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NHS maternity services are plagued by unacceptable systemic racism where Asian women get stereotyped as "princesses" and Black women's pain gets dismissed as if they have "tough skin." Staff shortages force women to give birth in corridors with leaking roofs while hospitals cover up their deadly mistakes and falsify records to bereaved families. The system fails women and babies with devastating consequences through cruel comments, discrimination and a brazen lack of accountability. This destructive cycle at the NHS must end.
The higher rates of stillbirths and infant mortality among Black and Asian mothers stem partly from lifestyle and biological factors, not structural racism alone. Pakistani heritage families experience higher infant mortality because of higher inter-family marriage patterns, creating higher risks of birth complications. Black women face more pregnancy difficulties partly because of above-average obesity rates. Baroness Amos' report risks obscuring universal NHS accountability failures by attributing these complex disparities primarily to racism.
The Amos report echoes concerns raised during the Lucy Letby case, where systemic ward failures were largely overlooked while blame was placed on a single nurse. Families and staff reported that institutional self-protection—note redactions, limited transparency, and deflection of accountability — obscured wider safety issues. Real change will require confronting these cultural and structural problems head-on.