Sunday, 11 July 2021

Heed maternity care evidence

This letter below, with a large number of signatories, was published in the Guardian in response to an inflammatory, scaremongering 'opinion' piece in the Guardian on the 4 July 2021 

The headline to the article by Sonia Sodha, “No evidence and little research – it’s no wonder that women and babies continue to die”, could not be further from the truth. There is extensive high-quality evidence examining the problems Sodha describes, including on prevention of mother and baby deaths, prevention of harm and psychological trauma, the impact of inequalities and ethnic disparities. Research addresses the need for access to interventions when necessary and avoiding unnecessary interventions, and the provision of high-quality maternity care and continuity of carer. Studies examine women’s views and experiences of maternity care. The problem is not lack of evidence but the lack of consistent and adequately resourced implementation of all relevant evidence to ensure safe quality care for all.

It is crucial that we respond effectively and compassionately to the reports of the “terrible care” described not only by Sodha, but also in recent reviews and now in the House of Commons health and social care committee report on the safety of maternity services in England.


Journalists have a critical role in helping public understanding of why poor care occurs, and how it might be prevented. Knowledge of evidence would help us move beyond polarised debate and support the best possible outcomes and experience for all women, their babies, partners and families.

Professor Lesley Page, visiting professor in Midwifery Florence Nightingale Faculty of Nursing and Midwifery and Palliative care, King’s College London, Adjunct professor UTS and Griffith University Queensland, Honorary research fellow Oxford Brookes University

Professor Mary Renfrew, Professor emeritus, University of Dundee

Professor Susan Bewley, Emeritus professor (honorary) in obstetrics and women’s health, King’s College London

Lia Brigante, Consultant midwife public health, St Thomas’ Hospital London

Sheila Brown, Lead midwife in education and lecturer in healthcare sciences (midwifery), Bangor University

Dr Sarah Buckley, Researcher, faculty of medicine, The University of Queensland

Sheena Byrom, Midwife, director All4Maternity

Dr Jenny Carter, Tommy’s National Centre for Maternity Improvement Research, fellow/senior research midwife, Department of women and children’s health, King’s College London

Professor Helen Cheyne, Professor of maternal and child health research,NMAHP research unit, Faculty of health sciences and sport, University of Stirling

Dr Sarah Church, Head of division and associate professor of midwifery, School of health and social care, London Southbank University

Dr Jo Dagustun, Campaign steering group, Association for improvements in the Maternity Services

Florence Darling, Midwife, researcher, PhD student, City, University of London

Meryl Dimmock, Senior lecturer in midwifery,University of Bedfordshire

Professor Soo Downe, Professor of midwifery studies, University of Central Lancashire

Dr Claire Feeley, Associate researcher, School of community and maternity, University of Central Lancashire

Dr Evita Fernandez, Obstetrician, Chairperson, Fernandez Foundation, India


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Kelda Folliard Specialist midwife, Skylark team and integrated perinatal pathway, Norfolk and Norwich University Hospital

Jane Forman, Senior midwifery lecturer, Kingston and St George’s Joint Faculty

Jo Gould, Senior lecturer in midwifery, University of Brighton

Dr Mari Greenfield, Post-doctoral fellow, Women and children’s health, King’s College London

Dr Angela Graves, Associate professor in maternal care

Director of practice, lead midwife for education, University of Leeds

Veronica Bianco Gutierrez, Midwife, University Hospital NHS Foundation Trust, Southampton

Katherine Hales, National coordinator Association of Radical Midwives

Dr Jenny Hall, Independent midwifery educator and researcher, Liverpool

Dr Carolyn Hastie, Griffith University, Queensland

Professor Alexander Heazell, Professor of obstetrics,  University of Manchester

Professor Billie Hunter, Professor of midwifery and director, WHO CC for midwifery development Cardiff University

Jillian Ireland, Midwife, University Hospitals Dorset NHS Foundation Trust

Professor Martha Livingston, Professor and chair, public health, State University of New York

Professor Christine McCourt, Professor of maternal health, centre lead, centre for maternal & child health research, School of health sciences, City, University of London

Professor Alison Macfarlane, Professor of perinatal health, Centre for maternal and child health research, City, University of London.

Ann-Marie Madely, Doctoral researcher, midwife, Faculty of wellbeing, education and language studies, The Open University

Professor Jayne Marshall, Foundation professor of midwifery, lead midwife for education, University of Leicester

Joyce Marshall, Senior lecturer, Department of nursing and midwifery, University of Huddersfield

Professor Alison McFadden, Director, mother and infant research unit, University of Dundee

Emma Mills, Consultant midwife, Aneurin Bevan University Hospital Wales

Dr Elsa Montgomery, Senior lecturer in midwifery, Florence Nightingale faculty of nursing, midwifery and palliative care, King’s College London

Sir Jonathan Montgomery, Professor of health care law, University College Hospital London, Member Morecambe Bay investigation panel

Zoe Nelson, LMNS lead midwife for Cornwall & IOS/SW maternal and neonatal safety improvement programme, Regional clinical maternity MatNeoSIP rep/midwifery ambassador

Mary Newburn, Mary Newburn Consulting, Service user engagement and research


Dr Sally Pezaro, Lecturer, School of nursing, midwifery and health, Coventry University

Hilary Rosser, Research midwife, Sheffield

Louise Speakman, Midwifery educator, University of Central Lancashire

Dr Tomasina Stacey, Reader in midwifery practice, University of Huddersfield/Calderdale and Huddersfield NHS Foundation Trust

Dr Juliet Wood, Senior lecturer in midwifery, Bournemouth University

Becky Westbury, Midwife, Hywel Dda University Health Board


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