Baby Loss Awareness Week

Debate between Cherilyn Mackrory and Sharon Hodgson

Thursday 19th October 2023 Commons Chamber

[Cherilyn Mackrory]

I agree wholeheartedly. There are a couple of ways in which we can do that. One is the roll-out and expansion to all centres of minimally invasive autopsies and other non-invasive techniques. Not all post-mortems need to be invasive. Certainly, there needs to be an expansion of placental autopsies—if that is the right phrase—because the cause can often be found that way without the need to keep the baby for an awfully long time. We can do a lot more work in that space. The pathologists we have spoken to all want that work to be done, and if they had more time, they would be able to do more research on why it happens. At the moment, a baby could be lost at 38 or 40 weeks for absolutely no reason at all, and the parents will never find out why. Blame can be thrown around for the different things that happened on the day of the birth, but we just do not know the reason, and that is not acceptable in 2023. We will never find out every reason for every lost baby, but we could do an awful lot better.

I am told by Sands, the baby loss charity, that the shortage of perinatal pathologists has been growing over decades, and in recent years, mutual aid between pathology centres has reduced the impact on the national delivery of services, but that approach is breaking down as the capacity of overburdened centres to pick up cases beyond their own areas is dwindling. I cannot see that getting better without direct help in the near future.

We also need to get the basics right. The Royal Cornwall Hospital in Truro has the Daisy suite, which is a separate bereavement suite of rooms for those who lose their babies. It has its own bathroom and kitchen—not to put too fine a point on it, but being in labour puts extra pressure on your bowels and bladder, and you can be sick a lot. Being in that space is better not only to face the trauma, but because you do not have to see other parents holding their live babies. That was not available when I was going through the process of losing our baby. There was a girl there by herself—a young mum—who was 38 weeks pregnant when her baby had just stopped moving. Suddenly, I felt very well supported because I had someone there with me. Although we had a room to ourselves, I had to troop and up down the corridor to the bathroom, and I saw healthy babies, pregnant women who were glowing, and families who were just looking forward to taking their babies home. That is just too much to process, so I would be very grateful if we could avoid that. I was surprised to hear this week that the Snowdrop unit at Derriford Hospital has only just opened, but I am so pleased that parents in Plymouth can now make use of it at a time when they will be at their lowest.

This week, a colleague mentioned a constituent of hers who had delivered a stillborn baby and was left on a normal maternity ward—that is unacceptable. The woman was cradling her stillborn baby and people would walk past and congratulate her on the birth because they had no idea that her baby was not alive. She did not know what to say, so she just sort of nodded. Why, oh why, was that poor woman left in that vulnerable state? Most bereavement suites are funded with charitable donations, perhaps with some departmental funding. We need to get the basics right and in place. Although we cannot get everything right quickly, we can easily make things better.

The Royal College of Midwives “State of Maternity Services 2023” report sets out stark staffing shortages in some parts of the country. It acknowledges, however, that the number of people enrolling on maternity courses is up since 2019. Like me, the RCM supports the degree apprenticeship route, and it was fun to see its chief executive talk to a room of midwives who were quite cynical about degree apprenticeships. She was waxing lyrical about how much apprentices loved them, about how much experience they were getting on the ward, and about how they come out of it debt-free and with bags of experience.

What I found interesting is that that is a great way to keep experienced midwives on the ward. At the moment, a lot of them are suffering burnout, which is why staffing levels are leaking most starkly. A midwife in her 50s might have had enough, but if we offer them the chance to come back on the ward for three or four shifts a week to help train up new midwives, through live births and with practical help, they can do that at their own pace, and we would not lose all that experience all at once, so I am a huge advocate of the degree apprenticeship route.

Cornwall has started doing that. As I mentioned in the previous debate, Kim O’Keefe, chief nursing officer at the Royal Cornwall Hospitals NHS Trust, told me in the summer that we now have no midwifery vacancies in Cornwall. Not only has every single vacancy been filled but—this is unusual in this country—in Cornwall we have a waiting list of people who want to become midwives. That is testament to the work that the team there has been doing. Notwithstanding the fact that they are currently doing it in a decaying building while they wait with bated breath for our new women and children’s hospital, that all plays into better outcomes for parents and babies in Cornwall in the years to come.

There is so much to do in this space and so much more that I could say. We have not even spoken at length about dads, but a passion of mine is ensuring that dads are looked after during and after the loss of a baby. I do not want to get too personal about it without my husband’s consent, but it was very difficult for him to meet his baby. That is a personal choice. He was never offered any counselling at all. Being a fisherman, he just went out to sea. He has dealt with it in his own way. My advice to any couple watching this debate who has recently lost a baby is: please, please, please rely on other people outside your relationship—rely on family members, rely on your friendship circle—because although you will come back together, you cannot always grieve at the same time and at the same pace. A few moments ago I gave my hon. Friend the Member for East Worthing and Shoreham the statistic that 50% of relationships break down. That is because couples want to rely on the person who has always been there for them, but that person is suffering just as much and cannot always be there.

[Mrs Sharon Hodgson (Washington and Sunderland West) (Lab)]

I did not mean to interrupt the hon. Lady. I am so grateful to her for giving way. Before she ends, I just want to commend her on picking up the mantle as one of the chairs of the all-party group on baby loss. I was one of the founding members, along with the right hon. and learned Member for Banbury (Victoria Prentis), the right hon. Member for Chichester (Gillian Keegan) and the former Member for Eddisbury, Antoinette Sandbach. We all got together as parents who had been through baby loss and set up the all-party group. I am not as involved now as I would like to be, but I commend the hon. Member for Truro and Falmouth (Cherilyn Mackrory) for her energy and enthusiasm in keeping it going.

While I am on my feet, I have to commend the hon. Member for East Worthing and Shoreham (Tim Loughton) for his absolute, total commitment and drive for the last six-plus years in trying to get all elements of his private Member’s Bill through the House—those that have been passed by the House but are still not fully through. I disclosed my baby loss in the debate on his private Member’s Bill in 2017. I lost my baby 25 years ago, but the first time I talked about it really outside my immediate family was in 2017—I know the hon. Lady mentioned that point. I commend him, and I honestly hope that when the Minister responds we will get some good news on some of those final measures.

[Cherilyn Mackrory]

I am really grateful to the hon. Lady for sharing that with me. I apologise; I knew there would be so many Members I missed off my list. It is an open thank you to everybody who set up that APPG. I also did not mention the hon. Member for North Ayrshire and Arran (Patricia Gibson), who is here every year for the baby loss awareness debate and constantly reminds us of her loss. Baby Loss Awareness Week is not easy. We do it because we want to help other people, but it always brings it back. It was very raw for me on Sunday at the service in Truro and also for my mum. I pay tribute to everybody who works in this space. As I said in the previous debate to my hon. Friend the Member for Stafford (Theo Clarke), who is new on this journey, you have to look after yourself so that you can look after other people.

I will conclude. There is so much we can do here. I am glad the Minister is listening—she always is—and I look forward to working with her and anybody else who wants to, because we have to get it right for everybody, everywhere.