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.
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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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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.”
US President Donald Trump renewed his criticism of Federal Reserve Chair Jerome Powell, accusing him of being too slow to cut interest rates and escalating a long-running conflict that risks undermining the central bank’s political independence.
With the European Central Bank (ECB) cutting interest rates again on April 17, “Too Late” Powell has failed to act appropriately in the United States, even with inflation falling, Trump said on Truth Social on April 17.
“Powell’s termination cannot come fast enough!” Trump said.
Florida Senator Rick Scott agreed with the president, saying, “it’s time for new leadership at the Federal Reserve.”
Trump’s public criticism of the Fed breaks a decades-long convention in American politics that sought to safeguard the central bank from political scrutiny, which includes any executive decision to replace the chair.
In an April 16 address at the Economic Club of Chicago, Powell said Fed independence is “a matter of law.” Powell previously signaled his intent to serve out the remainder of his tenure, which expires in May 2026.
The Federal Reserve wields significant influence over financial markets, with its monetary policy decisions affecting US dollar liquidity and shaping investor sentiment.
Since the COVID-19 pandemic, crypto markets have increasingly come under the Fed’s sphere of influence due to the rising correlation between dollar liquidity and asset prices.
This was further corroborated by a 2024 academic paper written by Kingston University of London professors Jinsha Zhao and J Miao, which concluded that liquidity conditions now account for more than 65% of Bitcoin’s (BTC) price movements.
As inflation moderates and market turmoil intensifies amid the trade war, Fed officials are facing mounting pressure to cut interest rates. However, Powell has reiterated the central bank’s wait-and-see approach as officials evaluate the potential impact of tariffs.
A measure of real-time inflation known as “truflation” suggests that cost pressures are much weaker than the Fed’s primary indicators, which are several months out of date. Source: Truflation
The Fed is expected to maintain its wait-and-see policy approach at its next meeting in May, with Fed Fund futures prices implying a less than 10% chance of a rate cut. However, rate cut bets have increased to more than 65% for the Fed’s June policy meeting.
The Wyoming Stable Token Commission, a body authorized by the US state to issue a stablecoin, has suggested that it may clarify its language to better comply with potential guidelines from the Securities and Exchange Commission (SEC).
In an April 17 meeting in the extension of the Wyoming Capitol building, Commissioner Joel Revill suggested the body could reduce the risk of the state’s proposed WYST stablecoin qualifying as a security under SEC rules. The discussion among the commissioners and Executive Director Anthony Apollo followed the SEC issuing guidelines that certain “covered stablecoins” were considered” non-securities” and largely not subject to reporting requirements.
Wyoming Stable Token Commission Executive Director Anthony Apollo with Senator Cynthia Lummis. Source: LinkedIn
“We’re looking to kind of create our own vernacular around some of this, to clarify, and then use that as a jumping off point of discussion for the commission,” said Apollo, adding there were internal discussions regarding the SEC guidance but the commission was scheduled to address the matter in a May memo.
The commission, established after Wyoming passed a law to issue a state-issued stablecoin pegged to the US dollar and redeemable for fiat currency, has been exploring issues surrounding WYST. Wyoming Governor Mark Gordon said in August that the government initially planned a launch in the first quarter of 2025 for the stablecoin, later amending the timeline to potentially launch in July.
Looking to the US Congress for guidance
The commission said it would be monitoring efforts by the federal government to establish a regulatory framework for stablecoins. Among the proposed legislation was the Guiding and Establishing National Innovation for US Stablecoins, or GENIUS Act, in the Senate, and the Stablecoin Transparency and Accountability for a Better Ledger Economy, or STABLE Act, in the House of Representatives.
Though Wyoming is the least populated US state, with roughly 600,000 people, it has become home to some crypto firms likely seeking a regulatory-friendly jurisdiction. Custodia Bank, the digital asset bank established by Caitlin Long, is based in Cheyenne. US Senator Cynthia Lummis, who often advocates for crypto-friendly policies, represents Wyoming in the Senate.
Meta, the parent company of Facebook, Instagram, WhatsApp and Messenger, is facing antitrust proceedings that could limit its ability to develop AI amid a field of competitors.
First filed in 2021, the Federal Trade Commission (FTC) alleges that Meta’s strategy of absorbing firms — rather than competing with them — violates antitrust laws. If the court rules against Meta, it could be forced to spin out its various messenger services and social media sites into independent companies.
The loss of its stable of social media companies could harm Facebook’s competitiveness not only in the social media industry but also in its ability to train and develop its proprietary Llama AI models with data from those sites.
The trial could take anywhere from a couple of months to a year, but the outcome will have lasting consequences on Meta’s standing in the AI race.
Meta’s antitrust case and its effect on AI
The FTC first opened its complaint against Meta in 2020 when the firm was still operating as Facebook. The agency’s amended complaint a year later alleges that Meta (then Facebook) used an illegal “buy-or-bury” scheme on more creative competitors after its “failed attempts to develop innovative mobile features for its network.” This resulted in a monopoly of the “friends and family” social media market.
Meta founder and CEO Mark Zuckerberg had the chance to address these allegations on April 14, the first day of the official FTC v. Meta trial. He testified that only 20% of user content on Facebook and some 10% on Instagram was generated by users’ friends. The nature of social media has changed, Zuckerberg claimed.
“People just kept on engaging with more and more stuff that wasn’t what their friends were doing,” he said — meaning that the nature of Meta’s social media holdings was sufficiently diverse.
The FTC alleges that Meta identified potential threat competitors and bought them up. Source: FTC
At the time of the FTC’s initial complaint, Meta called the allegations “revisionist history,” a claim it repeated on April 13 when it stated the agency was “ignoring reality.” The company has argued that the purchases of Instagram and WhatsApp have benefited users and that competition has appeared in the form of YouTube and TikTok.
If the District of Columbia Circuit Court rules against Meta, the global social media giant will be forced to unwind these services into independent firms. Jasmine Enberg, vice president and principal analyst at eMarketer, told the Los Angeles Times that such a ruling could cost Meta its competitive edge in the social media market.
“Instagram really is its biggest growth driver, in the sense that it has been picking up the slack for Facebook for a long time, especially on the user front when it comes to young people,” said Enberg. “Facebook hasn’t been where the cool college kids hang out for a long time.”
The pause came after privacy advocacy group None of Your Business filed complaints in 11 European countries against Meta’s use of public data from its platforms to train its AI models. The Irish Data Protection Commission subsequently ordered a pause on the practice until it could conduct a review.
On April 14, Meta got the go-ahead to use public data — i.e., posts and comments from adult users across all of its platforms — to train the model. If these firms dissolved into separate companies, with their own organizational structures and data protection policies and practices, Meta would be cut off from an ocean of data and human communication with which its AI could be improved.
Andrew Rossow, a cyberspace attorney with Minc Law and CEO of AR Media Consulting, told Cointelegraph that in such an event, “companies would most likely control their own user data, and Meta would be restricted from using it unless new data-sharing agreements were negotiated, which would be subject to regulatory scrutiny and user/consumer privacy laws.”
However, Rossow noted that it wouldn’t be a total loss for Meta. Zuckerberg’s firm would retain the wealth of data from Facebook and Messenger. It could continue to use “opt-in” data from consumers who allow their posts to be used for AI training, and it could also employ synthetic data sets as well as third-party and open data.
Meta, the AI race and data protections
The race to unseat OpenAI and its ChatGPT model from AI dominance has grown more competitive in the last year as DeepSeek joined the fray and Meta launched the fourth iteration of its open-source Llama model.
In addition to training new models, major AI development firms are investing billions in new data centers to accommodate new iterations. In January 2025, Meta announced the construction of a 2-gigawatt data center with more than 1.3 million Nvidia AI graphics processing units.
Zuckerberg wrote in a post on Threads, “This will be a defining year for AI. In 2025, I expect Meta AI will be the leading assistant serving more than 1 billion people […] To power this, Meta is building a 2GW+ datacenter that is so large it would cover a significant part of Manhattan.”
Illustration of the data map coverage. Source: Mark Zuckerberg
His announcement followed the $500-billion Stargate project, which would see massive investment in AI development led by OpenAI and SoftBank, with Microsoft and Oracle as equity partners.
Amid this competition, AI firms are looking for broader and more varied sources of data to train their AI models — and have turned to dubious practices in order to get the data they need. In order to stay competitive with OpenAI when developing its Llama 3 model, Meta harvested thousands of pirated books from the site LibGen. According to court documents in a case pending against Meta, Llama developers harvested data from pirated books because licensing them from sources like Scribd seemed “unreasonably expensive.”
Time was another perceived motivator for using pirated works. “They take like 4+ weeks to deliver data,” one engineer wrote about services through which they could purchase book licenses.
The practice is not limited to Meta. OpenAI has also been accused of mining data from pirated work hosted on LibGen.
Rossow suggested that, “to ensure lasting impact — beyond short-term profit,” Meta would do well to “prioritize investment in advanced data collection, rigorous auditing and the implementation of privacy-preserving and encryption-based technologies.”
By focusing on transparency and responsible practices, “Meta can continue to genuinely advance AI capabilities, rebuild and nurture long-term user trust, and adapt to evolving legal and ethical standards, regardless of changes to its platform portfolio.”
What a ruling for the FTC would mean
Litigation is now hitting tech firms from all sides as they face allegations of privacy violations, copyright law infringement and stifling competition. Major cases like those facing Google, Amazon and Meta that have yet to play out will decide how and whether these firms can proceed as they have, defining the guardrails for AI development as well.
Rossow said that the current antitrust case against Meta could decide how courts interpret antitrust law for tech firms, spanning tech mergers, data usage and market competition. It would also signal that courts are “willing to break up tech conglomerates” when issues of smothering competition are involved, while at the same time, “taking current precedent a step further in harmonizing it with the laws of cyberspace.”