Maternity and Neonatal Care 2026-01-13
2026-01-13
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Questions & Answers
Q1
Direct Answer
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Concerns raised by midwives and doctors over the rise in maternal death and ill health, particularly from obstetric haemorrhages.
The new maternal care bundle aims to reverse recent worrying rises in maternal death and ill health. Given that caesarean sections carry a risk of severe bleeding and placenta accreta, can NHS highlight these risks more effectively so women make informed choices about giving birth safely?
Everyone accessing maternity care should be offered a personalised care and support plan, informed by a personalised risk assessment. This is so women have more control over their own care based on what matters to them and their individual needs and preferences, as well as to ensure that every woman understands the risk factors that might arise in her case. A caesarean section is generally a very safe procedure but like any type of surgery it carries a risk of complications. All women should have the confidence of knowing that the doctors and midwives dealing with them are robustly trained to deal with severe complications, including haemorrhage.
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Q2
Direct Answer
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The Secretary of State has introduced a new maternal care bundle prioritising high standards of care and mental health support.
Welcoming the new maternal care bundle, which aims to drive consistently high standards of care for pregnant women and new mums, can the NHS do more to implement it? Specifically, how will staff be trained to better screen and support women struggling with their mental health?
My hon. Friend is absolutely right to raise that issue, and I commend her for the work she is doing in this area. There is a real risk of post-natal depression. Certainly where there have been complications in birth or, worse still, injury or the most unimaginable experience of loss, we need to make sure that women and their partners and the wider families are supported from day one. That does not just mean training and support for staff and making sure that they are doing emotional wellbeing screening; it also means thinking more thoughtfully about estates.
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Q3
Direct Answer
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Severe infrastructure problems exist at a hospital, including sewage leaking into the premises during labour.
In light of an Oxford midwife reporting that sewage regularly rises through floors and drips down ceilings on to a hospital maternity ward, can the Secretary of State confirm there will be a flexible pot of money for specific issues like this when Baroness Amos's review is completed?
Without pre-empting Baroness Amos’s work, let me say that the hon. Lady is absolutely right. We need to give staff the tools that will enable them to do the job to the best of their ability, and they need the right facilities and environment in which they can work and patients can be cared for. It is completely unacceptable that on top of the other challenges that staff and families face at such an important time—the unique moment of bringing new life into the world—they are having to do so against the backdrop of crumbling estates that the hon. Lady has described.
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Q4
Direct Answer
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Standard NHS antenatal classes have stopped since the covid pandemic, leaving women uninformed about making decisions regarding their childbirth.
Given that standard NHS antenatal classes have not returned since the start of the pandemic leading to a lack of necessary information for informed choices, how will the Secretary of State ensure there is a universal offer for antenatal care covering all areas?
I will make certain that my Department and the NHS look into what has happened to provision in the hon. Lady’s area, and I will write to her about it. She is quite right about the need to ensure that parents are given high-quality information from the time of conception so that they can make informed decisions about everything from whether to breastfeed through to the steps that they can take in those formative first 1,001 days to secure the best possible outcomes.
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Q5
Direct Answer
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The maternity and neonatal plan is due in the spring, nearly two years after the Secretary of State took office. The maternity review has been delayed. There are no signs of the 1,000 additional midwives the Secretary of State said he would train. Gynaecology waiting lists are rising, with the number waiting for admission 6% higher than it was a year ago.
The maternity and neonatal plan is due in the spring, nearly two years after the Secretary of State took office. The maternity review has been delayed. There are no signs of the 1,000 additional midwives the Secretary of State said he would train. Gynaecology waiting lists are rising, with the number waiting for admission 6% higher than it was a year ago. May I ask him to concentrate on making more improvements in maternity care?
In the 18 months for which I have had the privilege of holding this post, we have invested more than £131 million in 122 infrastructure projects across 49 NHS trusts to improve the safety of neonatal care facilities. We have implemented a new programme to reduce the two leading causes of avoidable brain injury during labour. We have piloted Martha’s rule in maternity and neonatal units in 14 trusts across six regions to give patients and families the right to request a second opinion. We have launched a package of initiatives and interventions to reduce the number of still births, brain injuries, neonatal deaths and pre-term births. We have held a culture and leadership programme. We have created targeted tools and schemes to promote midwife retention. We have increased the provision of maternal mental health services to help women.
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