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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2:02
‘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.
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“This has been a problem for a long time, and it is why maternity is a priority area in the women’s health strategy.”
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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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0:57
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.
Recommendations made by the Birth Trauma Inquiry
The Birth Trauma Inquiry aims to look at the realities of giving birth and how the UK can practically improve maternity services.
One of the key conclusions of the report is to implement a National Maternity Improvement Strategy, led by a maternity commissioner, who will report directly to the prime minister.
This improvement strategy will outline the following 12 recommendations with the aim of introducing a base standard in maternity services across the UK:
1. Recruit, train and retain more midwives, obstetricians and anaesthetists and provide mandatory training on trauma-informed care.
2. Provide universal access to specialist maternal mental health services across the UK to end
the “postcode lottery”.
3. Offer a separate six-week check post-delivery with a GP for all mothers, which includes questions about the mother’s physical and mental health.
4. Roll out and implement the OASI (obstetric and anal sphincter injury) care bundle to all hospital trusts to reduce risk of injuries in childbirth.
5. Oversee the national rollout of standardised post-birth services to give all mothers a safe space to speak about their experiences in childbirth.
6. Ensure better education for women on birth choices. All NHS trusts should offer antenatal
classes.
7. Respect mothers’ choices about giving birth and access to pain relief and keep mothers
together with their baby as much as possible.
8. Provide support for fathers and ensure nominated birth partner is continuously informed
and updated during labour and post-delivery.
9. Provide better continuity of care and digitise mother’s health records to improve
communication between primary and secondary health care pathways.
10. Extend the time limit for medical negligence litigation relating to childbirth from three years
to five years.
11. Commit to tackling inequalities in maternity care among ethnic minorities, particularly black
and Asian women.
12. Research to be commissioned on the economic impact of birth trauma and injuries, including factors such as women delaying returning to work.
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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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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.”
Image: 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.”
In one of his first appearances as the recently sworn-in chair of the US Securities and Exchange Commission, Paul Atkins delivered remarks to the agency’s third roundtable discussion of crypto regulation.
In the “Know Your Custodian” roundtable event on April 25, Atkins said he expected “huge benefits” from blockchain technology through efficiency, risk mitigation, transparency, and cutting costs. He reiterated that among his goals at the SEC would be to facilitate “clear regulatory rules of the road” for digital assets, hinting that the agency under former chair Gary Gensler had contributed to market and regulatory uncertainty.
“I look forward to engaging with market participants and working with colleagues in President Trump’s administration and Congress to establish a rational fit-for-purpose framework for crypto assets,” said Atkins.
SEC chair Paul Atkins addressing the April 25 crypto roundtable. Source: SEC
Some critics of US President Donald Trump see Atkins’ nomination to lead the SEC as a nod to the crypto industry, acting on campaign promises to remove Gensler — the former chair resigned the day Trump took office — and cut back on regulation. Democratic lawmakers on the Senate Banking Committee questioned Atkins on his ties to the industry, potentially presenting conflicts of interest in his role regulating crypto.
“We’ve noticed that we don’t have to be as concerned […] about being accused of things that we’re not doing, like being broker-dealers for securities,” Exodus chief legal officer Veronica McGregor, who participated in the roundtable, told Cointelegraph on April 24.”It’s just a less scary regulatory environment in general. It is, however, still unclear what the ultimate regs are going to look like for crypto.”
The SEC crypto task force is scheduled to hold two more roundtables in May and June to discuss tokenization and decentralized finance, respectively. Commissioner Hester Peirce, who leads the task force, told Cointelegraph in March that she welcomed the opportunity to work with Atkins to “reorient the agency,” hinting at an SEC with regulations more favorable to the crypto industry.
In addition to the roundtables, the crypto task force has reported several meetings with digital asset firms to discuss various policies and considerations in developing a regulatory framework.
Nasdaq has urged the US Securities and Exchange Commission (SEC) to hold digital assets to the same regulatory standards as securities if they constitute “stocks by any other name,” according to an April 25 comment letter.
The exchange said the US financial regulator needs to establish a clearer taxonomy for cryptocurrencies, including categorizing a portion of digital assets as “financial securities.” Those tokens, Nasdaq argued, should continue to be regulated “as they are regulated today regardless of tokenized form.”
“Whether it takes the form of a paper share, a digital share, or a token, an instrument’s underlying nature remains the same and it should be traded and regulated in the same ways,” the letter said.
It also proposed categorizing a portion of cryptocurrencies as “digital asset investment contracts,” to be subject to “light touch regulation” but still overseen by the SEC.
Nasdaq’s April 25 letter to the SEC. Source: Nasdaq
The SEC has dramatically pivoted its stance on cryptocurrency oversight since US President Donald Trump took office in January.
Under the leadership of former Chair Gary Gensler, the SEC took the position that practically all cryptocurrencies, with the exception of Bitcoin (BTC), represent investment contracts and therefore qualify as securities.
This stance led the agency to bring upwards of 100 lawsuits against crypto firms for alleged securities law violations.
However, under Trump nominee Paul Atkins, who was sworn in as chair on April 21 after a lengthy Senate confirmation, the SEC has claimed jurisdiction over a narrower segment of cryptocurrencies.
In February, the agency issued guidance stating that memecoins — if clearly identified as purely speculative assets with no intrinsic value — do not qualify as investment contracts pursuant to US law.
In April, the SEC said that stablecoins — digital tokens pegged to the US dollar — similarly do not qualify as securities if they are marketed solely as a means of making payments.
In its April 21 letter, Nasdaq said existing financial infrastructure “can readily absorb digital assets by establishing the proper taxonomy and calibrating certain rules to reflect what is truly new and novel about digital assets.”
The Depository Trust & Clearing Corporation (DTCC) — a private US securities clearinghouse closely overseen by the SEC — has been laying the foundation for integrating blockchain technology into regulated financial markets.
Cryptocurrency firms and centralized exchanges are launching more traditional investment offerings, bridging the divide between traditional financial and digital assets.
With investors seeking more flexible product offerings under one platform, the “line is blurring” between traditional finance (TradFi) and the cryptocurrency space, as the two financial paradigms signal a “growing synergy,” according to Gracy Chen, CEO of Bitget, the world’s sixth-largest crypto exchange.
In the wider crypto space, Securitize partnered with Mantle protocol to launch an institutional fund that will generate yield on a basket of diverse cryptocurrencies, similar to how traditional index funds track a mix of stocks.
The developments come after crypto investor sentiment staged a significant recovery, moving from “fear” to “neutral” for the first time since January 2025.
Investor sentiment was bolstered after US President Donald Trump said that import tariffs on Chinese goods will “come down substantially,” adopting a softer tone in negotiations for the first time since the reciprocal tariff announcement.
Crypto firms moving into Wall Street territory
Cryptocurrency firms and exchanges are increasingly moving into Wall Street territory, launching more traditional investment offerings and showcasing the increasing connection between crypto and traditional finance (TradFi).
“There’s a growing synergy between traditional financial investments and the emerging crypto space,” according to Gracy Chen, the CEO of Bitget, the world’s sixth-largest crypto exchange.
“Crypto players are now checking out traditional finance as they see the opportunity to bridge it,” Chen told Cointelegraph.
“The lines are blurring. Investors want flexibility, and products that can straddle both worlds are naturally attractive,” Chen said. “Some players see TradFi as a safety net; others, like Bitget, see it as a launchpad for broader adoption.” She added:
“In a volatile market, integration is smarter than isolation.”
Securitize, Mantle launch institutional crypto fund
Tokenization platform Securitize partnered with decentralized finance (DeFi) protocol Mantle to launch an institutional fund designed to earn yield on a diverse basket of cryptocurrencies, the companies said.
Similar to how a traditional index fund tracks a mix of stocks, the Mantle Index Four (MI4) Fund aims to offer investors exposure to cryptocurrencies, including Bitcoin (BTC), Ether (ETH), and Solana (SOL), as well as stablecoins tracking the US dollar, Securitize said in an April 24 announcement.
The fund also integrates liquid staking tokens — including Mantle’s mETH, Bybit’s bbSOL, and Ethena’s USDe — in a bid to enhance returns with onchain yield, according to the announcement.
Mantra says CEO has begun the process of burning his 150 million OM tokens
Mantra founder and CEO John Patrick Mullin has started unstaking 150 million of his Mantra (OM) tokens in preparation for sending them to a burn address in an attempt to restore the token’s value by tightening supply.
Mantra announced on April 21 that the unstaking process had begun, and would be completed by April 29, at which point Mullin’s Mantra (OM) tokens will be sent to the burn address and permanently removed from circulating supply.
Mullin said it was a “first step in rebuilding trust with the community, but far from the last.”
Mantra said it was also in talks with “key ecosystem partners” about burning a further 150 million OM to bring the total burn amount to 300 million.
With 150 million fewer OM, Mantra’s total supply will decline to 1.67 billion, and its number of staked tokens will drop by over 26% to 421.8 million OM from 571.8 million OM.
Symbiotic raises $29 million for staking-based universal coordination layer
Cryptocurrency staking protocol Symbiotic closed a $29 million Series A funding round led by Web3-focused investment firms, including Pantera Capital and Coinbase Ventures, to support the launch of a new economic coordination layer for blockchain security.
The round included more than 100 angel investors, with participation by major industry players Aave, Polygon and StarkWare, the company said in an April 23 announcement shared with Cointelegraph.
The closing of the funding round also marks the launch of Symbiotic’s Universal Staking Framework, which aims to be an economic coordination layer that bolsters blockchain security via staking.
The new staking layer enables the use of any combination of cryptocurrencies to secure networks, including monolithic and modularlayer-1 and layer-2 blockchains, the announcement said.
“We’ve created a modular framework that lets protocols evolve security models over time while efficiently coordinating risk,” Misha Putiatin, co-founder of Symbiotic, told Cointelegraph. “This empowers protocols at every stage of their lifecycle to evolve their security models seamlessly without rebuilding infrastructure.”
The US Securities and Exchange Commission (SEC) delayed a decision on whether to approve a proposed exchange-traded fund (ETF) holding Polkadot’s native token, regulatory filings show.
According to an April 24 filing, the regulator has extended its deadline for a final ruling until June 11, nearly four months after the Nasdaq sought permission to list Grayscale Polkadot Trust on Feb. 24.
Grayscale’s ETF filing adds to a roster of about 70 proposed ETFs awaiting SEC approval, including funds holding altcoins, memecoins and crypto-related financial derivatives, according to Bloomberg Intelligence.
Asset managers are pitching ETFs for “[e]verything from XRP, Litecoin and Solana to Penguins, Doge and 2x Melania and everything in between,” Bloomberg analyst Eric Balchunas said in an April 21 post on the X platform. Asset manager 21Shares is also awaiting permission to list its own Polkadot ETF.
According to data from Cointelegraph Markets Pro and TradingView, most of the 100 largest cryptocurrencies by market capitalization ended the week in the green.
The Official Trump (TRUMP) token rose over 73% as the week’s biggest gainer, after the president announced an exclusive in-person dinner for the top tokenholders. The Sui (SUI) token rose over 69% as the week’s second-best performing token.
Total value locked in DeFi. Source: DefiLlama
Thanks for reading our summary of this week’s most impactful DeFi developments. Join us next Friday for more stories, insights and education regarding this dynamically advancing space.