A health minister has apologised after a new report concluded that poor care in maternity services is “frequently tolerated as normal”.
The parliamentary inquiry found there was “shockingly poor quality” in maternity services, which resulted in care that lacked compassion and a system where “poor care is all too frequently tolerated as normal”.
Led by Conservative MP Theo Clarke and Labour MP Rosie Duffield, the Birth Trauma Inquiry considered evidence given by more than 1,300 women and has called for a national plan to improve maternity care.
It found that poor quality postnatal care was an “almost-universal theme”.
“Women shared stories of being left in blood-stained sheets or of ringing the bell for help but no one coming,” the report said.
It has made 12 recommendations, including that the government implement a maternity commissioner who would report directly to the prime minister.
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‘The joy was sucked out of having a baby’
A long-lasting problem
Health minister Maria Caulfield told Sky News maternity services had not been where they should be and apologised to mothers who had been affected.
“I recognise that maternity services have not been where we want them to be, but there is lots of work happening in this space,” Ms Caulfield said.
“This has been a problem for a long time, and it is why maternity is a priority area in the women’s health strategy.”
She said the inquiry aims to get expectant mothers better care during their pregnancy, rather than wait until they are just about to give birth.
Some £1.1bn – more than a third of the NHS’ total maternity and neonatal budget – was spent on cash payments relating to clinical negligence in 2022/23, a Department of Health and Social Care report showed.
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What is birth trauma?
Recommendations put forward by the Birth Trauma Inquiry include retraining and recruiting more midwives, offering a separate six-week check post-delivery with a GP for all mothers, provide support for fathers or nominated birth partners and better educate women on birth choices.
It also recommends extending the time limit for medical negligence litigation relating to childbirth from three years
to five years.
Read more:
Women ‘failed at every stage’ of maternity care
Mother left with injuries after giving birth breaks ‘silence’
Grieving parents demand nationwide guidance after failings
Health Secretary Victoria Atkins said she was “determined to improve the quality and consistency of care for women throughout pregnancy, birth and the critical months that follow”.
Wes Streeting, shadow health secretary, called the report “groundbreaking” and said the Labour Party would work in the same bipartisan spirit to deliver results.
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‘A lot more work to be done’
After her own experience of a traumatic birth, Sandra Igwe set up The Motherhood Group and has spent the past eight years campaigning. When she gave birth earlier this year for the third time, she expected the outcome would be different.
“Sadly, the third time around, again, my concerns were dismissed and I was made to wait several days to give birth after being induced, and that added to my anxiety,” she told Sky News correspondent Shamaan Freeman-Powell.
“It has shown me there is a lot more work to be done.”
Sandra Igwe has spent the last eight years campaigning for better maternity services
She is now working with Councillor Evelyn Akoto, cabinet member for health and wellbeing at Southwark Council, to get the experiences of women from diverse backgrounds in a maternity commission.
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‘Poor quality’ in maternity services
Cllr Akoto, who also had her own experience of being dismissed and ignored during labour, said the statistics black and ethnic minority women face are “horrifying”.
“I see myself and other black women as walking statistics,” she said. “I see our lives in danger all the time.”
The councillor said that in order for the quality of care to be improved across maternity services, inequalities need to be addressed.
“If we get it right for those who are being negatively impacted, we get it right for everyone,” she added. “So it’s important we all come together and resolve this.”
Opinion by: Sergej Kunz, co-founder of 1inch
Institutional players have been closely watching decentralized finance’s growth. Creating secure and compliant DeFi platforms is the only solution to build trust and attract more institutions.
Clear waters attract big ships
Over the past four years, institutional DeFi adoption has gone from 10% of hedge funds to 47%, and is projected to rise to 65% in 2025. Goldman Sachs is reaching their arms to DeFi for bond issuance and yield farming.
Early adopters are already positioning themselves in onchain finance, including Visa, which has processed over $1 billion in crypto transactions since 2021 and is now testing cross-border payments. In the next two years, institutional adoption will speed up. A compliant regulatory framework that maintains DeFi’s core benefits is necessary for institutional adoption to engage confidently.
DeFi’s institutional trilemma
It is no secret that many DeFi security exploits happen every year. The recent Bybit hack reported a $1.4 billion loss. The breach occurred through a transfer process that was vulnerable to attack. Attacks like these raise concerns about multisignature wallets and blind signing. This happens when users approve transactions without full details, rendering blind signing a significant risk. This case calls for stronger security measures and improvements in user experience.
The threats of theft due to vulnerabilities in smart contracts or mistakes by validators make institutional investors hesitate when depositing large amounts of money into institutional staking pools. Institutions are also at risk of noncompliance due to a lack of clear regulatory frameworks, creating hesitation to enter the space.
The user interface in DeFi is often designed for users with technical expertise. Institutional investors require user-friendly experiences that make DeFi staking possible without relying on third-party intermediaries.
Build it right, and they will come
Institutional interest in bringing traditional assets onchain is enormous, with the tokenized asset market estimated to reach $16 trillion by 2030. To confidently participate in DeFi, institutions need verifiable counterparties that are compliant with regulatory requirements. The entry of traditional institutional players into DeFi has led some privacy advocates to point out that it can counter the essence of decentralization, which forms the bedrock of the ecosystem.
Recent: Securitize to bring BUIDL tokenized fund to DeFi with RedStone price feeds
Institutions must be able to trust DeFi platforms to maintain compliance standards while providing a safe and seamless user interface. A balanced approach is key. DeFi’s permissionless nature can be achieved while maintaining compliance through identity profiles, allowing secure transactions. Similarly, transaction screening tools facilitate real-time monitoring and risk assessment.
Blockchain analytics tools help institutions to maintain compliance with Anti-Money Laundering regulations and prevent interaction with blacklisted wallets. Integrating these tools can help detect and prevent illicit activity, making DeFi safer for institutional engagement.
Intent-based architecture can improve security
The relationship between intent-based architecture and security is evident; the very design is built to reduce risks, creating a more reliable user experience. This protects the user against MEV exploits, a common issue of automated bots scanning for large profitable trades that can be exploited. Intent-based architecture also helps implement compliance frameworks. For instance, restricting order submissions to clean wallets and allowing resolvers to settle only the acceptable orders.
It’s well understood that in traditional DeFi transactions, users rely often on intermediaries like liquidity providers to execute trades or manage funds. This leads to counterparty risk, unauthorized execution and settlement failure. The intent-based architecture supports a trustless settlement that ensures users commit only when all conditions are met, reducing risk and removing blind trust from the picture.
DeFi platforms must simplify interactions and UX for institutional investors. This system bridges the gap between. Through executing offchain while ensuring security, the intent-based architecture makes DeFi safer and more efficient. However, one of the challenges to this includes integrating offchain order matching while maintaining onchain transparency.
Late adopters of DeFi will struggle to keep up
For the early adopters of DeFi, there is a competitive advantage in liquidity access and yield advantages, whereas late adopters will face more regulatory scrutiny and entry barriers. By 2026, the institutional players that have failed to adopt DeFi may struggle to keep up. This is seen in the examples of early adopters like JPMorgan and Citi’s early tokenization projects. TradFi leaders like them are already gearing up for onchain finance.
The way forward
Regulatory bodies, supervisory agencies and policy leaders must provide clear, standardized guidelines to facilitate broader institutional participation. Uniform protocols underpinning wider institutional involvement are underway. DeFi platforms must be prepared beforehand to provide all the necessary pillars of compliance and security to institutional players who want to embrace mainstream adoption. Executing this shall require combined efforts from regulators, developers and institutions.
Opinion by: Sergej Kunz, co-founder of 1inch.
This article is for general information purposes and is not intended to be and should not be taken as legal or investment advice. The views, thoughts, and opinions expressed here are the author’s alone and do not necessarily reflect or represent the views and opinions of Cointelegraph.
Prediction marketplace Kalshi has started taking Bitcoin (BTC) deposits in a bid to onboard more crypto-native users.
The company that lets users bet on events ranging from election outcomes to Rotten Tomatoes film ratings has seen a strong uptake among crypto traders, Kalshi told Cointelegraph on April 9. For instance, event contracts for betting on Bitcoin’s hour-by-hour price changes have seen $143 million in trading volume to date, a spokesperson said.
Kalshi is a derivatives exchange regulated by the US Commodity Futures Trading Commission (CFTC). As of April 9, it listed some 50 crypto-related event contracts, including markets for betting on coins’ 2025 highs and lows, as well as on headlines such as US President Donald Trump’s proposed National Bitcoin Reserve.
Kalshi has doubled down on crypto event contract markets. Source: Kalshi
The platform started accepting crypto payments in October when it enabled stablecoin USD Coin (USDC) deposits.
Kalshi relies on ZeroHash — a crypto payments infrastructure provider — for off-ramping BTC and USDC and converting the deposits to US dollars. The exchange accepts BTC deposits only from the Bitcoin network.
Most Kalshi traders no longer expect core tokens to earn positive returns this year. Source: Kalshi
Related: Kalshi traders place the odds of US recession in 2025 at over 61%
More accurate than polls
Launched in 2021, Kalshi rose to prominence ahead of the US’s November elections.
It became a top venue for trading on 2024 political events after winning a lawsuit against the CFTC, which tried to block Kalshi from listing contracts tied to elections.
The regulator argued that political prediction markets threaten the integrity of elections, but industry analysts say they often capture public sentiment more accurately than polls.
For instance, prediction markets, including Kalshi, accurately predicted Trump’s presidential election win even as polls indicated a tossup.
“Event contract markets are a valuable public good for which there is no evidence of significant manipulation or widespread use for any nefarious purposes that the Commission alleges,” Harry Crane, a statistics professor at Rutgers University, said in an August comment letter filed with the CFTC.
As of April 9, Kalshi traders peg the odds of the US entering a recession at 68%, according to its website.
In March, Kalshi partnered with Robinhood to bring prediction markets to the popular online brokerage platform. Robinhood’s stock rose some 8% on the news.
Kalshi competes with Polymarket, a Web3-based prediction platform. Polymarket processed more than $3 billion in trading volumes tied to the US presidential election despite being off-limits for US traders.
Magazine: Bitcoin heading to $70K soon? Crypto baller funds SpaceX flight: Hodler’s Digest, March 30 – April 5
Politics
No crypto project has registered with the SEC and ‘lived to tell the tale’ — House committee hearing
United States securities laws are not flexible enough to account for digital assets, as evidenced by the parade of crypto-native companies that have tried and failed to get into the Securities and Exchange Commission’s (SEC) good graces, Rodrigo Seira, special counsel to Cooley LLP, told a House Committee hearing on April 9.
The hearing, titled American Innovation and the Future of Digital Assets Aligning the U.S. Securities Laws for the Digital Age, featured Seira, WilmerHale partner Tiffany J. Smith, Polygon chief legal officer Jake Werrett and Alexandra Thorn, a senior director at the Center for American Progress.
“It is clear that the current securities regulatory framework is not a viable option to regulate crypto. It fails to achieve its stated policy goals,” Seira said in his opening remarks. “[T]he idea that crypto projects can come in and register with the SEC is demonstrably false.”
Cooley LLP special counsel Rodrigo Seira addresses the committee on April 9. Source: House Committee on Financial Services
Seira acknowledged that crypto promoters who raise capital for a new enterprise should be subject to federal securities laws.
“In practice, however, virtually no crypto projects have successfully registered their tokens under federal securities laws and lived to tell the tale,” he said, adding:
Projects that tried to comply with [the] SEC’s current regulatory requirements expended significant resources and effort only to fail or survive in a state of regulatory uncertainty. Moreover, registration is not a simple one-time process. Registering a token in the same manner as a stock triggers an obligation to operate as a publicly reporting company […].”
Related: Crypto has a regulatory capture problem in Washington — or does it?
Righting the ship
In introducing the witnesses, Representative Bryan Steil, who heads the Subcommittee on Digital Assets, Financial Technology, and Artificial Intelligence, acknowledged regulatory roadblocks, which he said were put in place by the previous administration.
Congressman Bryan Steil addresses the hearing on April 9. Source: House Committee on Financial Services
Under President Donald Trump, lawmakers are attempting to right the ship by passing sensible legislation, said Steil.
One of the first steps occurred last week when the House Financial Services Committee advanced the STABLE Act, which is designed to regulate payment stablecoins tied to the US dollar and other fiat currencies.
Source: Financial Services GOP
A month earlier, the Senate Banking Committee advanced the GENIUS Act, which aims to regulate stablecoin issuers by establishing reserve requirements and requiring full compliance with Anti-Money Laundering laws.
The next step is “advancing the second half of this agenda: comprehensive digital asset market structure legislation,” said Steil.
Representative Ro Khanna told a digital asset conference last month that a market structure bill will cross the finish line this year.
The purpose of such legislation is to establish a clear regulatory framework for digital assets, including their legal categories and the enforcement jurisdiction of agencies such as the SEC and Commodity Futures Trading Commission.
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