One Born Every 40 Seconds Panorama


One Born Every 40 Seconds

In the middle of a baby boom, Shelley Jofre reveals that some parts of the UK are facing a shortage of midwives, and asks if the NHS is providing appropriate maternity care.


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Transcript


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We're in the middle of a baby boom. No. Push, push, push. That's it.

:00:14.:00:18.

There you go. Last year, there was one born every 40 seconds, the

:00:18.:00:28.
:00:28.:00:30.

highest number for nearly 20 years. That's the baby's head out, darling.

:00:30.:00:34.

All pregnant women are meant to have a choice of safe, high quality

:00:34.:00:38.

maternity care, but in some parts of the UK the reality is quite

:00:38.:00:42.

different. Sometimes I think if they'd done it the other way round

:00:42.:00:52.
:00:52.:01:05.

There he is, half an hour old. I have been through childbirth twice,

:01:05.:01:09.

and each time I was lucky enough to have great midwives who gave me

:01:09.:01:13.

their full attention throughout labour. But in too many hospitals

:01:13.:01:18.

that's not happening. As the number of births soars they're also

:01:18.:01:21.

becoming more complicated, there are more older and overweight mums

:01:21.:01:26.

and with IVF more twins and triplets. Add to that a chronic

:01:26.:01:29.

shortage of midwives and some maternity units are struggling to

:01:29.:01:34.

cope. Heather Paterson was 40 when she

:01:34.:01:37.

became pregnant with her first child. It was a happy surprise for

:01:37.:01:46.

her and her husband. I remember us taking photographs of the pregnancy

:01:46.:01:51.

test, we were so excited. Every day was like that, it was excitement

:01:51.:01:57.

seeing him develop through the scans. The number of women over 40

:01:57.:02:00.

having children has almost trebled in the last decade. Heather's age

:02:00.:02:05.

should have meant special care. When she was nearly two weeks

:02:05.:02:08.

overdue she arrived at the Royal Free Hospital in London to be

:02:08.:02:13.

induced but she was sent home because it was too busy. Did it

:02:13.:02:17.

come as a surprise to you that you turned up and were told there

:02:17.:02:20.

weren't enough beds? Yes, it was a major London teaching hospital and

:02:20.:02:26.

we turned up when they asked us to come. We were booked in and they're

:02:26.:02:30.

sending us away and not only send us away, they joked there's no room

:02:30.:02:37.

at the inn. The unit was still busy when they came back, the first

:02:37.:02:41.

midwife Heather saw gave her twice the recommended dose of drug to get

:02:41.:02:45.

induction started. This meant contractions painful. Later a

:02:45.:02:48.

second midwife kept leaving Heather to attend to another woman. She

:02:48.:02:52.

asked Ian to keep an eye on the machine monitoring the baby's heart

:02:52.:03:00.

rate. The midwife said to me I am a little concerned. The heart rate

:03:00.:03:06.

has dipped a little bit. I need to go out, here's a call button. If

:03:06.:03:11.

that monitor dips below 100 press it. Were you surprised she didn't

:03:11.:03:18.

stay to monitor it? To be honest, I was so focused about watching it

:03:19.:03:25.

and she panicked me because she said I am a bit concerned about

:03:25.:03:30.

this, will you watch it? It's our first time having a baby. She's the

:03:31.:03:40.

expert. Iain says he called the midwife when the heart rate dipped

:03:40.:03:44.

on three occasions but still she didn't stay or get a doctor. It was

:03:44.:03:48.

three hours later when the baby's heart rate couldn't be heard a

:03:48.:03:55.

doctor was called. The delay starved baby Riley of oxygen.

:03:56.:04:05.
:04:06.:04:06.

no idea until Iain came over and told me that he didn't make it. I

:04:06.:04:12.

was a healthy woman. I had a healthy baby. And so you expect

:04:12.:04:16.

that you'll walk out of that hospital the next day with your

:04:16.:04:26.
:04:26.:04:26.

child. And to not do that was devastating.

:04:26.:04:30.

Instead, they had to arrange Riley's funeral. They filmed it for

:04:30.:04:36.

Heather's family back in Australia. We will feel his presence always.

:04:36.:04:46.
:04:46.:04:46.

For me personally, Riley and his existence literally saved my life.

:04:46.:04:51.

At the inquest a jury ruled that neglect contributed to Riley's

:04:51.:04:55.

death. The hospital apologised and paid compensation. But Ian and

:04:55.:04:59.

Heather were unhappy that the two midwives involved were allowed to

:04:59.:05:03.

continue working with additional training. So they complained to the

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midwives' governing body. Today is the first day of the disciplinary

:05:06.:05:12.

hearing. It's been more than six years since my son was killed and

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it's also been about four and a half years since I put in a

:05:17.:05:21.

complaint against the midwives and I really - I am angry that it's

:05:21.:05:26.

taken so long. Ed first midwife didn't attend the hearing. She was

:05:26.:05:30.

suspended for 18 months. The panel heard the critical period when

:05:30.:05:34.

Heather's baby could have been saved was in the early hours of

:05:34.:05:38.

Good Friday when the labour ward was understaffed. As the labour

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ward co-ordinator the second midwife Beverley Blankson shouldn't

:05:42.:05:47.

have been caring for Heather while looking after another woman in

:05:47.:05:55.

labour. It was her duty to call in extra staff if she needed them.

:05:55.:06:03.

There were eight mothers and five midwives that night. One phone call

:06:03.:06:08.

she could have had extra midwives. The panel found Beverley Blankson

:06:08.:06:13.

failed to monitor properly the baby's deteriorating heart rate. It

:06:13.:06:17.

ruled her fitness to practise was impaired but won't decide until

:06:17.:06:21.

September whether she should be disciplined. The Royal Free

:06:21.:06:25.

Hospital Trust told us it has reviewed and fundamentally changed

:06:25.:06:29.

many aspects of its maternity service and increased staff numbers

:06:29.:06:35.

since Riley's death. Beverley Blankson wasn't willing to comment.

:06:35.:06:41.

It may have been a blip. I don't know. But as far as I am concerned

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she is partially responsible for the death of my child and I don't

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really think that someone who couldn't spot problems or the tell

:06:51.:06:56.

tale signs is still someone who probably should not be dealing with

:06:56.:07:02.

women. In its findings the panel said it was concerned that despite

:07:02.:07:06.

considerable further training, even at the hearing midwife Blankson

:07:06.:07:10.

still didn't recognise that the baby's heart monitor printout was

:07:10.:07:14.

abnormal. Beverley Blankson still works as a midwife at the Royal

:07:14.:07:20.

Free. Failure to monitor or respond to an abnormal foetal heart rate is

:07:20.:07:24.

a mistake that's being made in other hospitals over and over again.

:07:24.:07:28.

We've discovered that the number of negligence claims against the NHS

:07:28.:07:36.

for that reason increased last year alone by nearly 20%.

:07:36.:07:40.

Electronic monitoring of the foetal heart rate is not new medical

:07:40.:07:48.

technology. It has been around for 20 plus years. It is worrying that

:07:48.:07:52.

there are still failures to properly interpret and to respond.

:07:52.:07:57.

It's terribly depressing when we see the same things happening time

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and time again and lessons apparently not being followed

:08:00.:08:07.

through, not being learnt within the NHS.

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The Royal College of Midwives says it's hardly surprising, by its

:08:10.:08:16.

calculations at least 4,700 more midwives need to be employed across

:08:16.:08:21.

England and Wales to provide a safe service. Most midwives get up in

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the morning wanting to do a really good day's work. They want to give

:08:26.:08:30.

the care that they've been trained to give, many of them achieve that

:08:30.:08:34.

and for the vast majority of midwives who don't manage to

:08:34.:08:40.

achieve that I would very strongly argue it's because the system is

:08:40.:08:45.

not supporting them to do the work they're meant to do. A recent

:08:45.:08:49.

survey of NHS maternity staff in England found that only half were

:08:49.:08:53.

satisfied with the quality of work and patient care they were able to

:08:53.:09:01.

deliver. More than 90% had reported incidents,er rors or near-misses in

:09:01.:09:05.

the previous month. Women don't come in tidy numbers when they're

:09:05.:09:10.

pregnant but the problem for midwives now is that the pressure

:09:10.:09:13.

is relentless and none of us can really keep our standards as high

:09:13.:09:17.

as they should be if day after day we're working under extreme

:09:17.:09:25.

pressure. Are things really that bad? We carried out an exclusive

:09:25.:09:30.

Panorama survey writing to every maternity unit in the UK. 171 in

:09:30.:09:36.

total, almost 90% replied. We asked what the midwife vacancy rate was.

:09:36.:09:40.

In Wales and Northern Ireland it's below 1%. In Scotland, just above

:09:40.:09:45.

1%. Our survey showed England's vacancy rate is nearly 5%. But in

:09:45.:09:50.

some London trusts the rate is as high as 19 or 20%, that's one in

:09:51.:09:56.

five posts lying vacant. Before the last general election David Cameron

:09:56.:10:00.

pledged 3,000 more midwives for England. So we asked the Department

:10:00.:10:05.

of Health how many new posts have been created since May 2010. They

:10:05.:10:15.
:10:15.:10:18.

don't collect that information. It's not just babies that are being

:10:18.:10:23.

put at risk when hospitals are overstretched. It's women, too, at

:10:23.:10:26.

a time when the number of women whose pregnancies are considered

:10:26.:10:36.
:10:36.:10:36.

high risk is on the rise. Clever girl, aren't you? Mummy's going to

:10:36.:10:41.

chase you! Caroline Hardy suffered from a painful pelvic condition and

:10:41.:10:46.

needed special care throughout her pregnancy. By 38 weeks I was in

:10:46.:10:50.

hospital because I just couldn't make it from one room to another in

:10:50.:10:56.

the house without being crippled with pain. She went to Wythenshawe

:10:56.:10:59.

Hospital in Manchester for an induction but it was delayed

:10:59.:11:03.

because the unit was so busy. When the labour didn't progress, she was

:11:03.:11:09.

rushed for a Caesarean. But another woman needed to go to theatre at

:11:09.:11:16.

the same time. There was a bit of an argument as to who needed to go

:11:16.:11:19.

to surgery now because there was obviously another lady who needed

:11:19.:11:25.

to go and I only won because I was halfway to the surgical room and I

:11:25.:11:29.

was prepped. Sometimes I think well if they'd done it the other way

:11:30.:11:38.

round would things be different, but... It's OK. It's upsetting to

:11:38.:11:45.

go through it again. Take your time. It's because, not just the surgeon,

:11:45.:11:49.

but the team had so much pressure on them to prevent something worse

:11:49.:11:55.

happening to the lady waiting, that something was missed. Caroline gave

:11:55.:12:00.

birth to a daughter, Tali but when she was sewn back up a large piece

:12:00.:12:05.

of placenta was left inside her. Caroline thinks it's because of how

:12:05.:12:09.

busy the staff were. I think it played a huge part because it was

:12:09.:12:13.

such a big mistake to have made, it's not something that happens,

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it's not a daily occurrence. Three weeks later Caroline collapsed and

:12:18.:12:23.

had to be rushed to hospital for emergency surgery. I am quite lucky

:12:23.:12:27.

that I only had another haemorrhage, because I could have had

:12:27.:12:30.

septicaemia, I could have had infections, I could have died,

:12:31.:12:35.

could have had a million and one things happen to me. University

:12:35.:12:38.

Hospital of south Manchester Trust confirmed that the piece of

:12:38.:12:42.

placenta shouldn't have been left inside Caroline. It apologised for

:12:42.:12:49.

the error and any distress and worry caused. Milton Keynes

:12:49.:12:57.

Hospital and Kerry is about to have her first baby with partner Che.

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am going to put the bed up... Midwife Rachel has been assigned to

:13:02.:13:08.

care for Kerry throughout her labour. You are a good 7-8

:13:08.:13:12.

centimetres which is good, the head is high so I am going to have a

:13:12.:13:16.

word with the doctor, we don't want the waters going and the cord

:13:16.:13:21.

coming down. Rachel uses an electronic monitor to hear the

:13:21.:13:25.

baby's heart rate so make sure it's not in distress. The heart rate can

:13:25.:13:32.

dip down and that's normal at certain parts. Milton Keynes hasn't

:13:32.:13:36.

always been able to offer such a high level of care. Three years ago

:13:37.:13:40.

the unit was understaffed. The local coroner called the situation

:13:41.:13:46.

scandalous after three baby deaths he felt could have been prevented.

:13:46.:13:53.

Broadly morale was low. There has been for a while a shortage of

:13:53.:13:57.

midwives in this country and Milton Keynes was not particularly

:13:57.:14:03.

successful in attracting midwives that there were. With a shortage of

:14:03.:14:06.

qualified English midwives the hospital has had to look abroad to

:14:06.:14:10.

recruit. In four years it's boosted numbers by more than 30. Now the

:14:10.:14:14.

hospital says it's the only one in England that can show it gives one

:14:14.:14:18.

to one care to all women once their contractions are regular and

:14:18.:14:26.

they're in established labour. push, push. Keep going, keep going,

:14:26.:14:32.

keep going. So you just phoned the doctor. He will come and review,

:14:32.:14:37.

she's been pushing for an hour now so we get the doctors to review.

:14:37.:14:41.

she tired? Yeah, exhausted now. Might you do something different?

:14:41.:14:51.
:14:51.:14:59.

Don't know, he will say carry on or Keep it coming. That is it, well

:14:59.:15:09.
:15:09.:15:10.

done. Yes, we did have a baby. was it? Cor... You forgot to check!

:15:10.:15:17.

I had better check! A baby boy! boy, thank you. And this is they

:15:17.:15:22.

been made. You must be so proud. You must be exalted as well. But

:15:22.:15:29.

was hard going, wasn't it? Yes. Milton Keynes has managed to turn

:15:29.:15:34.

its maternity servers around. Our Panorama survey shows that they

:15:34.:15:38.

still had 18 vacant midwife posts and they do not always have enough

:15:38.:15:42.

beds to cope with demand. It turns out we have arrived on a pretty

:15:42.:15:45.

busy day. The maternity ward has actually had to close its doors to

:15:46.:15:50.

new admissions, and that means two women have already been sent to

:15:50.:15:53.

other hospitals more than 20 minutes away. It is a difficult

:15:53.:15:58.

balancing act for the head of midwifery -- midwifery. To

:15:58.:16:01.

guarantee one to one care, she sometimes asked to deny women their

:16:01.:16:05.

choice of where to give birth. Isn't that disappointing if they

:16:05.:16:09.

have been hoping to come to this hospital? It is, and it is for us,

:16:09.:16:13.

too, because we would like to provide that care, but it is

:16:13.:16:17.

important they get appropriate care, and if it is best for them to go

:16:17.:16:22.

elsewhere, that is the right thing to do for them. In our survey, we

:16:22.:16:25.

found that Milton Keynes had to shut its doors on 14 separate

:16:25.:16:30.

occasions last year, mostly due to under staffing. Rosie Hospital in

:16:30.:16:35.

Cambridge, though, closed 28 times. In Leicester, both maternity use

:16:35.:16:40.

its closed more than 50 times. In Nottingham, both units closed at

:16:40.:16:44.

the same time on five occasions. But the unit that closed its doors

:16:44.:16:53.

most often was Barnet Hospital in London. Over 100 times last year.

:16:53.:16:58.

Across the UK, we found that maternity units were forced to

:16:58.:17:03.

close 1055 times last year, nearly always to do under staffing or

:17:03.:17:08.

overcapacity. That meant that at least 927 women have to be turned

:17:08.:17:13.

away. To turn up at the place you were expecting to have your baby

:17:13.:17:19.

and be told, well, I am sorry, you have got to go down the road to a

:17:19.:17:24.

different unit, I just think that is not a high standard of care, and

:17:24.:17:34.
:17:34.:17:34.

it should not be what we are giving 32 babies were delivered at Milton

:17:34.:17:37.

Keynes over the two days the unit was closed to new admissions. The

:17:37.:17:42.

average would normally be nearer 23. Those women who were not turned

:17:42.:17:48.

away, though, were delighted with their care. How have you found your

:17:48.:17:52.

care here? What was it like? Excellent from start to finish. We

:17:52.:17:57.

had a very traumatic time on Sunday evening getting easier. She was in

:17:58.:18:02.

distress and had to be delivered very quickly. We cannot fault the

:18:02.:18:07.

care that we have received here. Staff have coped well when so many

:18:07.:18:12.

babies born over a challenging 48 hours. What has that been like for

:18:12.:18:17.

all of you? I have delivered four of them. Four in two days. That

:18:17.:18:24.

sounds like hard work. Yes! It is lovely, though. Milton Keynes may

:18:24.:18:28.

be operating safely now, but that is not always happening elsewhere.

:18:28.:18:34.

London has seen a huge rise in births, 16% in five years. Many of

:18:34.:18:38.

those have been high risk, leaving some maternity units struggling to

:18:38.:18:43.

cope. The NHS in London became concerned when it notice that the

:18:43.:18:47.

number of maternal deaths in the first half of 2009 was as high as

:18:47.:18:51.

the whole of the previous year. A confidential inquiry was launched,

:18:51.:18:55.

and we have been given exclusive access to its findings. The

:18:55.:19:00.

conclusion is shocking. 17 deaths over an 18 month period could have

:19:01.:19:10.
:19:11.:19:12.

been avoided if the women had been Professor Trish Morris-Thompson is

:19:12.:19:18.

NHS London's chief nurse. She is also a practising midwife. The MBE

:19:18.:19:21.

were a number of opportunities to prevent death occurring, and

:19:21.:19:24.

because of that we have taken enough action across the

:19:24.:19:29.

organisations in London, and we will continue to do so to put right

:19:29.:19:32.

those actions. That is pretty damning. These women could still be

:19:32.:19:35.

alive if they had been given the proper standard of care. And in

:19:35.:19:39.

some of those cases the report indicates that the less than

:19:39.:19:44.

optimal care was given and death did occur. However, we need to look

:19:44.:19:47.

at the context of those 200,000 births occurring in that period of

:19:47.:19:52.

time. A lot of women in very poorly conditions were cared for, and a

:19:52.:19:59.

lot of babies were delivered very safely. Of the 42 mothers who died,

:19:59.:20:03.

half were from deprived backgrounds, two-thirds from ethnic minorities,

:20:03.:20:09.

and some have not sought maternity care until late in pregnancy. That

:20:09.:20:14.

was not the case for Suzanne Valentine, though, who had regular

:20:14.:20:18.

check-ups, a partner in a London law firm, a mother later in life

:20:18.:20:24.

through IVF. She was one in a million more than anything. She was

:20:24.:20:29.

just an incredible person. Their good points were probably my weak

:20:29.:20:33.

points, and vice versa, so it worked really well, really well as

:20:33.:20:39.

a team. At 47, Cezanne was classed as high risk, but like her first

:20:39.:20:45.

two pregnancies, this one had gone smoothly. -- Suzanne. To the end,

:20:45.:20:49.

she was sort of glowing, really looking forward to having a third

:20:49.:20:54.

child. One week before the due date, though, a scan confirmed the baby

:20:54.:20:59.

had died. She had to be induced. Afterwards, Stephen got a chance to

:20:59.:21:08.

hold his daughter, Georgianna. had about 40 minutes were third. --

:21:08.:21:18.
:21:18.:21:18.

with her. Yes, I had 40 minutes. When I left, I left the room at 20

:21:18.:21:21.

past, around about 20 past two in the morning because the crash team

:21:21.:21:26.

had been caught. As Stephen grieved for his daughter, his wife went

:21:26.:21:31.

into cardiac arrest. She was losing huge amounts of blood but staff

:21:31.:21:34.

could not work out why. They did not call a consultant obstetrician

:21:34.:21:38.

straight away. He arrived an hour later and discovered that her

:21:38.:21:44.

uterus had ruptured. He stopped what they were doing and tried to

:21:44.:21:49.

fix the tear. Maybe if the consultant had been there quicker,

:21:49.:21:55.

do you know, if the consultant had been in the hospital, things might

:21:55.:22:02.

have turned out different for Suzanne. She died soon afterwards.

:22:02.:22:06.

The hospital's own investigation was critical that a consultant

:22:06.:22:09.

obstetrician had not been called earlier but concluded it would not

:22:09.:22:15.

have saved there. By that stage, the damage was done. At the inquest,

:22:15.:22:18.

the coroner criticised the high dose of Labour and using drugs she

:22:18.:22:23.

had been prescribed, 16 times what is recommended. This increased

:22:23.:22:27.

their risk of a ruptured uterus. How did you feel when you realised

:22:27.:22:37.
:22:37.:22:38.

that? I was angry, a bit shocked. Devastated, disbelief. It is still

:22:38.:22:45.

very raw, and it is still very upsetting, you know, but I have two

:22:45.:22:49.

other children but still get up, they want their Coco Pops and Ready

:22:49.:22:54.

Brek in the morning, so they have still got to go to school, so you

:22:54.:23:00.

have to sort of deal with it, and you have to get on with your day.

:23:00.:23:03.

St George's Healthcare NHS Trust told us it had used similar doses

:23:03.:23:08.

of the drug given to Suzanne since 2003 without any serious

:23:08.:23:13.

complications. It has now revised its guidelines. The trust also says

:23:13.:23:16.

it has improved training to ensure that staff seek a higher level of

:23:16.:23:21.

clinical leadership at the correct time. When things do go wrong, it

:23:21.:23:25.

is crucial that any inquiries carried out afterwards are thorough

:23:25.:23:30.

and objective to make sure that lessons are learnt. But the review

:23:30.:23:35.

of maternal deaths in London found that is not always happening. Of 29

:23:35.:23:39.

serious incident reports scrutinised for the review, a panel

:23:39.:23:44.

of experts only agreed with the findings in 12. It found that many

:23:44.:23:48.

reports were defensive in nature and disagreed with six that

:23:48.:23:52.

included the woman's death was inevitable. The panel said

:23:52.:23:55.

different management and earlier diagnosis could have changed the

:23:55.:24:01.

I think the most worrying thing that comes out of this report is

:24:01.:24:08.

the suggestion that lessons are not being learnt. I would agree, having

:24:08.:24:12.

read the reports, and prior to the publication of the independent

:24:12.:24:15.

review, we were working at the organisations to say, this is not

:24:15.:24:20.

good enough, you need to have a more robust response to the report

:24:20.:24:24.

and it needs to be more extensive. While some London hospitals are

:24:24.:24:27.

stretched to crisis point, elsewhere the picture is quite

:24:27.:24:30.

different. To write a save maternity service, the Royal

:24:30.:24:35.

College of Midwives says there should be an average ratio of 1 to

:24:36.:24:41.

28. -- to provide a safe maternity service. We have found that

:24:41.:24:45.

midwives deliver more babies, with a ratio of one midwife to 33 births.

:24:45.:24:50.

In Wales, it is one midwife to 30 births. Northern Ireland has one to

:24:51.:24:56.

just under 28 birds. In Scotland, though, there is an average of one

:24:56.:25:01.

midwife to just 26 berths. Here in Scotland, there is no midwife

:25:01.:25:06.

shortage. There are currently only 20 posts lying vacant across the

:25:06.:25:10.

whole country, which means that in hospitals like this one they can

:25:10.:25:12.

offer mothers the undivided attention of a midwife throughout

:25:12.:25:20.

Hannah Fox is expecting her 4th baby. She is being induced, and

:25:20.:25:25.

midwife Doreen will be with airside every step of the way. I will just

:25:25.:25:29.

have a listen to the baby again. Just check that she is nice and

:25:29.:25:36.

happy. There she goes. Do you think it makes a difference to you?

:25:36.:25:43.

huge difference. I had my two old as children in a different hospital,

:25:43.:25:46.

and the midwife was hardly ever in the room, and it was really

:25:46.:25:52.

frightening. Hannah is one of just 19 women giving birth here today.

:25:52.:25:54.

Thorpe Park Hospital deliver slightly fewer babies than Milton

:25:54.:25:59.

Keynes every year but employers 35 more midwives. There's only one

:25:59.:26:05.

vacant post. When you look down south and DEC vacancy rates are 15%,

:26:05.:26:12.

what do think about the service they can offer? I feel that for my

:26:12.:26:16.

colleagues working in situations like that, it must be very

:26:16.:26:23.

difficult to actually provides the One 2 One service and the 1-1 care

:26:23.:26:30.

that you would want to provide. It must be very hard and challenging

:26:30.:26:35.

to work in those circumstances. After a long, tiring day in labour,

:26:35.:26:45.
:26:45.:26:58.

A new life is about to emerge. There you go. Congratulations. Oh,

:26:58.:27:04.

she is just beautiful! Maternity care here may be the envy of their

:27:04.:27:08.

southern colleagues, but for how long? The Scottish government has

:27:08.:27:12.

pledged to protect frontline services, but public spending cuts

:27:12.:27:17.

of nearly 8% are expected in the coming years. I just hope our

:27:17.:27:23.

politicians listen to the women and listen to the staff and the

:27:23.:27:27.

midwives, obstetrician as he will advise them about safe levels and

:27:27.:27:33.

staffing levels required for their units. Ian and Heather Havard two

:27:33.:27:40.

more children, but they will never forget their first son. -- have had.

:27:40.:27:44.

It is a very poignant message that you chose to have carved on the

:27:44.:27:49.

bench, lived for 35 minutes. Is that hard for you, even today?

:27:49.:27:55.

is hard to know that you have what should be a perfectly healthy baby

:27:55.:28:01.

and then everything goes wrong. But you know, you never stop loving

:28:01.:28:11.
:28:11.:28:13.

that baby, and every single day I With one baby born every 40 seconds,

:28:14.:28:17.

there will always be times when things go wrong, but the care of

:28:17.:28:21.

women receive should not depend on where they live or what time they

:28:21.:28:25.

The UK is in the middle of a baby boom. Last year, there was one born every forty seconds - the highest number for 20 years. But reporter Shelley Jofre reveals that some parts of the UK are facing a chronic shortage of midwives, and asks if the NHS is failing to deliver the safe and high quality maternity care mothers and babies deserve.


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