Caoimhin O’Muraile  ☭ In recent times in the six and twenty-six counties of modern Ireland we have witnessed a level of racism not thought possible, certainly in the Twenty-Six-Counties, a few years ago. 

In the occupied Six-Counties among elements within loyalism the concept has been present for many years often manifested through sectarianism. 

Late last year, 2025, racist and fascist thugs using lumpenproletariat gangs attacked a hostel for International Protection Applicants at City West, Saggart, in South West Dublin. Scenes not dissimilar to the Nazi Kristallnacht in Germany, 1938, occurred and were organised it appeared by fascist and far right groups whose leaders kept out of the way, not wishing to get their hands dirty. Organisations taking part, one of which would have been vehemently opposed to such activities only a couple of years ago, ranged from concerned residents and parents who perhaps took least part in the rioting to organised thugs superintended by the far-right. 

The pretext for the activities at City West was an alleged sexual assault of a 10-year- old girl near the City West Hotel used to house International Protection Applicants, and a 26-year-old man, an asylum seeker, was charged with the assault. Within 24 hours the ‘incident outrage online’ had escalated into unrest and violent clashes with gardai occurred outside the hotel. This led to an arson attack on accommodation housing 2,400 International Protection Applicants and immigrants. Other attacks on migrant centres across the Twenty-Six-Counties have happened with one group travelling to the Six-Counties to show support with racist Belfast loyalists! More recently in Belfast scenes reminiscent to the pogroms carried out by loyalist groups against Catholics (when in 1969 Bombay Street was completely burned-out leaving hundreds of Catholic families homeless and bereft of all furniture) took place after a stabbing attack allegedly committed by a Sudanese man. Anti-immigrant pogroms took place across the Six-Counties chiefly, though not exclusively, in Belfast. A few weeks later another knifing incident took place in Belfast yet not a murmur of protest! Could this have been because the latter incident did not involve a migrant? Far-right groups and individuals from the UK are reportedly involved in fuelling these pogroms, the same groups incidentally who, in many cases, see the whole of Ireland as coming back under the British yolk!

Anti-immigrant feeling is certainly on the rise in the Twenty-Six-Counties but as of yet still a minority, thankfully. People once linked to the left wing of republicanism like Malachy Steenson, formerly associated with Official Sinn Fein the Workers Party, have changed their clothing, joining in with the turmoil spread by the far-right who in turn, though perhaps not realising it, are taking their lead from the British fascists. Serious political activists do not change their position every time an opportunity knocks, this is known as ‘political opportunism’. Many parliamentarians are not serious about their political positions and are unprincipled when it comes to fudging their stance on issues as the Twenty-Six-County government are bowing to far-right pressure, changing their position on Ukrainian refugees who were once made welcome, when it was fashionable! 

One reasonable sounding argument put forward by these far-right groups and individuals against asylum seekers and immigration in general, coloured immigration that is, not white migrants it appears, is that ‘Ireland is overcrowded’. The housing shortage and our health service being stretched to the limit are cited by these dangerous neo-fascist and far-right individuals and groups to “send them back”, claiming ‘Ireland is overpopulated’. The outcome of such propaganda can, and unfortunately did, result in such events as those at City West and other places resulting in an Irish Kristallnacht. Are the Twenty-Six-Counties overpopulated? Do the far-right have a point? Here are some figures showing the population density per square mile of some EU and non-EU countries.

The population density of the Twenty-Six-Counties is 201-207 people per square mile. The United Kingdom is 700 people per square mile, Monaco, one of Europe’s smallest states, 47,000 people per square mile while Malta, the EUs smallest country with the highest population density in the bloc, 4,704 people per square mile. Holland comes in at 1,402 with Belgium 1,007 people per square mile. Luxembourg has 696, with Italy at 513 people per square mile, while Poland accommodates 320 people per square mile. France comes in at 303 per square mile, Liechtenstein wades in at 663, with Germany standing at 612. Romania is at 212 with neighbouring Bulgaria at 151. Austria at 287 people per square mile, Hungary 268, Spain 253, Portugal 294. Within the EU the Twenty-Six-Counties lay 20th of the 27 member states regarding population density with seven countries only having lower figures in this regard. They are; Croatia with 176 people per square mile, Bulgaria at 151, Lithuania 114, Estonia 80, Latvia 75, Sweden 67 and Finland 49 people per square mile. As can be seen the figure for population density for Ireland (twenty-six counties) is very low and does not stack up with the far-right argument about being “overpopulated”. As for land mass, the area size of countries, Ireland as a whole is 32,595 square miles, 32 counties, with the Twenty-Six-Counties holding 27,133 square miles under its jurisdiction. Holland has a land mass of 16,040 square miles, Belgium 11,849, Luxembourg 998 square miles, Malta 122 square miles, Monaco 0.78 (about 500 acres). Monaco with the highest population by a distance also has the smallest land mass, do these figures square with the far-right argument? (EBSCO database)

With a higher land mass and lower population density the Twenty-Six-Counties should have no problem with housing, and yet it has! This is due solely to government policies since the formation of the state in 1922 and various administrations continue to promote policy not conducive to solving our housing problem. One thing for sure is the housing shortage has nothing to do with immigration or, more precisely, International Protection Applicants. Immigrants are being scapegoated by the far right because this diverts attention away from the inherent economic contradictions within capitalism. The far-right are pro-free market capitalist parties who pose no threat to the ruling-class or their economy (which is why the Gardai take an easier line with them compared to left-wing demonstrations) and use any considered viable and visible excuse to blame other than the real cause, government policy and wealth inequality. In other words the people who have been sucked into this racist avenue of blame are attacking the wrong enemy! 

A leading factor towards our housing crisis is the concentration of dwellings around Dublin neglecting other areas. Anybody would think the state began and ended with the boundaries of County Dublin! It is now time for those who have, understandably to a certain extent, followed this right-wing rubbish to turn their attention away from the straw men of immigration and start attacking government policies regarding housing and the housing crisis. Opportunistic politicians jumping on right wing populism will lead only to perdition (not in its Biblical sense). If every immigrant was shipped out of the Twenty-Six-Counties tomorrow it would unlikely improve the housing situation and leave our health service decimated.

As for our health service it is no more stretched, again down to government policies, than it would be with very little or no immigration. In fact without migrant workers we would have no health service. On this myself and the government can find common ground. Many of our nurses are of migrant origin as are some of our doctors and consultants. And a fantastic job they do along with those indigenous employees in the same jobs. 

Stop blaming migration for societies problems, they are not the root cause, start addressing the real and fundamental problems. The fascists and far-right are lying through their teeth and are using the well-meaning but mistaken people of the Twenty-Six-Counties for their own ends. I suggest those who are following these morons read the fate in Germany of some of those who did the same. Hitler had them executed once they became surplus to requirements in an incident often referred to as the Night of the Long Knives. Think about it very long and hard the next time an anti-immigration rally is advertised, you are being used and will then in all probability be abused!!     

Caoimhin O’Muraile is Independent Socialist Republican and Marxist.

Fascist Propaganda And Lies In Ireland

Ten links to a diverse range of opinion that might be of interest to TPQ readers. They are selected not to invite agreement but curiosity. Readers can submit links to pieces they find thought provoking.


Lynx By Ten To The Power Of Two Thousand And Forty One

 


Hate Theology @ 8

 

A Morning Thought @ 3214

Jim Duffy ✍ I am glad to see that the police are taking the vile hate-filled comment by the University of Aberdeen staff member, and that she has been arrested. I have read the comments and they made he feel sick.
 
I did meet Ann Widdecombe once. Most of her views where diametrically opposed to mine. Yet like many gay people that came to know her I found her personally impossible to dislike even while fundamentally disagreeing with her on so many things. 

I could never imagine making the comments that staffer made following the death of someone, no matter what I thought about the dead person's views. She deserved to be arrested and deserves to be prosecuted for pure hate. It is likely that the university will sack her, while the Greens are reviewing her membership of their party and may expel her. She deserves it for what she posted, especially when she refused to take them down despite universal appeals to - especially when it was revealed that Ann had been murdered following a brutal assault.
 
I won't post the comments here because they are too vile to. She should be ashamed of herself.
Update: it appears Ms Herbert, who has now been charged, has a history of extreme language and vicious posts. She also appeared in a video where the man beside her said "if people don't show love [to trans people], show bullets", a comment Ms Herbert did not disown or react to. 

Horrific.

⏩ Jim Duffy is a writer-historian.

Too Vile To Post

Common Dreams Written by Brett Wilkins.

“All states and people who care for freedom must rise up in defense of the ICC and international justice now, before it’s too late,” the UN Palestine expert implored.

More defenders of human rights and the rule of law weighed on Tuesday after US Secretary of State Marco Rubio’s announcement of a “campaign to dismantle” the International Criminal Court, many of whose judges and prosecutors have already been sanctioned by the administration of President Donald Trump.

Rubio raised eyebrows around the world by accusing the International Criminal Court—which is based in The Hague, Netherlands—of “waging a war against our country—not with bullets or missiles, but with statutes, compacts, and the force of so-called international law,” and cryptically vowing that the Trump administration “will teach the ICC the full meaning of American resolve.”

On Tuesday, Francesca Albanese, the United Nations special rapporteur for the occupied Palestinian territories, called Rubio’s announcement “utterly shocking but not a surprise.”

“All states and people who care for freedom must rise up in defense of the ICC and international justice now, before it’s too late,” added Albanese . . . 

Continue @ Common Dreams.

‘It’s Rule Of Law Or Barbarism,’ Says Francesca Albanese After Rubio Attack On ICC

Micheál Choilm Mac Giolla Easbuig ★ To All of the “united Irelanders” . . . 


. . .  it will be the British, the Yanks, the EU, the powerful and wealthy minority, along with the ruling class i mBaile Atha Cliath, who will 'grant'....yes, grant you.... a "United Ireland" ; that is, if and when, They decide to do so. Just as they granted their version of a 26 counties Statelet, in 1922.

On the subject of 'having or not having, an alternative'. First, a 30 year war was fought by men and women who were killed and went to jails. That war was fought for an end to British occupation and equally, a 32 County Socialist Republic. Article 3.2 of the Army Constitution is clear on this. That is what the majority, the poor and working poor, in Ireland, will benefit from.

Secondly, we have 850 odd years of colonialism, 300 hundred years of that, has been under capitalist and bourgeois parliaments. As Connolly said '..parliaments are but the committees of the rich, to manage their affairs… '. And we know, that capitalism and their parliaments, have failed the majority, working class. Pursuing a failed, now 300 year-old tactic, of trying to make capitalism do our biding, is illogical?

You can advance all the legislation you want in their parliaments. They will just change the rules or ignore the outcomes. However, as Lenin carried it out; and, as Engels and Connolly pointed out, people incorrectly, perceive power to be in their parliaments, so, we must use the platform of being in them…and/or the local Councils, to tactically prosecute our struggle, in a strictly Revolutionary way. We are not there to promote bourgeois parliaments or capitalism, we are there to end and replace it all.
 
A Socialist Republican, alternative starts from the position of a 32 County Socialist Republic. Sinn Fein’s “strategy” does not.

Want to build for a Socialist/workers Republic. A Socialist Republic that has to be built from the 'bottom up' Not from the 'top down'. A democracy, Not to be derailed or co-opted by capitalism, imperialism or their parliaments.

A 'people powered decentralised democracy' built in every region in Éireann. Local, people's community councils. An alternative and parallel, people's power base. Not politicians 'acting out Democracy' within the rules of the capitalist parliaments.

A brilliant opportunity to do just that was squandered, when we had the 'H-Block/Armagh' Committees network. But someone, somewhere, decided to abolish them. Why I wonder?

What has Sinn Fein done to promote, amongst the working class, the concept of a 'people powered participatory democracy'? If Sinn Fein had championed this, even as late as 1998, we would be a long way down the road to having a Revolutionary, people powered, political force.

It is dangerously delusional to think that a 32 County Socialist Republic can be achieved, via the charade of politicking in bourgeois parliaments. And l think Sinn Fein know that as well as l do.

Micheál Choilm Mac Giolla Easbuig 
is an 
independent councillor on Donegal County Council.

Whose “United Ireland” Are We Talking About?

Ten links to a diverse range of opinion that might be of interest to TPQ readers. They are selected not to invite agreement but curiosity. Readers can submit links to pieces they find thought provoking.


Lynx By Ten To The Power Of Two Thousand And Forty

 

A Morning Thought @ 3213

Gary Robertson ⚽ Of all the weird stuff I’ve been interested in throughout life public humiliation wasn’t one of them.
 
Yet here I am admitting I’m a Celtic fan and we’ve just been rodgered roughly by Sporting Lisbon,

First half, the home side should have been out of sight so when new bhoy Duran bundled the ball into the net hope rose in the hearts of the hoopites only for it to be extinguished mere seconds later as Lisbon went up the other end past the NPCs that were the Celtic defence and restored their lead. From then on it was all downhill. A final four one victory for Sporting is really kind on Celtic who on any other day could have been looking at a 7, 8 or more score line. I thank the Lisbon players for taking it easy.
 
Tuesday also saw the continuation of the League cup group stages with six Premiership clubs playing and a plethora of clubs from the lower leagues. There’s always the chance of at least one shock result so when I laughingly said to a friend on Bluesky (PJ-1965 Dundee Utd Fan) that Montrose would beat Dundee Utd, I didn’t think for one minute it would actually happen. I then said to Pat (ticgran45) I’ll be even more annoyed because I don’t have a penny on it when the results came through and Montrose had won by a solitary goal, Well, let’s just say that summed up my day perfectly. Sickener.
 
I mean, I like a wee flutter but I’m also a tight bastard so I wasn’t prepared to throw a fiver away. You live and learn apparently (I’m 56 this year so I’d better hurry the fuck up).

Thing is though I was thinking this the other day, are there too many leagues in Scotland? I mean can we really justify four leagues where clubs in the bottom division have only slightly more fans than Jeff the Christian? Crowds in the hundreds aren’t uncommon. I mean, economically these clubs can be barely breaking even, most must be running at a loss. So here’s my solution
 
Two leagues, Premier and Championship as one and League One and Two as another. A 22 team top league, a 42 game season. Drop the split idea and have three automatic relegation and one play off spot. It seems much more sensible to me. More competition for the Second Division: you could have teams like Spartans or Brechin fighting for a place for the chance to face Celtic & Rangers in the top flight. Of course this would mean stadium upgrades and cost but I could see it working. The SFA aren’t short of a few quid so they could help clubs out with long term loans (interest free of course). Other investment could come from local companies, businesses looking to promote to a bigger audience. TV deals could be struck and more money coming into the game and actually getting to the smaller clubs. Not the Tory version of the drip down economy but an actual system where money reaches these clubs.
I’ll give you an example - Livingston knew they’d never fill their stadium so instead of hundreds of empty seats they open three sides of their stadium to fans of Celtic & Rangers (possibly others) ensuring a full stadium and cashing in.
 
You’d fill stadiums. There would be financial rewards the higher you finish in the league. It’s a no brainer in my opinion. Promotion, relegation and play off spots, more competition.
 
It’s something I believe the SFA should look into.
 
They won’t though because rather like the FAI they’re too busy justifying playing matches against the murder machine of the Middle East, Israel.
 
Points deductions and financial penalties are, in my opinion, a small price to pay to remain on the right side of history.
 
So there you have it thoughts and ramblings on the world that is Scottish football. Hold onto your toories lads it’s almost kick off time so things are about to get a little mad.

Anyway that’s that. Whatever you’re doing do it well and do it safely, have fun.

Til next time ……

🐼 Gary Robertson is the TPQ Scottish football correspondent.

Prayers fFor PJ1965

The Empire Untold  ★ Recommended by Tommy McKearney.

One Indian soldier stepped from the ranks, raised his musket, and fired at his sergeant. Within months, half the British Army in India would be fighting for its life.

The parade ground at Barrackpore, just outside Calcutta. March 1857. A hot afternoon. The 34th Bengal Native Infantry stood in formation — sepoys who had served the East India Company for years, drilled to European standards, armed with British muskets. Among them: Mangal Pandey, a soldier like thousands of others. Until he wasn't.
He stepped forward. He raised his weapon. He fired.

The shot missed. But it struck something far larger than the British sergeant he aimed at. It struck the fragile compact that held British India together — the understanding that Indian soldiers would fight for the Company, take its pay, and keep its empire running. Pandey's defiance shattered that understanding in front of his entire regiment.

What happened next unfolded fast. British officers scrambled to regain control. Pandey stood his ground, reloading, shouting for his fellow sepoys to join him. None did — not that day. He was wrestled down, arrested, and court-martialled within the week. The sentence was death. He hanged before the month was out.

A Soldier Steps Out

Barry Gilheany ✍ A virtually fundamental tenet of the wellness woo world is the supremacy of natural healing processes. 

Opposition to vaccination is based on the belief that vaccines represent the violation of the body’s natural healing properties. Antivaxxers hold that good nutrition and environmental surrounds (no dispute there) and exposure to infectious childhood diseases such as measles and chicken pox (at the famed “chickenpox parties) builds up natural immunity to these maladies. The exposure of the body to “foreign” elements such as spike protein is thus a deliberate assault and has been held by opponents of Covid-19 vaccines to have been a major factor in the deaths from myocardial conditions that they attribute to the jabs. 

That a welter of medical trial and mortality data and peer reviewed studies has overwhelmingly confirmed the safety of vaccines does not and will likely never shift antivaxxer beliefs. Opponents of water fluoridation also see similarly malign threats to nature’s healing capacities by powerful forces like Big Pharma and an overweening state. Fundamentalist Catholic opposition to both artificial contraception and abortion is based on Natural law precepts and, like antivaxxers, deployed a corpus of pseudoscience such as supposed causal relationships between pregnancy terminations and breast cancer and infertility to bolster their arguments. 

Recently, in another fraught area of women’s reproductive health, birth and the scandals around the state of maternity services detailed most forcefully in the Ockenden Report on Nottingham Maternity Services and the Amos review on national NHS maternity care, ideological fixations with the desirability of ‘natural birth’ have been identified as inimical to pregnant women’s health. This body of work has also uncovered deep institutional racism over the experience of BME women in maternity care. Essentially contested views on pregnancy and birth have created space for bad actors to operate in; bad actors such as the Free Birth Society who were the subject of a previous TPQ article of mine and who have again featured in more baby deaths around the world.

Natural Birth Ideology

Natural Birth Ideology is the belief that physiological, low intervention birth is the ideal birth method. It emphasises vaginal birth without medical intervention such as induction, epidural or surgical procedures, viewing childbirth as a natural process, best supported by midwifery and minimal interference. Advocates argue that it respects the body’s natural rhythm, reduces unnecessary interventions and promotes maternal autonomy. The spectrum of this ideology ranges from informal, low-intervention birth to the Free Birth Society doctrine that all births should be physiological regardless of risk. Historically some beliefs about natural birth were influenced by moral or religious ideas, such as the notion that childbirth pain was a divine punishment. Modern natural birth ideology is grounded in the philosophy of salutogenesis and advocacy for physiological birth rather than moral judgment. It often advocates with midwifery led care models and home birth advocacy.[1]

Rigid adherence to natural birth ideology can conflict with medical care and informed patient choice. A particular imperative for supporters is the reduction of the need for caesarean sections to the bare minimum The prioritisation of ‘normal birth at call cost’ has had deleterious effects of standards of maternal and neonatal care within the NHS and its promotion has been identified by many of its critics as a significant factor in the series of maternity hospital care scandals that has riven the NHS in the opening decades of the 21st century, the most damning of which was senior midwife Donna Ockenden’s recently published four year report into the “cruel” and substandard care in maternity services at Nottingham University Hospitals NHS Trust. The ideological divide in the NHS over natural or ‘normal’ birth theory and practice has been acute. Amongst the numerous malpractices identified by Donna Ockenden that the “quest for normal birth” contributed to the avoidable harm and deaths of more than 500 women and babies. However in her national review of maternity care, Baroness Amos and her team “did not find that ‘normal’ birth ideology’ was currently widespread’. This conclusion led to the resignation of Bill Kirkup, one of her twelve clinical advisors and of Britain’s leading maternity investigators, from his role on the inquiry.[2]

NHS Maternity Services and Natural Birth Ideology

As alluded to earlier, caesarean or C-sections are a particular flashpoint in the Natural Births debate. From 2007 to 2017, the Royal College of Midwives advised that women should try to have a vaginal birth without surgical intervention, and NHS England told hospitals to try to reduce caesarean sections to about 20% of births. This “normal birth at any cost” culture was central to the scandal uncovered by Bill Kirkup in Morecambe Bay in 2015 where it was found that clinicians had ignored or failed to respond quickly enough to problems during childbirth. James Titcombe, whose son Joshua died of sepsis in 2008 after failures in the Morecambe Bay maternity scandal, said he believed natural birth ideology remained a “significant and widespread patient safety issue”, and that Amos’s review appeared to have “taken a superficial approach”.[3]

The hegemony of natural birth ideology and its effects on maternity patient care is laid out by Clare Wilson. She asserts that the best-known advocates of natural birth may be the National Childbirth Trust (NCT); she reports that those who attended NCT antenatal classes were discouraged by their teachers from seeking medical assistance. Less well known is that from the 1990s onwards the “natural” birth agenda was gaining ground among university researchers and campaigners and over the next decade it became baked into policy documents for midwives and doctors. A key development was the publication in 2012 of NHS guidelines produced in partnership with the Royal College of Midwives (RCM), the Royal College of Obstetricians and Gynaecologists (RCOG) and the NCT which encouraged to boost their rate of “normal” births[4].

Called Focus on normal birth and reducing Caesarean section rates, it highlighted the UK’s rising C-section rates – 24 per cent in 2006 – and offered hospitals a range of measures to try to reduce them to 20 per cent and ideally 15 per cent. It claimed – without good evidence – that this would reduce rates of death and harm from childbirth as well as bringing the NHS financial savings. While the supposed premise of these guidelines was that it was better for mothers and babies to deliver vaginally, it was in reality a cost-cutting exercise according to an anonymously quoted former obstetrician.[5]

Wilson then details how the successive incidences of NHS maternity scandals took place in hospitals which had striven hardest for low C-section rates. First up was at Furness General Hospital in Morecambe Bay where 11 babies and one mother were found to have died needlessly the inquiry reported in 2015. According to Dr Bill Kirkup, one of the country’s leading maternity investigators, who led the inquiry “There was a growing mood amongst midwives to promote natural childbirth”[6]

Next came two similar maternity safety scandals at two linked hospitals in East Kent and Shrewsbury and Telford Hospital which for years had publicised its low C-section rate of 14 per cent compared with the national average of 23 per cent at the time. One East Kent mother said “I felt that … I was made to have a natural birth when an emergency C – section was more appropriate, just so they didn’t dent their precious natural birth rate”. Emily Barley whose baby Beatrice died at Barnsley Hospital in 2022 reported that every concern she raised was met with the rejoinder “It’s just normal birth, everything is OK”.[7]

Further evidence that ideology rather than patient health drove decision making especially in hospitals with extremely low C-sections but with higher rates of still births and neonatal deaths is provided by Dr Nadeem Maghal’s analysis of the ills at Leeds Teaching Hospitals NHS Trust. This Trust had the lowest rates of C-sections in the country between 2012 and 2023 but over the same period, its rate of stillbirths and newborn baby deaths were the worst nationally. Its own 2015 maternity strategy expected all parts of the service to actively promote “normal” birth ‘The home births team’s language emphasised that “birth” is a natural and physiological process.’[8]

Despite the mounting evidence of the harm being caused by the prioritising of “normal birth” at all costs culture, the ! newspaper revealed in November 2024 that NHS hospitals were continuing to place job adverts for midwives who will “promote normality”, eight of which were placed in 2024. It also reported that safety investigators were expressing alarm that potentially dangerous attempts to discourage women from medical assistance during childbirth are widespread.[9]

In 2022 Gill Walton, head of the RCM apologised for its part in promoting “normal” births that contributed to the deaths of mothers and babies admitting that some midwives had promoted an ideology that had gone too far. However belief in the superiority “normal” births under different guises such as the recommendation of ineffective alternative or complementary therapies in lieu of standard medical approaches; for instance offering aromatherapy if labour isn’t progressing which is contrary to medical guidelines.[10] The most high profile use of alternative therapies involves Chelsea and Westminster Hospital in London whose maternity department states that staff use reflexology and aromatherapy to avoid medical induction of labour. It asserts that such treatments are non-invasive and rarely cause the unpleasant or long-lasting side effects that can be associated with medication’

Nottingham

The nadir of NHS maternity care was, of course, the scandal in Nottingham NHS Trust uncovered over four years of investigation and delivered in coruscating detail and tone by Donna Ockenden in Juhne 2026. About 2,500 families and more than 800 members of staff contributed to the inquiry over that time period. Overall, experts concluded, there were “potentially avoidable” outcomes for mothers and babies in 444 maternity cases leading up to May 2025, alongside 76 neonatal cases. All these cases were graded as two or three for harm – with grade two representing “significant concerns” and grade three “major concerns” over care. Different care may have altered the outcome for 260 babies who died or were harmed. Of that number, 155 babies died, while 105 suffered serious injury due to substandard care, with some left with permanent brain damage.[11]

Experts found adverse outcomes were linked to multiple factors including failures in the monitoring of babies; poor interpretation of heart monitoring; a failure to recognise babies were in distress during labour and a failure to escalate some cases to senior clinicians. Systems of oversight “were no longer fit for purpose” and there was a toxic and bullying work culture. Women in the middle of labour were told to “pull themselves together” while another submission from a mother recalled being told to “wait their turn” as there were “other women they had to sort”.[12] These problems had been known about since 2010.

Natural birth ideology was likely a major contributory factor some of the mistakes that occurred, according to the husband of Sarah Hawkins whose baby Harriet died in childbirth in 2016. A telling of the whole harrowing experience that Sarah suffered leads to that unavoidable conclusion. Despite pleading on the phone repeatedly with her midwives during her six days of labour, she was told not to come to hospital and on the one occasion that she did come in, she was given analgesic medication and sent home. After parts of the membranes covering the baby started being expelled from the womb, the midwives on duty failed to treat this development as an emergency. Rather than being examined in order to determine if the membranes were concealing a trapped umbilical cord which would have cut off Harriet’s oxygen supply and so signalling the need for an emergency C-section, Sarah was taken to a midwife led birthing pool intended only for women at low risk. While the bath was being prepared for a water birth and the midwives were discussing what aromatherapy oils to add to the water, Harriet was probably dead or dying. She was delivered stillborn nine hours later.

An external review of the case found that staff had made 13 errors and concluded that the death was “almost entirely preventable”. A few weeks before this tragedy, a doctor had told the couple “Don’t let anyone medicalise your birth”. A clearer exposition of the promotion of ideology over the safety of mother and baby could be made.

The Ethnicity Pain Gap

Over and above these multiple failings in maternity care is a metric of institutional racism known as the ‘ethnicity pain gap’. Experts have found that skin pigmentation often determines whether one is offered in all areas of healthcare, not just maternity care. For example, according to top public health academic Devi Sridhar, in the domain of cancer treatment patients from Black, South Asian and mixed ethnic backgrounds received fewer and lower doses of pain-relieving medication than people from white European backgrounds, even after controlling for patient age, cancer type, health condition, deprivation and other variables that could affect that decision.[13]

On maternity care, Guardian research has established that black women in England are almost twice as likely to have their births investigated for safety failings compared with their white counterparts. Black women in the UK are almost three times more likely to die during childbirth. An interim report published by the National Maternity and Neonatal Investigation included accounts of Asian women being stereotyped as “princesses”, with the implication that they were too demanding or unable to cope with pain, while black women were seen as having “tough” skin and able to tolerate pain.” The report also heard from black women who described experiences of being stereotyped as “the angry or aggressive black woman” which in turn affected their care. For example, in the words of one woman during a family evidence panel: “I feel like, for us black ladies, they feel like we can handle the pain, even when we are complaining we are in pain.”[14]

At the extreme end of the natural birth ideological continuum is the Free Birth Society (FBS), a multimillion-dollar organisation linked to baby deaths around the world, but whose founder Emilee Saldaya claims that during her time at the helm, she had “never heard of a woman dying in childbirth in the sovereign birth world”. Ten months after she made this grandiose claim in December 2024 on The Way Forward podcast, 30-year-old nutritionist, wellness influencer and first-time mother Stacey Warnecke, died from complications of a massive postpartum haemorrhage after a free birth attended by a Melbourne-based birth attendant or in FBS terminology “birth keeper” and friend and student of Saldaya, Emily Lal. It was one of two deaths in her five years as a birth keeper that Lal was to be named in; the other was of a newborn baby in 2022.[15]

Previously, a year-long Guardian investigation had identified 48 cases of late-term stillbirths or neonatal deaths or other forms of serious harm involving mothers or birth attendants who appeared to be linked to the US-based FBS. These cases were found in the US, Canada, Switzerland, France, South Africa, India, Australia and the UK. Now it tells the story of how Lal, a former insurance worker with no medical qualifications. She was trained by Saldaya and her business partner Yolande Norris-Clark, through their Radical Birth Keeper (RBK) school through a three month Zoom course where as one of 850 RBKs that they claim to have trained she was instructed in the art of brand-building through social media through the fog of scientific inaccuracies and dangerous misinformation.[16]

Among the pearls of wisdom inculcated to the students were that neonatal resuscitation can be a form of “sabotage”; that bacteria may not cause infection and that life-threatening pregnancy complications can be “variations of normal”. Norris-Clark and Saldaya have also, respectively, questioned the existence of gravity and whether the Earth is round. Experts who have reviewed the basic advice on dealing with emergencies given by FBS to trainee RBKs say it contains inaccurate, misleading and dangerous information. However in interviews on the Matrescence podcast in 2021 before the death of Ms Warnecke she appeared to suggest that she had the requisite lifesaving skills for emergency situations stating that:

If there was excessive bleeding or something out of the ordinary occurred that we considered to be a variation of normal, I’ve got the skills behind me to help the woman to birth her baby if she wants my help[17]

These stories of catastrophic midwifery misadventures are salutary tales of what can happen when ideology trumps medical care prerogatives. The saga of the use of puberty blockers in the Tavistock clinic is another. Medical dilemmas and controversies should always be framed and solved within a public health discourse. It is to be hoped that Nottingham and other maternity health scandals in the NHS will lead to a definitive step change in that direction.

References

[1] Copilot

[2] Hannah Barnes, 2026. Out of the Ordinary. The Amos Review cannot fix our broken maternity system. I’m not sure what can, The New Statesman 3-9 July p.31

[3] James Tapper, 2026. Maternity crisis: calls to investigate if ‘natural birth ideology’ has put mothers at risk. The Observer 5 July pp.6-7

[4] Clare Wilson, 2024. How the battle over ‘normal’ births is still damaging NHS maternity care. The I Paper 25 September.

[5] Ibid

[6] Ibid

[7] Ibid

[8] Dr Nadeem Maghal, 2025.  Natural Birth at All Costs Is an Ideology, Not a Care Model. Strasys 29 November.

[9] Wilson, op cit

[10] Ibid

[11] Gavin Bevis, 2026.  Baby deaths and toxic culture – the Nottingham maternity report at a glance BBC News Nottinghamshire. 24 June 2026.

[12] Ibid

[13] Devi Sridhar, 2026. The ‘ethnicity pain gap’ is real and fixable. The Guardian Journal. 3 July.


[14] Tobi Thomas, 2026. From birth until death. How the pain gap lasts for a lifetime. The Guardian 3 July 2026 pp. 14-15

[15] Sirin Kale and Melissa Davey 2026. Freebirths. How a ‘birth keeper’ was named in the inquests into two deaths. The Guardian 1 July pp.30-31

[16] Ibid, p.30

[17] Ibid

Barry Gilheany is a freelance writer, qualified counsellor and aspirant artist resident in Colchester where he took his PhD at the University of Essex. He is also a lifelong Leeds United supporter.

Au Naturelle 🪶Pain, Pregnancy And The Sanctification Of The “Natural” Over Women’s Health And Welfare

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