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‘I felt humiliated’: parents respond to NHS maternity care racial bias inquiry | Maternal mortality

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Feeling manipulated into having medical procedures, dismissed by professionals and labelled with racial stereotypes are among the complaints of parents who responded to a national inquiry into racial injustice in UK maternity care.

A panel established by the charity Birthrights is investigating discrimination ranging from explicit racism to racial bias and microaggressions that amount to poorer care.

It comes as parliament is due on 19 April to debate the large racial disparity in maternal mortality in British hospitals, after a petition from the campaign group Five X More gathered 187,519 signatures. Black women are four times more likely than white women to die during pregnancy or childbirth in the UK.

Testimonies include that of a British Bangladeshi woman who said her labour concerns were dismissed. “I felt unsafe and like maternity professionals are not used to being challenged by brown women,” she said. “There is a stereotype of Asian women that we are tame, quiet and compliant people who have no voice and will be obedient.

“I was treated like a vessel, not like a human. The experience left me feeling humiliated, disempowered and ashamed.”

During labour she was denied pain relief and told she must have a low pain threshold. “Manipulative and coercive language was used to force me to go along with their care plan – one doctor told me my baby would be born with cerebral palsy if I didn’t consent to a procedure and did an impression of what someone with this condition looks like,” she said.

A woman of African-Caribbean heritage said her first experience of her local maternity services was discovering that there was no category to match her ethnicity when she was filling out a form. She said she was told to “pick another one”.

After being left in a waiting room for several hours to see a consultant who had already gone home, white members of staff called her “aggressive” when she queried the appointment. “I feel like my race means I’m seen as less and meant to endure more,” she said.

Lorraine Pryce, is a trained doula – a non-medical role providing support and advocacy during pregnancy and childbirth – and a member of the Birthrights panel.

She said demand for doulas is rising due to concerns over maternal mortality data. Figures published by MBRRACE-UK found women from Asian ethnic backgrounds face twice the risk of dying in childbirth as white women.

Lorraine Pryce, a trained doula who says demand for such services is rising because of concerns over maternal mortality data.
Lorraine Pryce, doula: ‘The overriding feeling is … not being heard, believed or trusted.’ Photograph: handout

“We hear the statistics about those who have died in the worst cases but we don’t hear from all the people suffering poorer outcomes because of their race who are still living with trauma,” said Pryce. “This inquiry intends to give those people a voice.”

“The overriding feeling I get when I talk to people about their experience is something I felt when I was giving birth – that is not being heard, believed or trusted,” she said. “I’ve seen it time and time again especially with clients of colour.”

Tricia Boahene struggled to be taken seriously after her premature baby developed jaundice. “My whole family could see it but the health visitor was not convinced. She said she’d test the levels to put my mind at ease. He tested super high but she kept insisting the machine was broken.”

Eventually, the baby was referred to hospital where a doctor said the reading was alarming but agreed with the health visitor that her son did not look jaundiced apart from a “slight yellowing” in the eyes. “The white staff did not recognise jaundice in a black baby but to me he looked neon,” said Boahene. Her newborn was hospitalised for several weeks.

Pryce, who works in the north of England supporting clients in Manchester, Leeds and Bradford, said such stories are commonplace.

“It’s heartbreaking to see and hear it,” she said. “There are pockets of good practice to improve the outcomes for black, brown and mixed ethnicity people but the NHS doesn’t seem to be tackling it on a wider scale.

“There is a lot of unlearning to be done in terms of how black and brown people are perceived and some of the messages that have been passed down over the years such as our bodies don’t feel pain in the same way.”

A machine monitors the unborn baby in a hospital maternity ward, Kingston Upon Thames, Surrey, England.
A machine monitors an unborn baby in a hospital maternity ward, Kingston Upon Thames, Surrey, England. Photograph: Jeff Gilbert/Alamy

Benash Nazmeen, co-chair of the inquiry and director of the Association of South Asian Midwives, said while issues raised were very concerning there were also positives.

“Even those with very traumatic births identified at least one professional who was ‘amazing’ – whether a community midwife, health visitor or doctor. This shows good, compassionate, culturally sensitive care is possible.”

The NHS said it was taking action to level up health outcomes for mothers and their babies from black, Asian and mixed ethnicity groups through a range of initiatives including the Maternity Voices Partnership.

Jacqueline Dunkley-Bent, England’s most senior midwife, said: “We continue to tackle poorer outcomes for women from ethnic minority backgrounds … including fast-tracking our continuity of carer programme for these groups, meaning women receive care from the same midwife and team before, during and after they give birth, which we know improves experiences and outcomes.”

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Frontex turning ‘blind eye’ to human rights violations, says former deputy | Global development

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The former deputy head of Europe’s border and coastguard agency has said the state of the beleaguered force “pains” him and that it is vulnerable to the “alarming” rise of populism across the continent.

In his first interview since leaving office, Gil Arias Fernández, former deputy director at Frontex and once tipped for the top post, said he was deeply worried about the agency’s damaged reputation, its decision to arm officers, and its inability to stop the far-right infiltrating its ranks, amid anti-migrant movements across Europe.

“Weapons are not needed for Frontex operations,” he said. “They are more of a problem than a help.”

Frontex is experiencing the most acute crisis in its 16-year history. The agency is being investigated by the European parliament over allegations of illegal pushbacks of migrants and refugees in the Mediterranean and its head, Fabrice Leggeri, is facing calls to quit over allegations he misled the EU commission. Leggeri has strongly rejected allegations about the agency’s operations.

Arias Fernández, 65, now retired, lost out on the top role to Leggeri in 2015. He admits he did not get on with Leggeri when they worked together for a year.

“From the first moment I saw that he had a perhaps excessive eagerness to change things. Maybe it was to put his personal stamp on things,” said Arias Fernández.

He said decisions made by one of the EU’s most powerful agencies had led to complicity in human rights violations.

“Frontex pains me,” he said. “Especially for the staff, because they don’t deserve what they are going through. We saw the agency as an instrument to help the member states and the migrants. These events put a dent in all that effort.

“I do not believe that the agency has proactively violated the rights of migrants, but there are reasons to believe that it has turned a blind eye.”

Gil Arias Fernández. ‘Frontex pains me,’ he said.
Gil Arias Fernández. ‘Frontex pains me,’ he said. Photograph: Jose Bautista/Courtesy of Fundation for Causa

In January 2015, after the attacks on Charlie Hebdo in Paris, several European politicians suggested the presence of refugees among the terrorists.

When the media asked Frontex about any link between refugees and the Paris attack, Arias Fernández, a former police commissioner in Spain, told them there was no evidence.

Arias Fernández believes this cost him the director’s job.

The political pressure made the job a tough one, Arias Fernández said. “There is a lot of pressure on the part of certain states to put their people in positions of responsibility. Whether the agency is headed by a Frenchman or a Finn may determine whether there is more or less sensitivity to migration problems. The agency is independent, but ‘independent’ should be put in quotation marks because without a fluid relationship with the [European] commission, you have a hard time.

“Operations have always been conducted unarmed and there have never been any problems. In operations where Libyan tribal clans smuggling migrants shot in the air to frighten the patrols, even there it was not considered appropriate to carry weapons. In this case, weapons are more a problem than a help. The proposal of carrying weapons came from the European Commission, which I do not know to what extent is influenced by lobbyists in Brussels.

“There is no filter in the recruitment system. You cannot prevent people with extremist ideas from entering, unless they clearly express their position in favour of hate crimes, xenophobia and racism.”

Arias Fernández pointed to the dearth of human rights training for Frontex officers. “But lack of information should not be used to justify certain things,” he said. “The incidents under investigation were carried out by Greek units following the instructions of their commanders.

“When there are irregularities like this in operations, it is usually because there are instructions from the authorities responsible for coordinating the operation. The decision to turn back a boat with migrants is not taken by an officer but is an order from above.”

A rescue boat escorts a dinghy with migrants from Afghanistan as a Frontex ship patrols off Lesbos in Greece.
A rescue boat escorts a dinghy with migrants from Afghanistan as a Frontex ship patrols off Lesbos in Greece. Photograph: Costas Baltas/Reuters

He said he appreciated borders needed a certain level of security to know who was entering but added that immigration was vitally important for the survival of all European states.

“I come to this conclusion because there are studies that show that if we do not resort to immigration and other incentives, the EU will have serious problems and the welfare state will be a chimera. We should learn these lessons. In the first half of the pandemic, migrants saved our bacon.

“In Europe, movements that use populism are growing at an alarming rate, and the fight against immigrants is one of those arguments. States are excessively prudent in not touching this issue. The commission presented the new pact on migration and asylum, which contains no proposals for channelling migration through legal channels. They tried to satisfy all the blocs, Visegrád [Czech Republic, Hungary, Poland and Slovakia], southern states, northern states, and I fear that in the end it satisfies no one.”

Arias Fernández said the lack of migrants being allowed into Europe would have a severe economic impact amid an ageing workforce: “Who will pay the pensions of the growing number of pensioners?”

A Frontex spokesman denied the agency ignored migrants’ rights. “The executive director of Frontex has written several letters to the Greek authorities to address incidents that raised his concerns. Two inquiries, including one that was conducted by representatives of national authorities and the European Commission, have found no evidence of violations of human rights in Frontex operations in Greece.”

The spokesman also denied that officers had always conducted operations while unarmed, saying: “Before this year, Frontex relied exclusively on officers provided by national authorities, who brought their own weapons to the agency’s operational activities. Today, Frontex has its own operational arm, the standing corps, whose core is made up of officers directly employed by the agency who require weapons for self-defence and to protect others.

“Since Mr Arias left more than half-a-decade ago, Frontex has undergone a massive transformation that included a much bigger focus on cross-border crime, which means a greater chance that our officers may encounter life-threatening situations while patrolling the borders or performing other duties.”

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Hungary’s Fidesz wants to ban LGBTIQ content for under-18s

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Hungary’s ruling nationalist party has submitted legislation to ban content it sees as promoting homosexuality and gender-change to minors, Reuters reported. The draft law would ban LGBTIQ literature for under-18s, including educational material, and advertisements deemed to be promoting gay rights. The vote will take place next Tuesday. Prime minister Viktor Orbán’s government has been taking aim at the LGBTIQ community ahead of elections next spring.

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Rebel Joe: POTUS Reportedly Breaks Royal Protocol Making Queen Wait For Him

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Biden’s predecessors – Donald Trump and Barack Obama – too violated rules when meeting members of the Royal Family. The Republican and his wife Melania shook hands with Queen Elizabeth II and her late husband Prince Philip instead of curtsying and bowing, while the Democrat made a speech over the UK’s national anthem.

US President Joe Biden violated royal protocol while attending a G7 dinner reception in the United Kingdom, the Daily Mail has reported, citing Debrett’s, a leading authority on royal etiquette. According to the newspaper, the protocol states that all guests must arrive at the venue before royals and no guest should leave an event before members of the “Firm” (nickname for senior members of the Royal Family and their staff).

The Democrat and his wife Jill arrived five minutes after the Queen got there with Prince Charles and the Duke and the Duchess of Cambridge. However, it appears that the faux pas by the US president didn’t affect the meeting as the monarch seemed happy when she greeted Joe Biden and First Lady Jill.

​Reports say the presence of the Royal Family was crucial as British Prime Minister Boris Johnson is attempting to sign a post-Brexit free trade deal with the United States.

Biden became the 13th sitting US president to meet with Queen Elizabeth II during her 69-year reign. The monarch has met every US president since Dwight Eisenhower, except for Lyndon B Johnson, who did not visit the United Kingdom during his time in office.

While posing for a group photo with other G7 leaders, Queen Elizabeth cracked a joke. “Are you supposed to be looking as if you’re enjoying yourself”, the monarch said making leaders chuckle.

​This was the first time the Queen, 95, has met foreign leaders since the beginning of the pandemic and the first major official engagement since the death of her husband Prince Philip.



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