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Hungry mothers on dirty wards, finds ongoing maternity review

Michael Buchanansocial affairs reporter

Getty Images A mother holds her baby upright so that it rests on her shoulderGetty Images

Review examines worst-performing maternity and neonatal services

Hungry mothers, filthy wards and poor care are damaging maternity services in England, with staff working in some units receiving death threats, according to a new report.

Baroness Amos, who is chairing a review into maternity care, said what she had seen so far was “much worse” than she expected.

While some women felt responsible for their baby’s death, others suffered from a lack of empathy, concern and apology when things went wrong; Poor and black mothers were often subjected to discriminatory services.

Health Minister Wes Streeting set reviewHe said “systemic failures that lead to preventable tragedies cannot be ignored.”

Baroness Amos leads review into maternity failings across UK

Streeting said the update from Baroness Amos “shows that too many families are disappointed and with devastating consequences”.

“I know NHS staff are dedicated professionals who want the best for mothers and babies and that the vast majority of births are safe, but systemic failures that lead to preventable tragedies cannot be ignored,” she said.

The aim of the National Maternity and Newborn Survey is to prepare a set of national recommendations to improve maternity and newborn services after previous research revealed problems but did not lead to sufficient sustainable improvements.

Baroness Amos’s report – her thoughts and first impressions three months after the inquiry – highlights how ingrained poor care was.

Speaking to the BBC, the former UN diplomat said he was aware there was “skepticism” and “criticism” in his approach.

“Time and time again, families feel like the system has failed them. I’m very keen that that doesn’t happen this time. And I think having the Secretary of State pay that close attention will make a big difference.”

Over the past decade, several investigations, including investigations into maternity services in Morecambe Bay, Shrewsbury & Telford and East Kent, have led to 748 recommendations for improvements, according to the Amos review.

But the damage still continues largest birth study The NHS report, which examined nearly 2,500 cases in Nottingham, will be published in June. another investigation It was recently announced that he was taken into care at Leeds Teaching Hospitals NHS trust.

Following visits to seven NHS organisations, as well as meeting more than 170 families, Baroness Amos said she repeatedly encountered:

  • lack of cleanliness, women not being able to get food, or getting help to use the bathroom due to catheters not being emptied
  • Lack of rest for women, including concerns about decreased fetal movements
  • women of color, working-class women, and those with mental health issues who receive discriminatory care
  • NHS organizations ‘doing their own homework’ when babies die or are harmed by bad behaviour, including failure to address inappropriate language

The review also contacted maternity services staff. Some reported having rotten fruit thrown at them, while others said they faced death threats or were attacked on social media due to negative publicity.

Negative media attention can make it more difficult to deliver high-quality care, they said, but it also serves as a catalyst for improvements.

Baroness Amos’s final report will be published in the spring, but her research has been controversial. Some families believe that limitations on what they can do and the short amount of time it takes to do it mean that meaningful action cannot be pursued.

The Maternity Safety Alliance, which wants to see a statutory public inquiry into maternity issues, said initial considerations “prioritised” staff’s feelings and minimized “the avoidable harm that occurs every day in NHS maternity services”.

“This is completely the wrong process to fix deep-seated and long-standing failures in maternity care, and we don’t understand why.” [Wes Streeting] “He’s allowing this nonsense to continue.”

Streeting will chair the new National Maternity and Newborn Working Group in the New Year, which will be responsible for implementing Baroness Amos’s recommendations. He vowed that families who suffered poor care “will remain at the center” of what happens after the review.

James Titcombe, a long-time maternity safety campaigner since losing his son Joshua in 2008, said the issues identified by Baroness Amos “reflect long-standing problems that we have known about for years” but he supported her work as it represented “the best opportunity in a generation to finally put maternity services on a safer path”.

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