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Black Maternal Healthcare and Mortality — [Sir Gary Streeter in the Chair]

19 April 2021

Lead MP

Catherine McKinnell
Newcastle upon Tyne North
Lab

Responding Minister

Nadine Dorries

Tags

NHSForeign AffairsBenefits & WelfareParliamentary Procedure
Word Count: 13283
Other Contributors: 18

At a Glance

Catherine McKinnell raised concerns about black maternal healthcare and mortality — [sir gary streeter in the chair] in Westminster Hall. A government minister responded.

Key Requests to Government:

McKinnell asked the Minister to reiterate whether the Government agrees with setting a firm target to end disparity in maternal deaths. She also enquired about addressing the data gap in medical research within the upcoming women's health strategy.

How the Debate Unfolded

MPs spoke in turn to share their views and ask questions. Here's what each person said:

Lead Contributor

Newcastle upon Tyne North
Opened the debate
Catherine McKinnell highlighted the racial health inequalities in maternal mortality, noting that black women are more than four times as likely to die during pregnancy or postpartum compared to white women. She also pointed out that Asian women face twice the risk of death compared to their white counterparts. The data masks underlying shocking inequalities, with no Government target set to eliminate these disparities. She mentioned pre-existing health conditions and complications such as heart disease and high blood pressure among black women, which are more prevalent due to existing social and economic inequalities.

Government Response

Nadine Dorries
Government Response
I thank all Members of the House who have taken the time to attend and speak in today's debate, and particularly the hon. Member for Newcastle upon Tyne North (Catherine McKinnell) for having secured the debate. Along with everyone else, I also thank the co-founders of the Five X More campaign, Clo and Tinuke, for their incredible work. Their petition to Parliament has generated a huge amount of interest and support, and their work to improve maternity mortality rates and healthcare outcomes for black British women is inspiring and brings this deeply important issue the attention it deserves. Every woman deserves to have safe care, to feel that her voice has been heard and to be an informed decision maker in her own care. The NHS is one of the safest places in the world to have a baby. Few women in the UK die during childbirth. Between 2016 and 2018, 217 out of 2.2 million women died during, or up to six weeks after, pregnancy from causes associated with their pregnancy. That equates to 9.7 maternal deaths per 100,000 pregnancies. We also know from the MBRRACE-UK maternal mortality reports that some of these deaths could have been prevented. Sadly, evidence shows that, currently, there remains a more than fourfold difference between maternal mortality rates among women from black ethnic backgrounds and among white women in England. There also remains an almost twofold difference between women from Asian ethnic backgrounds and white women. Those disparities are worrying and must be addressed, and I have heard all of the calls to do that today. However, let me address the points that have been raised by speakers today—many of which have been raised repeatedly—beginning with the right hon. and learned Member for Camberwell and Peckham (Ms Harman). We need to fundamentally understand why this issue occurs and why we have these disparities. The statistics tell only part of the story: the lived experiences of black women need to be understood, appreciated and heard for us to really gain an understanding of the full picture. That is why, last month, I announced that the Government are embarking on the first women's health strategy for England. That strategy is, first and foremost, about listening to women's voices. The call for evidence that launched on International Women's Day seeks to understand women's experience of the health and care system, and we have already seen an incredible response to it. However, women from black and other ethnic minority groups are under-represented in the responses we have received so far, and today's debate has reiterated just how important it is to ensure that the health and care system is listening to women of all backgrounds. I encourage any woman listening to this debate, and in particular women from black and ethnic minority groups, to come forward and have their voice heard. Disparities in maternal mortality rates among women from different ethnic groups have been well documented for many years. The numbers are just not acceptable, and the Government are committed to reducing those inequalities. We know that for every woman who dies, 100 women have a severe pregnancy complication or a near miss. When that woman survives, she will often have long-term health problems. Disparities in the number of women experiencing a near miss also exist between women from different ethnic groups. Because near misses are more common than maternal deaths, we can investigate those disparities at local and regional level, to better understand the reasons for disparity, to assess local variation and to identify areas with less disparity and, hence, best practice. We have commissioned the policy research unit in maternal and neonatal health and care at the University of Oxford to undertake research into the disparities in the near misses, and to develop an English maternal morbidity outcome indicator. The research will explore whether the indicator is sufficiently sensitive to detect whether the changes made to clinical care are resulting in better health outcomes. We are putting the research in. We have found a way to look at the research in order to make the differences that need to be made. We can do that by examining the near misses. What happened in those cases and in those women's experiences? What went wrong? Do the women feel that they were not listened to? Was it a matter of treatment? Was it a lack of understanding? We are committed to reducing inequalities and to improving outcomes for black women—we work at that daily. I established the maternity inequalities oversight forum to focus on inequalities so that we in Government understand what the problems are. The Cabinet Office Race Disparity Unit has also supported the Department of Health and Social Care in driving positive actions through a number of interventions on maternity mortality from an equalities perspective.
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About Westminster Hall Debates

Westminster Hall debates are a chance for MPs to raise important issues affecting their constituents and get a response from a government minister. Unlike Prime Minister's Questions, these debates are more in-depth and collaborative. The MP who secured the debate speaks first, other MPs can contribute, and a minister responds with the government's position.