Healthcare Improvements?

ISSN 0256-5004 (Print)

AIMS Journal 2007, Vol 19, No 3

Ann Keen (Parliamentary Under Secretary of State for Health) has stated that there are '474 more consultants in obstetrics and gynaecology [than in] 1997'. Consultant obstetricians have slowly increased their numbers since the majority of women were vigorously 'encouraged' to be delivered in hospital.

What have been the 'benefits' of this increase?

Since 1977 the caesarean section rates have increased from 7.1 to 21.5% and currently the CS rates for maternity units ranged from 10% to 65%. (NICE guidelines).

Normal birth has declined since women were hospitalised for birth and since 1990 has declined further from fewer than 60% to fewer than 50%.

Routine episiotomy which, in some hospitals exceeded 90% for first time mothers, was only reduced following consumer pressure and research by midwives.

Under consultant care only 1 in 6 primigravidas and only 1 in 3 women expecting subsequent babies will have a normal birth. (Downe S, 2001)

Suicide is the leading cause of maternal death. (Confidential Inquiry, 2004).

In 1990 the NHS spent and estimated £52,000,000 on medical negligence cases and by 2007 the expenditure on maternity cases has risen to £4.49 billion. (Lord Patel, RCOG, 2007).

The Confidential Enquiry into Stillbirths and Deaths in Infancy revealed that obstetricians were responsible for 49% avoidable mistakes compared with 18% hospital midwives and 6% community midwives

While, undoubtedly, there are women and babies alive today as a direct result of appropriate obstetric care, unfortunately, the majority of fit and healthy women have paid a heavy price for those interventions many of which were, and still are, introduced with little or no evidence of benefit for the woman or the baby.

Latest Content

Journal

« »

Editorial: Mission Better Births. B…

AIMS Journal, 2018, Vol 30, No1 By Jo Dagustun, Editor I’m going to start with an assumption: that everyone reading this Journal is already convinced that we can do far b…

Read more

The Consequences of Discontinuing C…

AIMS Journal, 2018, Vol 30, No1 A birth story by Emma Ashworth It was my booking-in appointment for my second baby, and I didn’t want to be there. I didn’t want to birth…

Read more

Campaign update: Is the NMC fit for…

AIMS Journal, 2018, Vol 30, No1 By the AIMS Campaign Team Change at the NMC: why is this important to AIMS? AIMS recognises that a large number of taxpayer funded nationa…

Read more

Events

« »

Improving Patient Safety & Care

http://ipc2019.govconnect.org.uk/index.php?option=com_content&alias=our-mission-early-years-profiles-2018&view=article&id=73&Itemid=181

Read more

4th Annual Birth Trauma Event

Details on Eventbrite Organised by Dr Rebecca Moore who has recently founded to the Make Birth Better Network

Read more

MBRRACE-UK ‘Saving Lives, Improving…

To register your interest please email conference@npeu.ox.ac.uk or keep an eye on our website https://www.npeu.ox.ac.uk/mbrrace-uk/bookings . Earlybird bookings will open…

Read more

Latest Campaigns

« »

Ágnes Geréb is granted clemency by…

28 th June 2018 "This act of clemency is about more than me. It is an acknowledgement of liberty in giving birth. It is a recognition by the state that the rights of wome…

Read more

Press Release: Jeremy Hunt announce…

AIMS is delighted that the Government has recognised the importance to the safety of women and babies of the continuity of carer model of midwifery. Having a midwife that…

Read more

Dr. Ágnes Geréb, Hungarian Midwife…

Dr. Ágnes Geréb is a Hungarian obstetrician and midwife who has been fighting for her freedom following her house arrest and thret of imprisonment due to her support for…

Read more