Black Mothers in UK Report Systemic Neglect and Dismissal in Maternity Care
Inadequate pain relief, a profound lack of compassion, and enduring trauma are among the critical challenges black mothers in the United Kingdom consistently face within the maternity care system. A recent comprehensive report has brought to light these distressing experiences, underscoring a pattern of neglect that many attribute to racial bias.
Personal Accounts of Pain and Dismissal
Tenisha Howell, a 33-year-old mother of five, described her most recent childbirth as "probably one of the most traumatic experiences" of her life. During labor, as her pain intensified, she was told by a midwife to "shut up multiple times," with the midwife even placing a hand over her mouth to silence her. This incident left Tenisha feeling unsupported and unsafe, highlighting a severe breakdown in patient care.
Similarly, Shakira Akabusi, 38, recounted being denied medication repeatedly during the birth of her second son, left alone for hours in excruciating pain. She expressed how dehumanizing it felt to be ignored, stating, "To be made to feel inferior because of the colour of your skin... it feels so dehumanising."
Kadi Wilson, 43, shared her experience of recovering from a fourth-degree vaginal tear, the most severe type, where she was ignored by nursing staff despite pressing call buttons and crying out in pain. She emphasized that the subtle, dismissive behaviors made her question the role of race in her treatment.
Survey Findings and Expert Analysis
The Five X More Black Maternity Experiences Report, co-authored by Dr. Michelle Peter, surveyed over 1,000 black and mixed-heritage women across the UK. Key findings include:
- 54% of respondents experienced challenges with healthcare professionals.
- Nearly a quarter reported not receiving pain relief when requested.
Dr. Peter explained that these issues are "linked to historical, but also ongoing, racialised assumptions about black people's tolerance to pain." She noted that while maternity services are under pressure, the disproportionate poor outcomes for black women suggest deeper systemic issues beyond mere resource constraints.
Government Response and Ongoing Investigations
The UK government has acknowledged the disparity, with black women being twice as likely to die during childbirth—a situation described as an "absolute outrage" by officials. Baroness Merron, parliamentary under-secretary, stated that tackling discrimination and racism in the NHS is a priority, with an independent investigation led by Baroness Amos focusing on inequalities in maternity and neonatal services.
However, as these investigations proceed, women of color continue to navigate a system where their pain is often minimized. Tenisha reflected on the stress of knowing her race increases her risk, saying, "Constantly thinking, is this the time I am going to pass away?"
This report calls for urgent action to address these ingrained biases and ensure equitable care for all mothers, regardless of background.
