Dr. Bill Kirkup, an expert adviser to Valerie Amos’s review into maternity and neonatal care across England, has accused the peer of altering the final report by removing criticism of 'normal birth ideology'. The section outlining potential risks of encouraging vaginal births was removed from the final version despite having been approved by a significant number of people. Kirkup resigned eight days before publication over concerns that patient safety dangers were being downplayed.
Key Takeaways
Dr. Bill Kirkup accused Valerie Amos of altering her maternity care review to remove criticism of 'normal birth ideology'. The final report excluded sections on potential risks of encouraging vaginal births. England has high rates of induced labors and caesarean sections.
- Dr. Bill Kirkup claimed the report removed critical sections on patient safety dangers
- The final report omitted approved content about risks of encouraging vaginal births
- England's maternal mortality rate is 20% higher than in 2009-11, standing at 12.8 deaths per 100,000 maternities
Source Claims Check
1 Difference Found| Claim | Status | Reason | |
|---|---|---|---|
| Maternal Mortality Rate Increase | 1 Difference | The Guardian reports a specific percentage increase and rate; Daily Mail focuses on comparative European rates. | ▼ |
| Report Alteration | Broad Agreement | 'Normal birth ideology' section removed from final report. | |
| Postpartum Haemorrhage Increase | Broad Agreement | 19% rise from 27 to 32 per 1,000 births between 2020 and 2025. | |
| Perineal Tears Increase | Broad Agreement | 16% rise from 25 to 29 per 1,000 births between June 2020 and June this year. | |
| Normal Birth Ideology | Broad Agreement | 'Normal birth ideology' refers to labor with little-to-no medical interventions. |
The review, led by Labour peer and former diplomat Valerie Amos, concluded that women and babies have been put at risk by a system not set up for consistently safe, high-quality care. The maternal mortality rate in the UK stands at about 12.8 deaths per 100,000 maternities, which is 20% higher than it was in 2009-11. England has unusually high rates of both induced labors and caesarean sections by international standards.
The proportion of mothers experiencing postpartum haemorrhage increased from 27 per 1,000 births in 2020 to 32 per 1,000 in 2025, a rise of 19%. The number of mothers sustaining third- or fourth-degree perineal tears also increased by 16% between June 2020 and June this year. Health Secretary James Murray pledged that the report would lead to significant improvements in maternity care, including dismantling toxic dynamics between hospital staff providing childbirth care.
Critics of the review include Emily Barley, who co-founded the Maternity Safety Alliance after her daughter Beatrice died due to failings at Barnsley hospital in 2022. Barley argued that concentrating all power and responsibility for turning around maternity services in the hands of one person is 'insane'. The case of Sarah and Jack Hawkins, whose daughter Harriet was stillborn in 2016, highlights the failures within the system.
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