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Editorial: Hewitt must answer maternity questions

1 min read
Although political cynics will be dismissive of the Government's latest announcements regarding maternity services, coming just weeks before important local elections in England, Scotland and Wales, many others will be pleased. These will range from healthcare staff - who'll welcome the assertion that the NHS has to give a higher priority to maternity services - to early years professionals, relieved that the plans will put pressure on health authorities to offer midwife care at children's centres (see News, p9).

In fact, no-one will have a problem with the aims of Maternity Matters,which promises to offer every pregnant woman in England choices aboutwhere to access pre- and postnatal care and where to give birth.

But, although health secretary Patricia Hewitt refused to be drawn onthe finer details last week, many people are asking questions which willneed answers before this vision can become reality.

First up, there are ongoing tensions between the choice agenda and thefinancial turbulence experienced by health trusts. Central governmentand local trusts want to reconfigure services in order to offermums-to-be better access to regional centres of excellence andcommunity-based midwifery services, and more confidence in choosing ahome birth. However, some campaigners and healthcare professionals areopposed to the move, suspecting that it is primarily about balancingbooks. They also point out that it could leave many women less willingto consider a non-hospital-based birth due to the distances they'll haveto travel if problems arise during labour.

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