Baby Loss Awareness Week Debate
Full Debate: Read Full DebateChris Vince
Main Page: Chris Vince (Labour (Co-op) - Harlow)Department Debates - View all Chris Vince's debates with the Department of Health and Social Care
(1 day, 23 hours ago)
Commons ChamberI am afraid that I will be drawing on a lot of personal experiences, but I scrapped at least nine further examples. I absolutely agree with the hon. Gentleman.
The next thing I want to impress on the Health Secretary is that it should be mandatary to teach cardiopulmonary resuscitation, or CPR, for babies before they are discharged, particularly if they have been in a neonatal intensive care unit. During most pregnancies, we study what to do if our baby needs CPR, but we all know, even if we have had a baby before, the difference between the pregnancy course and how things are once we have held that baby in our arms. It is so different.
I praise Addenbrooke’s hospital, because it forced my husband to do a CPR course before I was discharged, as my daughter had to go into NICU for a brief period. When we came home, only about two weeks after she had been born, and when she finally reached her due date, she suddenly stopped breathing. It happened out of nowhere. We were sitting in bed. I remember screaming for my husband, and I think of the poor person on the phone when we dialled 999. I am normally quite good in an emergency, but not then. I lost the plot. I was screaming down the phone, “My baby’s dying! My baby’s dying! You have to save her.” Because my husband had done that CPR course, he was able to save this tiny baby’s life; it took them too long to get an ambulance to us. Her temperature had fallen below 34°C by the time the ambulance arrived. He saved her life at a time when I could not. I was not in a place where I could save my baby. Yet we let people go home from hospital without being retaught CPR, once they know what it is to hold a baby. I genuinely believe that it would save so many lives if we did what Addenbrooke’s did and forced people to spend 20 minutes doing a CPR course before they went home.
The next issue I will touch on is maternal death, because as my right hon. Friend the Member for Godalming and Ash said, the numbers are rising. The leading direct cause of maternal death in this country is blood clots, but no friend who is pregnant or has gone through a pregnancy will say that that is the No. 1 cause. Instead, they will talk about diabetes, bleeding out during birth and all sorts of other things. I have gone back and looked through all three of my NHS trust books—I kept mine, although people are not meant to keep them after birth, because the NHS does not like them having all that evidence that they could use if there were ever an issue—and there is nothing about blood clots. NHS staff do not provide education about blood clots to women when they are pregnant, yet they are the No. 1 cause of maternal death.
The Royal College of Obstetricians and Gynaecologists is responsible for guidance, which is meant to be republished every few years, on how to prevent, diagnose and treat blood clots, but it has not updated that guidance since 2015. That means midwives and obstetricians have had no updated guidelines on how to handle the most common cause of death in women in pregnancy and after birth. Reviews were missed in 2018, 2021 and 2024. I have started to fight with the college to get it to do something about this, but even now, it says that it will not get updated guidance out until at least 2027. How many more women will die before then? I have met representatives from Thrombosis UK, and there would be no negative outcome from giving all women anticoagulants throughout their pregnancy; it poses no risk to them.
Unfortunately, last year, I was one of the people affected by this. I have had a real few years of it. I went to the doctor and said, “There is something wrong me with me. My only symptom is a slight catch in my chest.” I was not grabbing my chest and screaming, like everyone else does. I was dismissed, sent home, and told that there was nothing wrong with me. A lady wrote to me and said that she went to the doctor three times, worried about blood clots. She knew there was something not right in her leg, but each time, she was told she just needed to do some yoga and get moving. On the fourth time, the blood clots were finally diagnosed. In my case, I went back to the doctor and said, “There is something really wrong.” Luckily, the doctor did a D-dimer test, and then rang me to say that I needed to go to Addenbrooke’s immediately. The doctors found five clots that had passed through my heart and into my lungs. I was lucky to be alive. Addenbrooke’s said that I clearly had an exceptional doctor. I am so grateful to Dr Laura Stephens for saving my life.
The average woman has no idea that blood clots are the No. 1 maternal killer. Some 25% of those deaths happen in the first 12 weeks of pregnancy, during which women probably do not go to the doctor, because they have done a pregnancy test and know that they are pregnant. The Department of Health and Social Care needs to do a mass awareness campaign. GPs need to be aware of the risks, and obstetricians and midwives need to be taught about not just “normal” birth, but all births. Tomorrow is World Thrombosis Day. I am calling for maternal blood clot prevention to be a priority in the new national strategy, because we can prevent them; almost all deaths of women from blood clots could have been prevented.
It may seem odd, but I briefly want to talk about a real cruelty that has been inflicted on mothers. The former Prime Minister apologised for the horrendous forced adoption scandal that took place in this country, but some babies never left those mother-and-baby homes. ITV found that 200 infants from eight homes were buried in mass plots in 10 cemeteries across the UK. As part of this work, will the Health Secretary ensure that the Government force local authorities, churches and charities to open up their records? The mums who were forced into those cruel mother-and-baby centres, and then lost their baby or had a stillbirth, do not know to this day where their baby is buried, and the graves are unmarked.
Chris Vince (Harlow) (Lab/Co-op)
I thank the hon. Lady for her speech. Without giving too much away—my wife would not forgive me—some of the experiences that she has spoken about resonate with me, and remind me of the birth of my son a year ago. On historical forced adoption, I was on the Select Committee that discussed the issue, and I am proud that the previous Prime Minister gave that apology. I found it shocking that when those mothers tried to get the records about their children, they were treated appallingly. As the hon. Lady will be aware, one of them was a Parliamentary Private Secretary to a former Prime Minister, but she was treated like a child when she was asking for her own information. Does the hon. Lady agree that that is not acceptable and should not have been allowed to happen, and that there should be an apology?
I thank the hon. Gentleman. Our little ones must be very close in age; I hope that his is doing very well. The Prime Minister said, “We are sorry,” but opening up the records would show that we meant it. It would release those mothers from the shame that was forced on them, and allow them to finally find their baby, name them, and lay them to rest.
Often in this place, we talk about what should be done, or what we could do, so I will end very briefly on a positive note. We cannot undo a family’s heartache, or the loss that they will carry for all their lives, but what drives most of us to come here is a determination to stop the same thing happening to someone else. I made that promise to my best friend in 2022, when she lost her baby Siena at nine months. I took my promise and secured £1.8 million in funding from the then Conservative Health Secretary to roll out a new technology designed to reduce stillbirths and premature births. The Tommy’s app—or Siena app—is a clinical decision support tool that accurately assesses women’s chance of having a premature birth, or developing complications with the placenta that can lead to stillbirth, and it is proven that it is saving lives. The trial began in 2024 and is running in 26 NHS maternity units, involving 39,000 women a year.
My request to the Health Secretary is to roll out the app across every single hospital. We have proven that it works. It essentially gives midwives an artificial intelligence equivalent. It gives them all the information that they may not know or understand about someone because they come from a different heritage, have a different background or have a complicated medical history. This tool can save lives, and can save more families from the heartache that too many suffer.
We must do better. We are failing women on too many accounts. Almost all of us in this room can probably share a trauma, or a time when something went wrong in the NHS because we were not listened to, and we must do more. I thank everyone for their frankness, and for sharing their stories this evening, and I thank the Health Secretary for agreeing to meet me in a few days; I am really grateful.