to have a caesarean, and now that I’m getting closer to my due date, the question I get asked most is: “why?” The answer is because I want to.

Sharon Gaffka is a reality TV star and political activist

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Women from minority backgrounds in UK less likely to receive epidurals, research finds

Exclusive: Guardian analysis exposes evidence of racial inequalities in pain relief offered across healthcare

• ‘The epidural failed and no one believed me’

• How the ethnicity pain gap follows people from birth to death

Women from Black and Asian backgrounds are less likely than their white counterparts to receive an epidural while giving birth, research has revealed.

The findings, based on data collected from more than 2.7 million births in the UK, prompted experts to raise the alarm about an “ethnicity pain gap” that means people of colour are more likely to be deprived of adequate pain relief within medical settings.

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Author of England maternity care review ‘listened to wrong voices’, says adviser

Dr Bill Kirkup says section of Valerie Amos’s report criticising ‘normal birth ideology’ was removed before publication

The head of an inquiry into maternity care altered its final report to remove criticism of “normal birth ideology”, one of her expert advisers claims.

Dr Bill Kirkup said Valerie Amos “listened to the wrong voices” before a section outlining the potential risks of encouraging women to have a vaginal birth “disappeared” from the final version of her government-commissioned report.

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A US champion of ‘freebirthing’ always claimed there had been no maternal deaths linked to the movement. Is Stacey Warnecke the first?

Guardian investigation exposes full links between a US business linked to baby deaths around the world and Australian ‘birth keeper’ Emily Lal, the central witness at the inquest into the death of a Melbourne wellness influencer

• How a Melbourne woman’s death is shining light on the dangers of non-medical births – Full Story podcast

• Find more from The birth keepers series here

During her time at the helm of a multimillion-dollar organisation linked to baby deaths around the world, Emilee Saldaya has always avowed one thing: she’s never heard of a woman dying after a freebirth.

“I’ve never heard of a mother dying in childbirth in the sovereign birth world,” the Free Birth Society founder said in a December 2024 appearance on The Way Forward podcast, adding: “In the sovereign birth world we aren’t losing mothers.”

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England to get powerful maternity commissioner after ‘shocking’ failings

Health secretary announces move after Amos review finds childbirth and neonatal care in need of ‘urgent reform’

• Analysis: Transparency, standards and a new commissioner – but does maternity review go far enough?

A powerful maternity commissioner will be appointed to push through an urgent transformation of childbirth care in England after a major review concluded that it had multiple failings.

Ministers have bowed to growing pressure by agreeing to recruit the UK’s first commissioner for maternity and neonatal care. Whoever takes on the role will pursue hospitals over persistent failures in care, ensure wide-ranging improvements are made and try to restore the faith of families in a maternity system in England that has been rocked by a series of scandals.

Maternity triage services – the childbirth equivalent of A&E – need an urgent overhaul, including more staff on duty, so that women’s concerns are acted on more quickly.

Families should get the right to seek a fresh, independent investigation when things go wrong if they are not happy with the hospital’s own inquiry.

The NHS’s “brutal” and “cruel” system of agreeing compensation with harmed and bereaved families should be replaced by a new process in which hospitals admit errors immediately.

The NHS must root out racism and discrimination that is “embedded throughout the maternity and neonatal system”.

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How a Melbourne womans death is shining light on the dangers of non-medical births - podcast

In September 2025, Melbourne wellness influencer Stacey Warnecke decided to give birth at home, free of all medical help. No one else was present when she went into labour except her husband and a woman named Emily Lal. Warnecke later died in hospital.

Lal, who describes herself as a ‘birth keeper’, had no formal medical training and had taken an online course offered by the Free Birth Society – a multimillion-dollar business that trains unregulated birth support workers.

Warnecke is one of a growing number of women choosing medically unassisted births, known as ‘freebirths’, and non-medically trained supporters for their pregnancies.

Unpacking why is a key question being considered by a coroner, Therese McCarthy.

Reged Ahmad speaks to medical editor Melissa Davey and investigations correspondent Sirin Kale on the inquest so far and what we know about the Free Birth Society

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The Guardian view on the Ockenden maternity review: lifting standards must be the number one priority | Editorial

Families are right to be angry about devastating care failures in Nottingham. Ministers must respond fast

The painful familiarity of key themes in Donna Ockenden’s review of maternity care failures must not detract from the urgency around this issue. The 400-page report published on Wednesday is a shocking catalogue of what went wrong at Nottingham university hospitals NHS trust. Its contents range from a excruciating case study of the errors leading to the death of baby Harriet Hawkins in 2016 – and the cover-up that followed – to trust-wide problems with staffing, culture and leadership. It also highlights flaws in the wider NHS, citing the finding of the 2022 Messenger review that political pressure can lead bosses “to look upwards to furnish the needs of the hierarchy rather than downwards to the needs of the service-user”.

Given its around 100 action points, implementation is a daunting prospect. Next week, Valerie Amos will add to these, and the more than 700 recommendations of earlier reports, with her own investigation of maternity care in England. Wes Streeting had pledged to chair a new taskforce and his resignation as health secretary alarmed campaigners. Whoever ends up in charge, a commitment to maternity care improvement must be non-negotiable, and firmly grounded in practicalities. The review points to a damaging split between strategy and operations in Nottingham. NHS England must avoid replicating this.

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Belittled, ignored or gaslit – now we know the true cost of not listening to pregnant women | Rhiannon Lucy Cosslett

The Ockenden report tells a terrible story of neglect. It’s a story that I – and far too many women I know – recognise

The findings of Donna Ockenden’s report on maternity services at Nottingham University hospitals NHS trust (NUH) are horrifying. Such is the scale of suffering on the part of mothers, babies and their loved ones that it is almost beyond contemplation. Harrowing details – a room filled with the smell of infection after a woman who was told to labour at home for six days was finally granted surgery; a student doctor being allowed to perform an emergency hysterectomy on a woman, and accidentally removing her bladder; a baby’s remains being disposed of as clinical waste – haunt you long after you finish reading. And then there are all those babies, who should now be exuberant, lovely children, who died because of poor care and neglect.

The victims and survivors, who campaigned long and hard for this review, don’t have the luxury of absorbing this information at their own pace, as I had to on Wednesday. They have lived with the brutal reality of it for many long years as they have fought for justice and accountability. These “mad grieving parents” – Sarah Hawkins’ description of how they were made to feel after the death of their daughter Harriet – did not give up in their quest for answers, and though they have been vindicated, I imagine there is a bitter aftertaste. Shamefully, nearly half of the senior members of staff at NUH refused to speak to Ockenden’s review.

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 response of up to 300 words by email to be considered for publication in our letters section, please click here.

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Bodies in Nottingham NHS trust mortuary in state of ‘advanced deterioration’, inspectors say

Human Tissue Authority says bodies not transferred to freezer in time due to insufficient storage needs

Bodies in the mortuary at the NHS trust at the centre of the health services biggest ever maternity care scandal were found in a state of “advanced deterioration” due to not being transferred to a freezer in time, inspectors have said.

Human Tissue Authority (HTA) inspectors who visited Nottingham university hospitals NHS trust in March discovered eight bodies in a state of advanced decomposition due to not being transferred to a freezer within a sufficient timeframe.

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Senators alarmed at Trump administration website Moms.gov promoting anti-abortion facilities

Administration claims website is resource for ‘new and expecting mothers’ but group of senators says it raises ‘profound’ health and safety concerns

A group of 11 senators have sent a letter to Donald Trump and Robert F Kennedy urging them to remove a federal website and “cease using federal resources to direct people to anti-abortion crisis pregnancy centers”.

On Mother’s Day this year, the US Department of Health and Human Services (HHS) launched Moms.gov, a resource they claim is for “new and expecting mothers” and “offers guidance and information to support the health and wellbeing of mothers and their families”.

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Nottingham maternity care scandal review: what are the key findings?

Review of 2,500 cases between 2012 and 2015 finds ‘systemic’ and ‘deep-rooted’ failures, a bullying culture and racism

• More than 500 mothers and babies died or were harmed at ‘toxic’ Nottingham NHS trust, report finds

• ‘Truly horrific’: the stories of five people affected

A review into the NHS’s biggest ever maternity care scandal has been published. Led by Donna Ockenden, an independent senior midwife, the review examined 2,500 cases involving mothers and babies dying or being seriously injured, or babies being stillborn, while under the care of Nottingham university hospitals NHS trust between 2012 and 2015. Below is a summary of the findings from the report.

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L’Equipe apologises to Belgian footballer Jérémy Doku for presenter’s comments

French media outlet distanced itself from criticism of Doku’s plan to fly back from World Cup for birth of first child

The French media outlet L’Équipe has apologised to the Belgian footballer Jérémy Doku after he was criticised by one of its pundits for saying he would duck out of the World Cup to be present at the birth of his first child.

News of the apology came as the Belgian football federation said Doku had made it back to London in time to be with his wife Shireen, who gave birth to a boy called Praise ⁠on Monday.

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Stacey Warnecke died after choosing a birth free of all medical help. An inquest wants to know why

A coroner is looking into the final moments of a Melbourne influencer’s life and what leads women to choose ‘freebirth’ over obstetric care

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As Stacey Warnecke lay on the floor of her home, short of breath after a massive postpartum haemorrhage, the woman she hired as her birthkeeper, Emily Lal, told her she was likely having a panic attack.

“Don’t leave me,” Warnecke said to Lal, who had no medical qualifications, but who Warnecke had paid $6,000 to support her pregnancy, a coroner’s court heard this week.

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Bending forwards a lot at work in early pregnancy may increase miscarriage risk, study suggests

More walking and standing in the workplace also associated with higher risk, according to Danish research

Bending forwards and walking a lot at work in the early stages of pregnancy may increase the risk of miscarriage, a study suggests.

Miscarriage affects about 15% of women. Risk factors include parental age, smoking, night shift work and exposure to air pollution and various chemical compounds.

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Inquest into Melbourne influencer’s death following freebirth halted after new phone evidence discovered

Coroner tells inquiry new material ‘of such significance’ any findings must be postponed so information can be analysed

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The closing submissions in an inquest into the death of a woman who gave birth at home with no support from medically trained health workers has been delayed, after new evidence came to light after a forensic analysis of her mobile phone.

Stacey Warnecke, a 30 year-old nutritionist, died on 29 September in Frankston hospital in Melbourne.

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Leading OB-GYN group breaks from CDC on maternal vaccination schedule

Medical societies endorse ACOG’s schedule, saying maternal vaccines are ‘key element’ of protection

The leading professional organization for obstetricians and gynecologists in the US has launched its first maternal vaccination schedule and diverged for the first time from federal recommendations.

The American College of Obstetricians and Gynecologists (ACOG) has long recommended giving the shots during pregnancy, but this is the first time releasing them as an official schedule.

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Birthkeeper hired by woman who died after freebirth tells inquest she was ‘not there to make a birth safer’

Emily Lal – paid $6,000 to provide freebirth support package to Stacey Warnecke – tells coroner her role was primarily to be a ‘supportive friend’

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A birthkeeper hired by a woman who died after giving birth at home has told a coroner that she was “not there to make a birth safer”.

Emily Lal gave evidence on Tuesday at the inquest into the death of 30-year-old Stacey Warnecke, who died on 29 September in Frankston hospital after giving birth at home with her husband and Lal present.

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Blood test can find thousands of genetic conditions in pregnancy, say scientists

Technique that examines fragments of foetal DNA in mother’s bloodstream could limit need for invasive screening, according to researchers

A new maternal blood test that can detect thousands of serious genetic conditions in the developing foetus could limit the need for invasive screening during pregnancy, according to scientists.

The test, to be described at the European Society for Human Genetics conference in Gothenburg on Saturday, relies on detecting tiny fragments of a foetus’s DNA that circulate in the mother’s bloodstream during pregnancy. Using advanced sequencing techniques, scientists were able to identify a very high proportion of genetic conditions, such as cystic fibrosis, that are currently only reliably diagnosed using amniocentesis or other invasive tests.

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A religious hospital denied her a life-saving drug during an ectopic pregnancy. She lost her fertility

Harmonie Perrone, 28, is suing Advocate Good Shepherd in Illinois, where reproductive rights are enshrined in law

Harmonie Perrone, 28, knew she was probably having an ectopic pregnancy, and she knew exactly what she needed to do: seek medical care immediately, before life-threatening complications set in.

But she was denied that care twice as she feared for her life – and, after the delay in care, she lost her fertility, she says in a new lawsuit filed Monday.

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Scientists create wearable ultrasound to continuously monitor babies in womb

Team hope the UPatch – at present a proof-of-concept device – will aid early detection of complications and prevent stillbirths

Scientists have created a wearable ultrasound patch that can continuously monitor babies in the womb, with the hope that such devices could aid the early detection of complications during pregnancy.

The team behind the work say ultrasound-based techniques in place now have drawbacks: continuous monitoring of the baby’s heart rate and contractions of the womb using current methods leads to a high rate of false alarms, while the use of more conventional handheld devices for imaging is limited to a small number of scans during pregnancy, and must be carried out by a skilled operator.

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Antidepressants in pregnancy do not raise children’s risk of autism or ADHD, study finds

Researchers say risk comes from ‘other factors, including genetic predisposition to mental health conditions’

Taking antidepressants during pregnancy does not increase the risk of children going on to develop autism or attention deficit hyperactivity disorder (ADHD), according to an analysis of more than half a million pregnancies.

The study, conducted by researchers at the University of Hong Kong and published in the Lancet Psychiatry, analysed data from 37 existing studies that included 600,000 pregnant women who had taken antidepressants, and 25 million women who had no antidepressant use during their pregnancies.

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Mental illness is pregnancy’s No 1 complication. It’s time to support those who suffer from it | Edna Lekgabe

Integrated mental health care for maternity services, more perinatal psychiatrists and public awareness of the problem could deliver meaningful change

• The modern mind is a column where experts discuss mental health issues they are seeing in their work

When Mia* was referred to me, she was 32 weeks pregnant and had not slept properly in two months. Her GP had told her it was “just pregnancy insomnia”. Her obstetrician said it was normal and suggested she try going to bed earlier with a pregnancy pillow. By the time she sat in my consulting room, hands clenched around a damp tissue, she had been quietly planning how her partner and baby would be better off without her.

Mia is not a real person. She is a composite – an amalgam of the hundreds of women I see each year in my perinatal psychiatry practice. But her story is so common it could be a template. A woman develops psychological symptoms during pregnancy or the postpartum period. She mentions them, tentatively, at an antenatal appointment. She is reassured that what she feels is normal. Weeks or months pass. By the time she reaches specialist care, she is freefalling into a crisis.

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My egg, my wife’s womb, our baby: how we found our way to lesbian motherhood

When Leah and I planned a family, we wanted to be as mutual as possible. Could reciprocal IVF – Leah carrying an embryo made from my egg – be the way forward?

Late last year, it became my friend’s favourite party trick. “Rosa’s going to have a baby next week,” she’d say to a group of people who didn’t know me. I’d watch their faces as they tried to inconspicuously scan my body, detecting no sign of a bump. “Congratulations!” they’d say, smiles tight, clearly wondering what other delusions I might have up my sleeve.

I was, however, about to have a baby. At daybreak on a warm October day, our beautiful, 6lb 10oz, 19.5in‑long baby girl was born; skin pink and taut, scream wet and bright. I held my wife’s hand and head as our daughter emerged from her body – a daughter who had initially come from me.

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Pronatalism with Etsy sensibilities: how high-profile White House pregnancies became agitprop

As the Trump administration stokes anxiety about US birthrates, Karoline Leavitt and Katie Miller have touted motherhood as the ultimate ‘blessing’

On a Sunday in late March, dozens of White House staffers dressed in florals and pastels gathered at the Trump National Golf Club in Virginia to celebrate the impending arrival of Karoline Leavitt’s second child. “I feel blessed to have so many strong and loving women in my life,” the White House press secretary would later post on Instagram, “and can’t believe we will welcome our little lady into the world in a few weeks.”

The vibes of the pink-themed baby shower, as documented in a New York Post exclusive, were soft, bordering on twee – a sharp contrast to the professional persona of a woman the Hungarian autocrat Viktor Orbán once joked about hiring after witnessing her cage matches with the press.

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A moment that changed me: I was wary of men – then I found out I was having a baby boy

When I became pregnant, all I wanted was a healthy baby. Discovering I would be having a son gave me a new perspective on the narratives around masculinity

At the 20-week ultrasound, because of the baby’s position, my partner and I didn’t get any proper pictures to take home. Instead, the sonographer printed us a shot of the genitals. So, there it was, in black and white: I was having a boy.

Growing up, boys were a slightly alien concept. Our household was female-heavy – a mum, two sisters, a dad with no interest in conventional “boy stuff”. We did have two male cats, neutered, extremely fluffy and ironically named Mr White and Mr Orange by my dad (“Reservoir Cats”).

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Rare pregnancy complication has put UK women into ‘emergency surgery’

Scores of women have told how they were affected by placenta accreta spectrum for an awareness campaign

Women have had to undergo major emergency surgery, including a hysterectomy, when medical staff failed to detect they had a rare but potentially fatal complication of pregnancy.

Scores of women have come forward to tell their stories of how they were affected by placenta accreta spectrum (PAS) since the launch in February of a campaign to raise awareness among NHS staff and mothers-to-be of the dangers it poses.

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Women with perinatal OCD are still being failed | Letter

Screening at the six-week check and signposting to services could prevent suffering and save lives, write Fiona Challacombe, Diana Wilson and Maria Bavetta

We were glad that the story of Kimberley Nixon was highlighted in your article and commend her openness about the devastating nature of perinatal OCD (‘This is so taboo’: Kimberley Nixon on the hell of perinatal OCD – and how she survived it, 28 April). Experiencing vivid unwanted intrusive thoughts, images and urges of accidentally or deliberately harming your infant can be hugely distressing, isolating and often misunderstood. Intrusions and compulsions can take, or indeed steal, hours a day, and can make women feel as if they are the worst mothers possible.

In severe cases, women can feel that ending their lives is the only course of action. We have been activists and researchers in perinatal OCD for 20 years and are aware of the issues of lack of recognition, misdiagnosis, inappropriate safeguarding procedures being activated and difficulties in accessing effective therapy.

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Thursday briefing: What new evidence tells us about the reality of racial discrimination in maternity care

In today’s newsletter: Persistent gaps in maternal health outcomes have long been documented​, but now a growing body of evidence suggests that ​racism and deprivation have profound consequences for pregnancy and birth

Good morning. Researchers have long known that women in the UK experience very different birth outcomes depending on their ethnicity, income and physical condition. Black women, for example, are still about 2.7 times more likely to die during pregnancy or shortly after giving birth than white women.

As the Guardian reported on Wednesday, a new study suggests one possible explanation: that the cumulative physiological impact of stress caused by racism and inequality may itself affect pregnancy outcomes.

UK news | Police are treating the stabbing of two men in Golders Green, north London, as terrorism, with the suspect described as having been hunting for anyone “visibly Jewish” to attack.

UK politics | Nigel Farage was given £5m by the crypto billionaire Christopher Harborne shortly before announcing he would stand in the 2024 British general election.

Middle East | Pete Hegseth has denied that the US-Israel war on Iran is “a quagmire” and claimed critics of the operation posed a greater threat to the US than Iran itself, as he came under pressure to set out Washington’s strategy for the conflict.

UK news | Police have raided the headquarters of the Ahmadi Religion of Peace and Light following an investigation into allegations of serious sexual offences, modern slavery and forced marriage.

Defence | Britain has agreed to create a unified naval force with nine European countries to deter future Russian threats from the “open sea border” to the north.

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The New Orleans program doing house calls for postpartum mothers: ‘For many women, you fall off a cliff’

Family Connects New Orleans provides crucial postpartum support to mothers through home-based nurse visits

About three months ago, Amber Leduff, gave birth to her daughter, Autumn, at New Orleans’ Touro hospital. The room was hectic after the delivery, with nurses and doctors bustling in and out. In the chaos, Leduff, who is 30, only half registered the representatives from Family Connects New Orleans, taking paperworks from them and moving on.

But when her doctor encouraged her to enroll in the program, which provides up to three in-home visits to parents of newborns up to 12 weeks old, Leduff took it seriously.

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Stress from racism may help explain why black women more likely to die in childbirth, study finds

Exclusive: Cambridge research finds socioenvironmental stressors may influence body’s ability to function healthily in pregnancy

Stress from racism and deprivation could explain why black women are more likely to die during childbirth, a study has found.

Researchers reviewed 44 existing studies that examined three physiological pathways associated with worse pregnancy outcomes: oxidative stress, inflammation, and uteroplacental vascular resistance, and found black women had higher levels of the three metrics.

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Earlier specialised care could prevent 10,000 miscarriages a year, UK study finds

Charity says starting specialised care after first miscarriage instead of third reduces risk of future losses

Giving women access to specialised care after their first miscarriage could prevent about 10,000 pregnancy losses a year across the UK, according to a study.

Currently, women in England, Wales and Northern Ireland are eligible for specialist care on the NHS for early baby losses after they have had a minimum of three miscarriages.

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‘I was super horny when I made my early work’: Loie Hollowell’s abstract paintings of breasts and vaginas

Equally inspired by childbirth manuals, Georgia O’Keeffe and her own hormones, pregnancy and motherhood, Hollowell paints beautiful anatomical abstractions. She opens up about her cosmic birth and out-of-body experience

‘It’s magical,” says Loie Hollowell. “It’s such good timing!” The artist, speaking via Zoom from her studio in Queens, New York, is referring to the Artemis II moon mission. Little did she know, when she named her latest painting series Overview Effect, after the term used by astronauts to describe the experience of seeing Earth from space and the profound feelings of awe and interconnectedness it provokes, that she’d be coinciding with this space odyssey. But she is not surprised anyone would want to leave Earth for a while. “We’re having so many problems here,” she says.

Overview Effect, currently at London’s Pace Gallery, features large-scale canvases combining twin concave and convex sculpted circles. If you folded the canvasses in half vertically, the halves would fit perfectly together. The works, which radiate outwards in rings of glorious colour that are both vibrant and soothing, are a continuation of earlier works focusing on pregnancy and birth through abstraction. Her Split Orb paintings and Dilation Stage series of pastel drawings responded to the difficult birth of her son in a New York hospital. Overview Effect is a result of her daughter’s easier arrival: a “cosmic” home birth that she found far more empowering.

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Home blood pressure checks could reduce risks after hypertensive pregnancy

Study finds monitoring and adjustment of medication where needed can help protect mothers’ heart health

New mothers who had hypertension in pregnancy could reduce their risk of heart attack, stroke and potentially early death through daily blood pressure checks at home, research suggests.

Women who regularly monitored their blood pressure in the weeks after giving birth, and had doctors tailor their medication if needed, had better functioning arteries nine months later than those who received routine care, scientists found.

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Kindness of strangers: I was so pregnant I couldn’t see my feet when a woman offered to tie my shoelace

As an expectant mother bringing a little person into the world, you want to feel it is mostly filled with good people. In that moment I felt reassured

• Read more in the kindness of strangers series

It was my first pregnancy and I’d been sick for more than seven months with hyperemesis gravidarum. In those late stages, after the HG finally passed, I was exhausted and overwhelmed. It was the dual feeling of excitement and trepidation. Was I ready to have a baby when I’d only just got used to waddling around and the discomfort of pregnancy?

One day I was at the shops and not feeling great. As I was walking down an aisle, a woman came up behind me. I assumed she was going to ask me to move or make a not-super-friendly comment. Instead, she said: “Do you know that your shoelace is undone?” I didn’t – I couldn’t see my feet! – and thanked her for letting me know.

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I yearned to be a mother. Why did I feel nothing when my daughter was finally born?

I had presumed I would love her instantly – but a traumatic birth led to devastating numbness

It wasn’t supposed to be like this. I was waiting for an overwhelming rush of love, but when I looked at my newborn baby what I felt was utter despair. No matter how much I smiled at her, crooned at her, fed, patted, caressed and changed her, I was absolutely numb.

I had yearned for her. Growing up in Italy, I was surrounded by images of perfect motherhood. Every rural crossroad has its tiny shrine to the Madonna and Child. I was certain by the end of my teens that I wanted to have at least one baby.

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Why aren’t Republicans thrilled by the fall in teen pregnancies? | Arwa Mahdawi

In the US, the birth rate for 15- to 19-year-olds dropped 7% last year. But what seems like good news for society has been lamented by some leading Maga figures

Teenagers these days, eh? Instead of having unprotected sex and popping out babies, they’re wasting their time on TikTok, or something. According to a recent report, the teenage birth rate in the US fell by 7% in 2025. While this might seem like a positive development, it has been a cause of dismay among the Maga-adjacent crowd.

Take Fox News, which ran a segment framing the drop in teen pregnancies as alarming. “We still have 3.6 million births a year,” noted the medical analyst Marc Siegel. “But the problem is teens and young adults. From ages 15 to 19, the fertility rate is down 7%, and it’s down 70% over the last two decades, meaning we’re telling people that are young not to have babies, to wait until they’re in a more stable life situation.” I’m sorry, that’s a problem?

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Taking Tylenol during pregnancy has no link to autism, new study finds

Trump has pushed unfounded claims of Tylenol use in pregnancy being tied to ‘a very increased risk of autism’

Taking acetaminophen – known in the US by the brand name Tylenol – during pregnancy has no effect on later autism diagnoses, according to a sweeping new study from Denmark published on Monday.

The Trump administration has targeted Tylenol use in pregnancy as a major cause of autism in children, which appears to have led to a drop in pregnant people taking the pain reliever.

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Black women in Georgia turn to midwives for safer births – so why does the state criminalize many of them?

A new lawsuit seeks to decriminalize the work of midwives banned from providing care amid a worsening maternal health crisis

When Tamara Taitt moved to Georgia in 2023 to run the Atlanta Birth Center, she found herself in what she calls “an extraordinary position”. Under Georgia law, the center’s own executive director cannot provide routine clinical care for the center’s own clients. She could even face criminal charges for doing so.

Taitt is a nationally accredited midwife. She directs one of the only freestanding birth centers in the state – a destination for women seeking to give birth outside a hospital, cared for by midwives rather than obstetricians. Families choose birth centers to access more holistic, less medicalized prenatal care and birth, and to avoid invasive medical interventions in a state where C-sections occur at three times the rate recommended by the World Health Organization.

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Female athletes’ fertility is still a blind spot | Letter

Dr Mireia Galian argues that paid, protected time off for fertility assessment and treatment should be standard across women’s sports

As you report, changes to insurance cover for female athletes following the Carney review are welcome (Landmark changes to insurance cover for female athletes to be implemented, 30 March). Addressing contraception, pregnancy, menopause and other health conditions disproportionately affecting women is long overdue.

Yet one crucial blind spot remains: fertility. Elite athletes push their bodies to extremes, often with low body fat and intense training, which can disrupt hormones and menstrual cycles. Nearly two-thirds experience irregular or absent periods, which can affect fertility.

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Trying to conceive? Welcome to the worry-filled world of ‘trimester zero’

An army of ‘pregnancy prep’ influencers is offering would-be parents everything from sensible advice to quackery and questionable supplements. What’s really needed?

Anything to do with pregnancy can sometimes feel like a crash course in withstanding uncertainty. From getting pregnant in the first place to avoiding complications later on, any parent-to-be is forced to reckon with the limits of their own control.

The stats around this are worth emphasising: about one in seven couples in the UK will have difficulty conceiving. About one in eight known pregnancies will end in a loss. And as many as 29% of low-risk pregnancies will experience some kind of unforeseen complication. Often there’s no rhyme or reason to any of this. “You can do everything ‘right’ and still face delays. That’s biology, not failure,” says Dr Linda Farahani, a consultant gynaecologist and specialist in reproductive medicine at the Lister Fertility Clinic in Chelsea, London.

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Native birth workers are guiding Alaskan mothers through pregnancy once again: ‘I felt really supported and honored’

Indigenous doulas are creating support networks for mothers who are at the highest risk of pregnancy-related death

Mary Sherbick found out she was pregnant at the height of the pandemic in 2020. Although she and her partner had planned it, the pandemic was anxiety-inducing and isolating. While scrolling on social media, she came across online talking circles for Alaska Native women, organized by Alaska Native Birthworkers Community (ANBC), who were pregnant or postpartum. Sherbick, who is Yupik, immediately signed up.

“A lot of us were also just concerned about the way that we would be treated, and some of our concerns of pain or our birth plans within a hospital setting,” Sherbick said. “I think a lot of the women that I talked to just were aware of the history of how Indigenous women, Indigenous people in general, have been treated, and the sterilization programs that have been done unknowingly to Indigenous people.”

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US company to pay $22.5m over newborn’s death after denying woman remote work

Chelsea Walsh prematurely gave birth after firm rejected work from home request in 2021 amid high-risk pregnancy

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An Ohio freight-brokerage firm must pay $22.5m in damages to a woman whom the company denied permission to work from home as she tried managing pregnancy complications – and then endured her newborn’s death after prematurely giving birth, a state court jury has decided.

The case centering on Chelsea Walsh, her late daughter Magnolia, and Total Quality Logistics (TQL) unfolded as many employers increasingly allowed remote work during the Covid-19 pandemic – but then pushed to get workers physically back into the office.

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Lords urged to ensure women criminalised for abortion are ‘not left behind’

House to consider amendment that would pardon women in England and Wales affected by prior ‘unjust’ laws

Women who have been arrested, investigated and convicted under abortion legislation in England and Wales “must not be left behind” if the law is changed to prevent women being criminalised in future, campaigners have said.

Last summer, the House of Commons voted to end the criminalisation of women who terminate their pregnancies outside the legal framework, through a new clause in the crime and policing bill.

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Women feel coerced during maternity care in England, charity says

Exclusive: Birthrights report says women are being told they are ‘not allowed’ and are being denied genuine choice

Women feel put under pressure to have medical procedures such as caesareans during their maternity care, according to a report.

The charity Birthrights collated the experiences of 300 people in England who said they had felt or witnessed coercion within a maternity setting.

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Officials ‘missed 99% of data’ on Covid vaccines before making recommendation, memos reveal

US based Covid vaccine recommendations for children and pregnant people on ideology instead of evidence, critics say

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There was scant data behind ending the Covid vaccine recommendation for pregnant people and children, according to internal memos made public because of a lawsuit against the US Department of Health and Human Services (HHS).

The memos overlooked hundreds of studies on the benefits and safety of Covid vaccination and set the precedent for making changes to vaccine recommendations based on ideology instead of evidence, critics say.

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Fetuses likely have more ‘forever chemicals’ in blood than thought – report

US test of 120 umbilical blood cord samples identified 42 Pfas compounds, which do not naturally break down

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New peer-reviewed research shows fetuses likely have much higher levels of Pfas “forever chemicals” in their blood than previously thought.

Testing of umbilical cord blood typically looks for a small number of common Pfas compounds, like Pfoa and Pfos. However, thousands of Pfas exist, and a new Mount Sinai study tested 120 umbilical blood cord samples that were previously found to contain up to four compounds.

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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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