Maternity Services

Iqbal Mohamed Excerpts

Tuesday 25th February 2025 Westminster Hall

[Iqbal Mohamed (Dewsbury and Batley) (Ind)]

It is a pleasure to serve under your chairship, Sir Christopher, and I congratulate the hon. Member for Chichester (Jess Brown-Fuller) on securing this important debate. We are here today because maternity services are not at the level that they need to be at. There are many, many fantastic services across the country, but we are here to highlight those that need urgent improvement to improve outcomes for all mothers, not just some.

The excellent report that the all-party parliamentary group for birth trauma produced last year is to be commended for the way that it highlighted the fact that, for a minority of women, the experience of childbirth is traumatic and has long-lasting consequences. The section about stillbirth and neonatal death includes a submission from one mother who reported:

“The scenes in theatre can only be described as chaotic and these along with subsequent events have left me traumatised and suffering with PTSD.”

I pay tribute to the Brontë birth centre in my constituency of Dewsbury and Batley, a midwife-led birthing centre in the Dewsbury and District hospital. It recently reopened in April after having been closed for two years because of staff shortages. Two of my children were born there more than 20 years ago, so it will always have a special place in my heart. I would not want my comments to be misconstrued as criticism of the services it provides.

We have heard about the difference between midwife-led and consultant-led services, and we have heard about positive examples of where midwife-led services are more appropriate and can deliver better care. I am not making a point about midwife-led versus consultant-led care: the APPG report also cites horror stories from women in childbirth where consultants were present. Rather, my point is that, in reviewing maternity provision and seeking to minimise the risk to women during childbirth, we should also ensure seamless obstetrician provision for midwife-led care if required. If mothers giving birth in the Brontë birth centre encounter complications that require more in-depth medical care—God forbid—they would need to be moved from Dewsbury to Wakefield, which is a journey of more than half an hour. That increases the risks to the mother and the unborn child, so I would like the Government to address that issue.

For many who have experienced emergency situations, the image painted earlier of sheer terror and panic is all too real. It is likely that maternity services will fail to meet the national maternity safety ambition to halve the 2010 rate of stillbirths by 2025—indeed, recent figures suggest the 20% decline in stillbirth deaths achieved between 2010 and 2020 is in reverse—so it is imperative that we explore every aspect of maternity provision to ensure it is as safe as it can be.

Although almost 61% of maternity services are rated good, only 1% are rated outstanding, and just under 38% are still rated as requiring improvement for safety. Improving maternity services in the NHS is a critical priority, and the many reports since 2010 have made several key recommendations to enhance care quality and safety. I would like the Minister to share what steps the Government are taking, or will take, to address workforce gaps where the need to recruit and retain more midwives and maternity staff is essential to provide adequate support for mothers and babies. What steps are the Government taking to reduce health inequalities, to tackle disparities in maternal health outcomes, particularly for black and ethnic minority women and those in deprived areas? How will the Government ensure that adequate funding—including the reinstatement of the bursaries for midwives and nurses—is available and allocated to deliver the best quality maternity services?

Enhancing maternal mental health support for women with long-term mental health conditions is crucial. Listening to women’s experiences is also key; the continuous gathering of feedback and acting on it are essential to improve care. What are the Government doing to implement anti-racism strategies so trusts can set clear standards of behaviour to support both staff and patients? If implemented, these improvements will help ensure that all mothers receive safe, high-quality care during pregnancy and birth.