Maternity deaths at highest levels in 20 years, study finds

Published

10 months ago

January 11, 2024

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The number of mothers dying either during pregnancy or soon after has increased to its highest level for 20 years, with black women and those from deprived areas most severely affected, a major UK study has found.

There were 13.41 deaths per 100,000 women in the UK either during pregnancy or within six weeks after pregnancy had ended between January 2020 and December 2022.

Even with COVID deaths excluded, at 11.54 per 100,000 it is stiller higher than the 8.79 deaths per 100,000 pregnancies recorded from 2017 to 2019.

The data is from MBRRACE-UK, which monitors the causes of maternal deaths, stillbirths and infant deaths as part of the national Maternal, Newborn and Infant clinical Outcome Review Programme (MNI-CORP).

Women from black ethnic backgrounds are three times more likely to die compared to white women, according to the research, which was led by the Oxford Population Health’s National Perinatal Epidemiology Unit (OPHNPEU).

Nonetheless, the study found the maternal death rate among black women has fallen slightly since the last survey.

Women from Asian ethnic backgrounds are twice as likely to die as white women.

As well as racial variations, the study found socio-economic inequality, as a woman living in one of the most deprived areas of the UK is more than twice as likely to die as someone from the least deprived areas.

Thrombosis and thromboembolism, or blood clots in the veins, was the leading cause of death, followed by COVID-19, heart disease and illnesses related to mental health.

The mortality rate has risen to levels not seen since 2003-05, the authors said.

Professor Marian Knight, director of the National Perinatal Epidemiology Unit and MBRRACE-UK maternal reporting lead, pointed to “clear examples of maternity systems under pressure.

She said: “Ensuring pre-pregnancy health, including tackling conditions such as being overweight or obese, as well as critical actions to work towards more inclusive and personalised care, need to be prioritised as a matter of urgency.”

Dr Nicola Vousden, co-chair of the Faculty of Public Health Women’s Health Specialist Interest Group, said it was vital to address “the underlying structures that impact health before, during and after pregnancy, such as housing, education and access to healthy environments”.

Clea Harmer, chief executive of bereavement charity Sands, called the figures “very worrying”.

She said: “We know that news like this can be distressing for anyone who has been affected by pregnancy or baby loss, particularly those who are pregnant again, and especially so if they are in a higher risk group.”

The Department of Health and Social Care has been approached for comment.

UK

Teenage girl killed on M5 in Somerset after getting out of police car named

Published

3 hours ago

November 15, 2024

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Teenage girl killed on M5 in Somerset after getting out of police car named

A teenage girl who was killed after getting out of a police car on the M5 in Somerset has been named.

Tamzin Hall, 17 and from Wellington, was hit by a vehicle that was travelling southbound between junction 24 for Bridgwater and junction 25 for Taunton shortly after 11pm on Monday.

She had exited a police vehicle that had stopped on the northbound side of the motorway while transporting her.

A mandatory referral was made to the Independent Office for Police Conduct, which is now carrying out its own investigation into what happened.

Avon and Somerset Police said: “Our thoughts and sympathies go out to Tamzin’s family for their devastating loss.

“A specially-trained family liaison officer remains in contact with them to keep them updated and to provide support.

“The family have asked for privacy at this difficult time.”

The police watchdog, the IOPC, has been asked to investigate.

In a statement, director David Ford, said: “This was a truly tragic incident and my thoughts are with Tamzin’s family and friends and everyone affected by the events of that evening.

“We are contacting her family to express our sympathies, explain our role, and set out how our investigation will progress. We will keep them fully updated as our investigation continues.”

Paramedics attended the motorway within minutes of the girl being hit but she was pronounced dead at the scene.

The motorway was closed in both directions while investigations took place. It was fully reopened shortly after 11am on Tuesday, Nationals Highways said.

UK

Mohamed al Fayed’s brother Salah also abused women, say female Harrods employees

Published

3 hours ago

November 15, 2024

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Mohamed al Fayed's brother Salah also abused women, say female Harrods employees

A survivors group advocating for women allegedly assaulted by Mohamed al Fayed has said it is “grateful another abuser has been unmasked”, after allegations his brother Salah also participated in the abuse.

Justice for Harrods Survivors says it has “credible evidence” suggesting the sexual abuse allegedly perpetrated at Harrods and the billionaire’s properties “was not limited to Mr al Fayed himself”.

The group’s statement comes after three women told BBC News they were sexually assaulted by al Fayed’s brother, Salah.

One woman said she was raped by Mohamed al Fayed while working at Harrods.

Helen, who has waived her right to anonymity, said she then took a job working for his brother as an escape. She alleges she was drugged and sexually assaulted while working at Salah’s home on Park Lane, London.

Two other women have told the BBC they were taken to Monaco and the South of France, where Salah sexually abused them.

The Justice for Harrod Survivors representatives said: “We are proud to support the survivors of Salah Fayed’s abuse and are committed to achieving justice for them, no matter what it takes.”

The group added it “looks forward to the others on whom we have credible evidence – whether abusers themselves or enablers facilitating that abuse – being exposed in due course”.

Salah was one of the three Fayed brothers who co-owned Harrods.

The business, which was sold to Qatar Holdings when Mohamed al Fayed retired in 2010, has said it “supports the bravery of these women in coming forward”.

A statement issued by the famous store on Thursday evening continued: “We encourage these survivors to come forward and make their claims to the Harrods scheme, where they can apply for compensation, as well as support from a counselling perspective and through an independent survivor advocate.

“We also hope that they are looking at every appropriate avenue to them in their pursuit of justice, whether that be Harrods, the police or the Fayed family and estate.”

The Justice for Harrods Survivors group previously said more than 400 people had contacted them regarding accusations about Mohamed al Fayed, who died last year.

One of those alleged to have been abused is Bianca Gascoigne, the daughter of former England player Paul.

Speaking to Sky News in October, Gascoigne said she was groomed and sexually assaulted by al Fayed when she worked at Harrods as a teenager.

UK

Wes Streeting ‘crossed the line’ by opposing assisted dying in public, says Labour peer Harriet Harman

Published

3 hours ago

November 15, 2024

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Wes Streeting 'crossed the line' by opposing assisted dying in public, says Labour peer Harriet Harman

Wes Streeting “crossed the line” by opposing assisted dying in public and the argument shouldn’t “come down to resources”, a Labour peer has said.

Speaking on Sky News’ Electoral Dysfunction podcast, Baroness Harriet Harman criticised the health secretary for revealing how he is going to vote on the matter when it comes before parliament later this month.

MPs are being given a free vote, meaning they can side with their conscience and not party lines, so the government is supposed to be staying neutral.

But Mr Streeting has made clear he will vote against legalising assisted dying, citing concerns end-of-life care is not good enough for people to make an informed choice, and that some could feel pressured into the decision to save the NHS money.

He has also ordered a review into the potential costs of changing the law, warning it could come at the expense of other NHS services if implemented.

Baroness Harman said Mr Streeting has “crossed the line in two ways”.

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“He should not have said how he was going to vote, because that breaches neutrality and sends a signal,” she said.

“And secondly… he’s said the problem is that it will cost money to bring in an assisted dying measure, and therefore he will have to cut other services.

“But paradoxically, he also said it would be a slippery slope because people will be forced to bring about their own death in order to save the NHS money. Well, it can’t be doing both things.

“It can’t be both costing the NHS money and saving the NHS money.”

Baroness Harman said the argument “should not come down to resources” as it is a “huge moral issue” affecting “only a tiny number of people”.

She added that people should not mistake Mr Streeting for being “a kind of proxy for Keir Starmer”.

“The government is genuinely neutral and all of those backbenchers, they can vote whichever way they want,” she added.

Prime Minister Sir Keir Starmer has previously expressed support for assisted dying, but it is not clear how he intends to vote on the issue or if he will make his decision public ahead of time.

The cabinet has varying views on the topic, with the likes of Justice Secretary Shabana Mahmood siding with Mr Streeting in her opposition but Energy Secretary Ed Miliband being for it.

The Terminally Ill Adults (End of Life) Bill is being championed by Labour backbencher Kim Leadbeater, who wants to give people with six months left to live the choice to end their lives.

Under her proposals, two independent doctors must confirm a patient is eligible for assisted dying and a High Court judge must give their approval.

The bill will also include punishments of up to 14 years in prison for those who break the law, including coercing someone into ending their own life.

MPs will debate and vote on the legislation on 29 November, in what will be the first Commons vote on assisted dying since 2015, when the proposal was defeated.