Northern Ireland context:
• Northern Ireland has the highest proportion of the population living in poverty in the UK.
• Socioeconomic deprivation in NI is a significant factor in the health and wellbeing of the population.
• Household incomes and productivity levels are lower than the UK average (-17.9% and -14.1% respectively) and NI's gross disposable household income in 2021 was £17,340; lower than Wales (£18,038), Scotland (£19,630) and England (£22,213).
• The largest proportion of births is to women living in the most deprived quintiles, ranging from 21.3% of all births in Q1 (most deprived) to 17% in Q5 (least deprived).
• Most women giving birth in NI are recorded as White; approximately 95% in 2021/22. In 2021, there was an increase in babies born to mothers bom outside of the UK or Ireland and approximately 10% of births in 2013 were to mothers born outside of the UK or Ireland in comparison to less than 4% in 2002
DoH
Context continued:
• Smoking at booking is less likely in first time mothers, women from ethnic minorities, and women living in the least deprived quintile: 4.4% in the least deprived compared with 23.2% in the most deprived.
• The proportion of pregnant women who presented at booking with a normal BMI (18.50-24.99 kg/m2) declined from 48% (n=11,526) in 2013 to 39.6% (n=8066) in 2022 across all HSC Trusts in NI, representing a steady annual decrease.
• More than 38% of woman now have their labour induced. more than 40% have a caesarean birth. While similar to other UK countries and the Republic of Ireland, these rates are out of step with similar countries internationally.
DoH www.heaRh-ni.gov.uk
EUROPEAN MIDWIVES ASSOCIATION
There is a gender trifecta, which is why midwifery is so profoundly underpaid.
The people who are providing the care and the people who are receiving the care are so deeply affected by gender.
Juana Berinstein/ POLICY ADVOCACY. COMUNICATIONS, NEGOTIATIONS, AND
STRATEGY ROOTE IN SYSTEMS CHANGE
Issues affecting #midwifery & #maternityservices in Northern Ireland highlight key aspects of the gender trifecta seen across #Europe. #Deprivation & #disparity aren’t modifiable factors. Hopefully Mary Renfrew’s report will help #midwives to provide services #women, #families & #communities deserve