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A recent inquiry led by Baroness Valerie Amos has uncovered harrowing issues within NHS maternity services, revealing unacceptable levels of racism, inadequate facilities, and alarming lack of accountability that jeopardise the health and wellbeing of mothers and their babies across the UK. The investigation, which gathered testimonies from 400 families and insights from over 8,000 individuals, paints a stark picture of a system in crisis.
Disturbing Findings Highlight Systemic Racism
Among the most troubling revelations from the inquiry are instances of blatant racism faced by Black and Asian women during their maternity care. The report highlighted how Asian women are often stereotyped as “princesses,” leading to dismissive attitudes towards their pain. Black women reported feeling their pain was frequently invalidated, with one woman describing how she felt labelled as an “aggressive, angry Black woman” when seeking assistance.
Baroness Amos stated, “The levels of racism and discrimination we have uncovered are of great concern.” The testimonies reflect a disturbing culture where patients from minority backgrounds are not only neglected but often judged based on harmful stereotypes.
Inadequate Facilities and Neglect of Patients
The review also exposed the dire conditions of many maternity wards, with women sometimes forced to give birth in corridors due to overcrowding and inadequate space. One alarming account described a woman needing an assisted vaginal delivery while the door to her room remained open, exposing her to the public eye. Such scenarios raise serious questions about the dignity and safety of those giving birth in the NHS.

The report noted that poor infrastructure, including leaking roofs and fire hazards, compounded the challenges faced by maternity staff. The inadequacies of facilities are not merely inconveniences; they represent systemic failures that put both mothers and their newborns at risk.
A Call for Immediate Reform
Baroness Amos’s report comes in the wake of a broader crisis in maternity services, with similar issues reported in various trusts across the country, including Shrewsbury and Telford, East Kent, and Nottingham. Families have expressed frustration over a “postcode lottery” of care, leading to inconsistent experiences based on geographical location.
Michelle Welsh MP, chair of an all-party parliamentary group on maternity services, emphasised the need for urgent reforms, stating, “For far too long, women and babies – especially those from Black, Asian, and deprived communities – have faced unacceptable disparities in outcomes.” She urged that the findings of this inquiry must not become just another report gathering dust; they should pave the way for meaningful, system-wide change.
The Importance of Listening to Families
The inquiry underscores the necessity of listening to families and ensuring their experiences are taken seriously. Baroness Amos highlighted that many women felt disregarded during their pregnancies and labours, often blaming themselves for adverse outcomes. The emotional toll of being treated with indifference can be devastating, as these women navigate extremely vulnerable moments in their lives.

The public consultation for families to share their experiences remains open until 17 March, allowing for a wider range of voices to contribute to the ongoing conversation about improving maternity services.
Why it Matters
The findings of the Amos inquiry are not just statistics; they represent real women and families whose experiences reflect a deeply flawed maternity care system. The revelations of racism, neglect, and substandard facilities highlight critical areas where immediate attention and reform are necessary. If the NHS is to regain the trust of the communities it serves, it must confront these issues head-on and commit to delivering equitable and compassionate care for all, regardless of background or circumstance. The health and safety of mothers and their babies depend on it.