Bell Ribeiro-Addy

I beg to move, That this House has considered Black Maternal Health Week 2025. It is a pleasure to serve under your chairship, Ms Furniss. Before I get to the crux of this debate, I want to begin by saying that the UK is one of the safest countries in the world for a woman to give birth. I say that at the outset not to diminish the importance of this debate, but to move beyond that platitude—because in the sixth largest economy in the world, this should be one of the safest places to give birth. It is important that we move beyond that and focus on the real and persistent inequalities facing black and minority ethnic women in maternity care. While I am sure it is not the intention to focus on that, it can give the impression that, because the UK is broadly safe, the negative experiences of some women are exceptional and not matters that require significant Government attention. When we detail some of the harrowing experiences of women and hear that response, it can feel as though our concerns are being minimalised, so I hope the Minister will appreciate that I have got that part out of the way. While the UK is among the safest places to give birth, it is by no means perfect, and for many women it is deadly. As always, it is vital to lay out the current state of affairs. The disparities in maternity care are evident not only in maternal mortality statistics, which show that black and mixed heritage women are three times more likely to die during pregnancy or childbirth as white women, and Asian women twice as likely, but in many other areas. Miscarriage rates are 40% higher in black women, and black ethnicity is now regarded as a risk factor for miscarriage. MBRRACE-UK’s 2023 comparison of care for black and white women who have experienced stillbirth or neonatal death found that the majority of all significant issues were identified in antenatal care for 83% of black women, compared with 69% of white women; 67% of black mothers and babies had a major or significant issue related to pathology, compared with 46% of white mothers and babies; and 75% of black parents and 66% of white parents had significant issues identified during the follow-up or reviews of their and their baby's care. Public Health England’s 2020 report found that prematurity is a major cause of long-term infant morbidity. Black mothers, particularly those of black Caribbean background, are twice as likely to give birth before 37 weeks. In Five X More’s “Black Maternity Experiences Report 2022”, 27% of the 1,340 survey respondents felt that they received “poor” or “very poor” care during pregnancy and labour, and postnatally. Forty-two per cent of the standard of care during childbirth was “poor” or “very poor”, and I sincerely hope that the findings of Five X More’s next survey, which is currently under way, will show some improvement here. According to Bliss, many babies born to black mothers require specialist care after birth, particularly due to preterm birth or full term complications, yet significant inequalities persist in neonatal care, admissions, the quality of care received, and outcomes after discharge. Poor care received at such an early stage of life can have critical consequences and lead to long-term health complications for black babies and deepen trauma for their families. Post-natal mental health disparities are also significant; UK studies show that women from black, Asian and minority ethnic backgrounds are more likely to suffer from common mental health disorders, yet are less likely to access treatment.