‘Gunmen killed a midwife who refused to leave a woman in labour’

Zahra Mirzaei pioneered ‘groundbreaking’ maternity services in Kabul, but has been forced to flee. She says she won’t stop fighting for dignified care for Afghanistan’s women and girls

When Afghanistan’s first midwife-led birth centre opened in the impoverished district of Dasht-e-Barchi in western Kabul this year it was a symbol of hope and defiance.

It began receiving expectant mothers in June, just over a year after a devastating attack by gunmen on the maternity wing at the local hospital left 24 people dead, including 16 mothers, a midwife and two young children.

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Guidance to induce minority ethnic pregnancies earlier condemned as racist

Draft Nice guidelines for England, Wales and Northern Ireland will not solve poorer maternity outcomes for women of colour, say doctors

Proposed guidance that recommends inducing labour at 39 weeks in pregnant women from black, Asian and minority ethnic backgrounds has raised concerns from doctors and midwives and been branded “racist” by activists.

White women with uncomplicated pregnancies should be offered an induction of labour at 41 weeks, according to the draft guidelines from the National Institute for Health and Care Excellence (Nice). The institute’s clinical guidelines such as this apply in England, Wales and Northern Ireland but do not cover Scotland.

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‘I knew how dangerous things could become’: the perils of childbirth as a Black woman

When she was pregnant, Anna Malaika Tubbs was thrilled – then terrified, knowing the shockingly high death rate of Black women in childbirth. Could she find a way to stay safe?

In the bathroom of a friend’s house in Washington DC, I waited anxiously for a few minutes before turning to look at the pregnancy test. It was positive. My eyes filled with tears; I was overjoyed, grateful and excited, but also very scared.

I think many parents can relate to this feeling, which seems to start as soon as we see that test result, and continues until our children are adults; we are overwhelmed with happiness for their mere existence while simultaneously terrified of the possibility of losing them. But as a Black feminist scholar, I was well aware that I had even more reason to worry.

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Global shortfall of nearly 1m midwives due to failure to value role, study finds

Investing in midwifery could prevent two-thirds of maternal and newborn deaths, but investment and training are urgently needed

The world is facing a shortage of 900,000 midwives, with more than half the shortfall in Africa, where nearly two-thirds of maternal deaths occur, according to a new survey.

Insufficient resources and a failure to recognise the importance of the role mean there has been little progress since the last study in 2014, according to the State of the World’s Midwifery report, which looked at 194 countries.

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Unions urge Sunak to reconsider 1% pay rise for NHS England staff

BMA, Royal College of Nursing, Royal College of Midwives and Unison say pay recommendation ‘fails the test of honesty’

The government is under mounting pressure to reconsider its proposed 1% pay rise for NHS staff in England, with four trade unions writing a joint letter to the chancellor, Rishi Sunak, to express their “dismay” and calling for a fair pay deal.

The British Medical Association (BMA), the Royal College of Midwives, the Royal College of Nursing and Unison said the pay deal “fails the test of honesty and fails to provide staff who have been on the very frontline of the pandemic the fair pay deal they need”.

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Harare’s heroine: how Esther Zinyoro made her home a maternity ward

As a doctors’ and nurses’ strike paralyses Zimbabwe’s health system, one woman has delivered 100 babies in her flat

•Photographs by Cynthia R Matonhodze

Six expectant mothers groan through their labour pains in the lounge of a tiny two-roomed apartment in Mbare, Zimbabwe’s oldest township.

Sweating and visibly in pain, a heavily pregnant woman peeps through the window to catch a breath while others lie on the floor.

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