Please sign our letter to the NHS England National LGBT Programme
This is an open letter to Lizzie Streeter, NHS England National LGBT Programme Manager requesting that the Maternity Gender Inclusion Programme is paused for the reasons outlined below.
Click to sign this letter:
Lizzie Streeter
NHS England National LGBT Programme Manager
Dear Lizzie Streeter,
Re: Request for deferral of the Invitation to Quote for the £100k Maternity Gender Inclusion Programme until there is both a published and comprehensive review of pilot schemes that are representative, and a solid evidence base for best practice for this client group.
Thank you for your work on the provision of care for trans and non-binary maternity service users. We emphatically support your aim to provide high quality care to all users of maternity services. However, we have concerns about the Maternity Gender Inclusion Programme (MGIP).
The Improving Trans and Non-binary Experiences of Maternity Services (ITEMS) research by LGBT Foundation [1] on which the programme is based is not peer reviewed and contains significant flaws in its methodology and analysis as outlined below. It is therefore an inappropriate basis for a training project funded by the NHS.
The proposed training has no evidence base and there has been no assessment of impacts on other groups of service users or evaluation of costs to scarce NHS resources and midwives’ time. In these cost-limited times it is crucial to have an evidence base for any proposed spend and we therefore feel it unethical to proceed without access to results of these pilot schemes.
Our concerns are as follows:
1. The ITEMS research is not peer reviewed and has significant methodological and analytical flaws.
The ITEMS research was commissioned to fill a knowledge gap, but given how poorly the research was undertaken it cannot be relied upon to inform training of maternity health workers or for any changes to maternity services.
The central claim that 30% of trans people gave birth wholly unattended (freebirthed) is not borne out by the data. To the question “Did you get support from NHS or private midwives during your pregnancy/ pregnancies?” 30% answered no. This is taken to mean that 30% gave birth without any professional attendance whatsoever (freebirthing) – a wholly unsubstantiated assumption (page 19 of the report). The question could reasonably be interpreted to be querying whether people felt supported by the midwives who cared for them. Thus, it is possible that no people gave birth without midwifery care, or that some were high risk pregnancies and were cared for by an obstetrician.
The study compares a small sample of trans service users (n=121) over a 30-year period, 45% before 2015, at unspecified locations, with a very large group who gave birth over a three month period (n=17,151) in England, making the comparisons unreliable. Any differences in the results may well be attributable to the development of maternity services in the last 30 years such as record keeping, personalised decision making, support for infant feeding or continuity of carer. It is not clear when the pregnancies occurred in relation to the gender transition, nor whether the transition was social, medical or surgical. This is significant data for maternity care.
Additionally, the study did not include any research on medical needs of TNB maternity service users or on infants, and did not consider how the impact of any changes they recommended would impact others.
2. The ITEMS recommendation to introduce de-sexed language for all maternity service users is incompatible with evidence and current guidance.
One of the ITEMS recommendations is to introduce gender inclusive (de-sexed) language for all maternity service users. However, no research or assessment has been carried out to determine the impact of these changes on women who do not identify as trans or non-binary, particularly on vulnerable groups, despite evidence that it can detract from important public health messages [2].
The most recent MBRRACE-UK report [3] noted that the most disadvantaged women were at highest risk of adverse pregnancy outcomes and stated that clear language must be used in antenatal care. NICE guidance on antenatal care states that antenatal services need to recognise women’s circumstances, such as low literacy or English skills [4].
A well researched paper in Frontiers in Global Women’s Health on the impact of language change details many detriments to the widespread de-sexing of the language of female reproduction [5], including unintended consequences – such as using parent to mean mother – leading to poor postnatal care.
We point to Public Health England’s own guidance [6] on improving health literacy, which states that plain English should be used in health communications and medical jargon avoided.
3. A scandal similar to Tavistock could be repeated in NHS maternity services due to poor research and the influence of advocacy organisations.
Recent events at the Tavistock Gender Identity Development Service have shown how practice underpinned by poor research and the influence of advocacy organisations with a particular ideology has led to a scandal that we do not want to see repeated in maternity services.
As the Cass Interim report has shown, good intentions are not enough [7]. Healthcare and training must be informed by proper evidence and have clinical credibility as well as credibility within the community and advocacy circles.
In healthcare and education numerous training courses run by advocacy groups such as Stonewall or Mermaids, or the GP training on Gender Diversity [8], have had to be withdrawn due to concerns, to great cost.
There is a danger in commissioning training from advocacy groups without sufficient clinical expertise in this area. Considerable public funding has already gone into previous research on trans pregnancies that has yielded very limited credible peer-reviewed results [9].
4. The scope and scale of the training programme is disproportionate and could have real implications for neonatal or maternal outcomes.
There has been no analysis of opportunity costs. In these times of limited resources to pull every midwife in 40 NHS trusts away from clinical practice for a set amount of time could have real implications for neonatal or maternal outcomes.
The current estimate of prevalence of TNB maternity service users is at most 1 in 2000, therefore most midwives will not care for a trans or non-binary person during their career. This begs the question of time and cost effectiveness for a training with no clinical credibility which we do not see taken into account in the tender as it stands.
5. The pilot studies are an inadequate basis for rolling out the project to 40 NHS Trusts.
The pilot studies are an inadequate basis for rolling out the project to 40 Trusts due to a lack of (published) independent evaluation or data of the projects’ impact, and any unintended downsides on trans or non-trans populations, especially disadvantaged groups.
The pilot at Brighton and Sussex University Hospitals NHS Trust is not representative of the country as a whole due to there already being two gender inclusion midwives for an unspecified number of clients, existing publicity, and a higher than average trans population.
6. Funding allocated to the programme would be better spent developing high-quality research to support the target group effectively.
Transgender and non-binary maternity service users deserve high-quality maternity care. Appropriate research is needed to inform such healthcare provision. This research should include the needs, maternity care experiences and outcomes of those who identify as transgender and non-binary. It should also include investigation of the medical needs that individuals and their fetuses and infants might have as a result of medical treatments such as testosterone use or chest masculinisation mastectomy.
The ITEMS research does none of the above and is fundamentally inadequate for the purposes of informing high-quality maternity care for trans and non-binary people. The funding allocated to the MGIP would be better spent getting high-quality data on the prevalence and clinical needs of this client group to generate clinically credible data to target support most effectively.
We the undersigned, therefore request you put an immediate hold on the Maternity Gender Inclusion Programme (MGIP).
We would be glad to have the opportunity to meet with you to discuss our concerns. Please contact wearewithwoman@gmail.com to arrange a meeting with representatives of the undersigned.
Signed,
Anna Scott Midwife, NHS
Katherine Hales, Senior Midwife CoC Teams
Deborah Hughes, Registered Midwife
Dr Louise Irvine, General Practitioner, Clinical Advisory Network on Sex and Gender
Linda Bryceland, Director of Midwifery
Lucy Griffin, Hospital Consultant
Catriona Cusick, Midwife NHS
Anna Melamed, Midwifery Lecturer
Ann Stevens, Health Visitor
David Bell, Retired Consultant Psychiatrist
Sinead Helyar, Nurse, NHS
Dr Az Hakeem, Consultant Psychiatrist
Dr Tessa Katz, GP
Louise Barraclough, Lead Nurse/ Specialist Safeguarding Lead
David Morgan, Consultant Psychotherapist
Sarah Ardizzone, Midwife, NHS
Rosemary Curtis, Retired Health Visitor and commissioner of maternity services
Sally Millar, Senior Research Fellow, Retired (ex University of Edinburgh)
Judith Green, Director, Woman’s Place UK
Ali Ceesay, Director, Woman’s Place UK
Beverley A Lawrence Beech, Retired Hon Chair, Assoc for Improvements in the Maternity Services
G Thompson, Midwife
Rebecca Pinnington, Midwife
Claire Pate, Midwife sonographer
Irene Williams, Retired nurse
Delia Hazrati, Radiographer Personal capacity
Philip Hopley, Psychiatrist
Sharon Gamon, Practice Development Midwife Private Midwives
Sara Marsh, Health Visitor
Nick Mann, GP, NHS
Anne Dean, District Nurse/Rehabilitation Service Manager(retired), NHS Greater Glasgow & Clyde
Milli Hill, Author of the Positive Birth Book
Ann Sinnott, Director, AEA
Michelle Wright, Midwife
Sibyl Grundberg, Osteopath
Pamela Morrison, Lactation Consultant, Private practice
Karen Goldrick, Midwife
Jane Robinson, Retired nurse and full time woman
Nicky Neighbour, Antenatal practitioner (retired)
H Watts, RN SCPHN HV
Jen Gilbert, Midwife
Kate Souper, Retired Doctor
Valerie Haldon, Retired midwife
Loreto, Breastfeeding supporter
Caroline Meagher Training Manager 3rd sector health and social care
Claire Fewster, Counsellor
John Rubinstein, Helper of Midwives Haven
Stephanie Blennerhassett, Retired Nurse
Catherine Williams, Childbirth educator and Masters student in medical anthropology
Charlotte Edun, Research Assistant (Maternity)
Labour Women’s Declaration Working Group, Labour Women’s Declaration
Charlotte Enderby-Ryall, Midwife, NHS
Jancis Shepherd, Retired Lead Midwife for Education/ Head of Midwifery, Previously, University of West London
Ms Denise Sumpter, Maternity and Breastfeeding informal advocate
Alison Arrowsmith, Midwife
Diane Dear, Retired nurse. Mother.
Yvonne Pike, Registered Mental Health Nurse
Sarah Davies, Senior Lecturer Midwifery (Retired)
Claire Parry, retired Midwife
Lindsay Skyrme, BMid, MSc, NHS
Victoria Williams, Maternity researcher and mother of a non-binary person
Charlotte Huggins, Midwife, NHS
Professor Alan Johnson
Anne Stafford, Non-practising Midwife
Sian Howard, Mother, social worker
Maggie Mellon, Committee Member, EBSWA Evidence Based Social Work Alliance
Anna Zobnina Executive Director European Network of Migrant Women
Lisa Littman, MD, MPH, Physician-scientist trained in Obstetrics, Gynecology, Preventive Medicine & Public Health
Delyth Rennie Children and Family social worker (retd),
Alison Wren, Former biology teacher in young mothers PRU
Ceri Williams, Retired college principal
Rebecca Durand, English for Speakers of Other Languages (ESOL) Lecturer
Rose Rickford, Sociology PhD candidate University of York
Cathy Devine, Independent Researcher
Linda Law, Emergency Nurse Practitioner
Susan Swan, Yoga therapist supporting expectant clients and soon to be step-grandmother
Dr Ruth Livingstome, Retired GP and Clinical Director
Dr David Pilgrim, Chartered Clinical Psychologist
Amanda Wheeler-Pollitt, NHS Specialist Nurse
Maureen O’Hara, Lecturer in Law
Barbara Anne Marshall, Social worker
Amanda, Woman, mother, Public Health Nurse, NHS
Bronwen Davies MSc, RMN, RGN, Retired nurse
Anonymous, Adult Social Care Commissioner, Local Authority, NE England
Angela Green, Senior Sister in Oncology Research, Sheffield Teaching Hospitals NHSFT
A C Jones, Retired nurse, Sussex University Hospitals
Alison Halliday, RGN
James Esses
Jo Campbell, Health and social care worker
Jane Symons, Health journalist
Anne Sims, RN, NHS
Doreen Wallace, Nurse
Lynsey McCarthy-Calvert, Counsellor
Christine Dellen, Former Breastfeeding Counsellor
Caroline Embeton, Registered nurse, NHS
Catherine, RGN, RMN and woman, NHS
Dr Tracy Mitchell, GP, NHS
Joanne Scannell, RN
Lindsey Robinson, Psychotherapist
Dr Helen M Manson, Medical doctor
Christine Biddlecombe, Clinical Nurse Advisor
Margaret Fairlie, Retired nurse
Elizabeth Turner, Diabetes Research Midwife
Eleni Maria Liaka, Doctor
Joanna McCormick, Mother and former midwife
Dr Angela Dixon, GP
Andreia Nobre, Voluntary doula, journalist, author of the Grumpy Guide to Motherhood
Mrs Janette D Leck, Registered Nurse Adult (RT’d)
Delia Morris, Retired Nurse, Social worker, mother of two
Samantha Foster, Charity worker with food banks
Siobhan Scanlan, Recently retired midwife
Gerry Holloway, Mother/grandmother
Lorna Fitzpatrick, Retired Social Worker
Fay, Childrens social care
Dr Shonagh Dillon
Georgina Toye PhD, Biomedical Research Scientist, Retired
Katrina Parnell, RGN
Lynn R S Genevieve, Midwife (Retired)
Ann Nordlöf, Psychologist
Dr Lesley Semmens
Janet Lallysmith, Training and development
Suzanne Wood, Research and Development Project Manager
Ms A Windmill-Robson, Independent Midwife
Anna Cox, Retired Health Visitor
Rosie Haldon, Nurse
Hannah Mitchell, GP
Kerryann Lund, Retired teacher
Sarah Panzetta, Fertility awareness practitioner
Sam Grey, NHS manager
Sarah Shuffell, Women’s SRH advisor, MfD
Karen Varley, RGN (retired)
Jeremy Wickins, Lecturer in Medical Law and Ethics (semi retired), psychiatric nurse (retired).
Sandra Houston, Midwife Consultant
Caroline Hitchen, 111 Health Advisor
Jenny Warren OBE, National Breastfeeding Advisor Scotland (Retired)
Brian Pickles, Associate Professor of Ecology
Lisa Salamone, Certified Life Coach
Anne Agostini, Clinical Nurse Specialist
EJ Gray, Concerned Citizen
Joanne Smart, Concerned member of the public
Catherine Carmichael, Doctor
Polly Phillipson, Education
Paul Creaner, Educator
Rosanna Le May, Executive Assistant
Sara Morris, NHS Data Analyst
Linda McKenzie, Former NICU nurse
Fiona Grierson, Information Architect
Elizabeth Poole,
Miranda coulson,
Lizzie Route, Mother
Joan Appleton, Mother
A Steele, Mother
R Godwin, Mother
Avril Peppard, Mother & Grandmother
J Perera, Mother and concerned woman
Elaine Allison, Mother and grandmother
Kirsty Willing, Mother and soon-to-be grandmother
Kathryn Webb, Mother of medicalised, transitioned female
Clarice Saadi, Mother of two
Lois Anne Tayler, Mother, Grandmother, Adult Human Female.
Alexandra Renée, Mother/Birthworker
Claire Wild,
Janet Marks,
Sally Jarvis, RN and former SCM
Trisha Kelly, Senior Lecturer in Social Work ( retired).
N Smith, Nurse
Lisa Davies, Paramedic
Fiona Mitchell, Physiotherapist
Dr Stella Kingett, Psychiatrist
Jo Smith, Psychotherapist
A Stokeld, Psychotherapist
Y Forster, QTS, MA (Hons) Applied Linguistics, Volunteer Mother Supporter
Mary Reid, Receptionist
Michael Cook, Retired civil servant
Dr Margaret Pearson, Retired Clinical Scientist
Catherine Murray, Retired Health Visitor
Isobel Matheson, Retired HV and paediatric nurse.
Ann marie McCormack, Retired Midwife
Cheryl Buswell, Retired registered nurse
Linda Whitehead, Retired occupational therapist
Dr Anne McConville FFPH, Public health doctor, retired
Thomas Carey, University Teacher (Nursing Studies) ret.
T Green, Obstetrician
Dr K Sharma, GP
Sam Briggs, ACP, General practice
Natalie Bird, Doula
Bev Marshall, Clinical Researcher & Mother
Robert Withers, Jungian analyst, Society of Analytical Psychology
Dr K Oliver, Psychologist
Jasmine Sussex, Mother, breastfeeding advocate
C Scott, Public health professional, LA
Joanne Priest, Educator
Elizabeth Darran, Retired Psychologist
Dr C. Thomas, G.P, NHS
Margaret Kane-Dickson, Public Health Practitioner
Dr Jannine Dowling, Clinical Psychologist
H. Webb, Mother, Student Radiographer
Jennifer Stephenson, Midwife & Practice Educator
Katharine Knight, Doctor
Gina Burton, Retired Ambulance technician
Helen Cook, Nurse Leader, NHS
Claire Robinson, Senior Project Manager (national), Health Education England
Katharine Arnold, Specialist registrar, general and geriatric medicine
Charlotte Disley, Psychotherapist
Fiona Hanson, Retired nurse
Dr Celia Sadie, Clinical Psychologist
Susan Holmes, Health Professional
Dorinda Mills, Non-Practising Clinical Psychologist
Lydia El-Shazly, Paediatric Nurse
Brian Morris, NHS (Retired)
Harriett Robins Kennish, Mental Health Liaison Occupational Therapist (signing on behalf of myself, not my NHS trust).
Karen Moore, Senior Nursing Assistant, NHS Foundation Trust
Angela Thompson, Obstetrician and Gynecologist
Lindsay Duncan, Retired, Local authority
Frances Fearon, SRN Retired. Mother. Grandmother.
A Hart, Psychotherapist
Kelly Darling, Antenatal Teacher
Kezia Bienek, Mother/Opera Singer/Doula
Janet Sellers, Retired nurse
Dr Imogen Jackson, Clinical Teaching Fellow
Alison Teal, Family Therapist and Psychologist
Sarah C, Current student nurse
Kay Warbrick, Ex Children and Families Social Worker, Manager and Safeguarding trainer
Sally Davies, Mental Health Nurse
Jo Webb, Health Psychologist and Lactation Consultant
Kirsten Dawson, Health visitor
Chris Henderson, Retired early years strategist., Local authority
J metcalfe, Early years senior practitioner / SEMH practitioner
Judy Thomas, Retired Senior Practioner Child Protection
Kate Skillicorn, Policy Officer, Eden District Council
Victoria newcombe, Coordinator, CIC
Mara Ricoy Olariaga, Birth Educator and activist
Mental health practitioner, NHS Highland
Judy Tate, Designated Safeguarding Lead
Jane Parker, Retired Nurse
Natasha Dykins, Retired doctor
Sofia Castillo, Patient information officer, NHS
Lisa Northover, Breastfeeding Counsellor (retired)
Sophie Rivett, GP
Elaine James, Clinical nurse specialist, GSTT
Mary Lester, Nurse, NHS
Sue Kay, Health researcher retired
Genevieve Salisbury, Mother and Psychologist
Mary R Dent, Retired Nurse
Mags Clayton, Education Mental Health Practitioner
Sue Kingston, Retired nurse teacher. Woman
Katie Woodland, Psychologist
Lucy Poels, Retired Midwife
Amanda Kenwrick, Retired. Trained in nursing in 1960’s.
Dr Judith Dodds, Community Paediatrician and Sexual Health speciality doctor
Rebecca Daniels, Student Pediatric Nurse
AnnaMaria Minogue, Psychotherapist
Ann Wright, Mental health
Sally Frances, Social Worker
Bryony Skey, Retired psychoanalytic psychothetapist, NHS
Dr Alice Hodkinson, GP
Susan Turner, Midwife (retired)
Chan Moruzi, Researcher
Ruth Hooper, Retired Mjdwife
Veronica Lopez, Psychologist and educator
Margaret Hopley., Retd. Health Visitor .
Caroline Kane, Midwife, NHS
Molly Q, Healthcare Support
Julie Woods, RN(MH) Retired
Debbie Epstein, Emerita Professor University of Roehampton
Liz Day, Retired general nurse
Mary Hopley, Retired Nurse
Jean Ruane, Retired Lecturer Mental Health Nursing, Other
Dr j. Gasper
Ann Stuart, Retired SRN RCM
Nina Griffith, BSc, MSc, PGDip Adult Nursing
Lucy Hunter Blackburn, Policy analyst and mother
Helen Catt, Psychologist
Iris, Communications & SM Representative, Standing For Women
Tanya Croall, Women’s health Physiotherapist
Molly O’Brien, Midwife, Midwife educator
Gina Docherty, Policy manager (health)
Anonymous Midwife Academic
Dr Heather Brunskell-Evans, Medical Humanities
Dianne Landy, Co-Founder, Mana Wāhine Korero
Emma Mansell, Midwife
Shirley Roper, Retired Midwife
Helen Le Fevre, Retired nurse
Hilary Burrage, Adjunct Professor
Marion Morris, Public Health professional
Shareefa Shsh, Registered Nurse Emergency care, NHS
Dr A M John, healthcare worker
Lisa Halse, Osteopath
Rachel Loosemore-Smith, Health care assistant, Public Health Wales
Katarzyna Buxton, Psychotherapist, Cornwall Clearwater Counselling
Emma Hayes, Dentist, NHS
Marijke Acket, Retired Psychotherapist
Diane Dawson, NHS
Nicholas Davies, NHS Administrator
Rebecca Roberts, Mother of four, NHS
Lynne Glover, Psychotherapist
Carol McKee, NHS
Lyn Tiller, Aurora New Dawn
Michelle Bennett, Social Worker
Joanne Fretwell, NHS worker
Elinor Holmquist, Pregnancy advisor
Dr Faye Carey, Psychoanalytic psychotherapist
Heather Thornton, NHS worker
Susan D Doherty, Retired midwife
Lisa Koekemoer, Public health, Consultant
Sue Brailey, Midwife
Jackie Dyer, Retired NHS Senior Manager
Dr Shawn Walker, Senior Research Fellow, King’s College London
Anna Tracey, Registered Nurse
Sandra Lawler, Retired Nurse
Dr Lenny Cornwall, Consultant Psychiatrist
Sheila Stallard, Retired Consultant Breast Surgeon
Dr Rae Elizabeth WEBSTER, Hospital Consultant (retired), NHS
Luisa Jbira, Midwife, NHS
Lisa Saffron, Author of It’s a Family Affair – the complete lesbian parenting guide, Diva Books.
Joyce West, Retired health care consultant
Kathleen Cruddas BSc MBA, Retired NHS Manager
Danielle Sinnett, Academic and mother
Emma Gwilliam, Nurse
Shelley Charlesworth, Researcher, Transgender Trend
Karen Ross, Retired Midwife
Sally Poxon, NHS
Louise Currie, Retired Midwife, NHS Scotland
Julie Norton, Data Analyst
Niamh Mac Mahon, Teacher of biology
Manuela Herrera, Psychologist
Helena, Public Health Nurse
Dr FIona Dean, Ex GP
J Baker-Carr, Lecturer
Helen Kay, Researcher
Linda Hamilton, Concerned woman, mother and researcher,
Maura Dalton, Retired social worker.
Dr Firat Cengiz, Mother, academic
Samantha Underwood
Charlie Dacke
Hannah Lendon
B Keats
Sue England, Lawyer, FAWCO
Selena Quirke (Mrs.)
Lyndsey Maiden
Eibhilin Sedman
Heather Strohl
Genevieve Cox
Sarah Lloyd-Davies
Millie Munn
Nicky Thompson
Anya Osen
Emily Toft
Phil Mayes
Mrs Sarah Richardson
Rosie Darkin-Miller
Virginia Ogg
William Matthews
Sally Jackson
Sarah Walker
Sarah Wrann, Teacher
Barbara Higham
Freda Davis, Mother and grandmother
Fiona Vigar, Mother
Kay Lawrence, Mother
Martin Dear
Dorothy Pearlman, Mother,
Georgia Hayden
Maria da Gandra
Eleanor Canero
Sharon Buxton
Mary Curran
Carmel Kelly
Jessica Winkler
Jessica Rayburn, Mother
Lynn Thomason, Retired
Susan Carnegie-Harding, Mother
Hetty Vink, Mother of two, homebirth
Susan Yavetz, Maternity services user
Diane Holyoak
Amy Edwards
Alexandra Geddis
Karin
Monica Bijok, Reality based feminist
Vera Burgess, Carer
Anthea Economides
Gill Rimmer
Wendy Brindle
Rose Reeve, Mother
Diana Clough
Joanne McNeil
Tanya Carter
Cheryl Inwood
Lorna Irvine
Naomi Passman
Angela Jukes Civil Servant
Kerry Gaskin
Monika Neall
Fran Batin
Jill Raymond
Sue Pentney
Rose Seabury, Retired,
Lu Smith
Tracy Gardner
Paul Milnes
Rachel Hardy
Nicola Carr
Mandy Vere, Mother (2 births) & lay attendee (6 births)
A E Hartley
Alan Gray
Emma Dolan
Leigh Taylor
Emma Cheevers
Karen du Plessis
Sally Richardson
Sarah Burton
Fiona English
Pamela Barclay
Norma Walton
Maire Smith
Sarah Veale
Tania Ziegler B Sc(Hons) MA Ed
Sue Hale
Dorothea S Annison
Helen St Luce
Andrew Squires
Iris Walker
Karen Kennedy
Alison Jenner
Simon Reeves
Frances Davidson
Jan Baxter
Jean Ireland
Alice Bondi
Claire Loneragan
Isabelle, HEY Resisters
Isobel Boyes
Gael Cochrane
Kathryn Pope
S Woodall, Mother
Cecilia Greenwood
Bev White
Polly Courtney, Maternity services user
Eileen Cann, Mother and grandmother who breastfed her children
Savitri Holmstrom
Rebecca Brueton, mother
Julia Davage, Mother and teacher
Anne Brown
Lottie Moore
S Henry
Jenny Shepherd
Ruby Lescott, Mother
Jane Loe
Gemma Winborn-Peart
Brenda Whisker
Annie McDonald
Lorna Connolly
Helen Wardle
Barbara Squire
Elizabeth Proudfoot
Sally Trethewie, Mother
Gwen Margaret Kime, Concerned member of the public
Joanna Young
Claudia Hay
Alison Richard, Mother of three
H Jones
Carolynn Cruickshank-Gray
Michelle Styles, Mother who breast fed her children and had 2 as VBAC
Gemma Williams, Mother
Clare Forrest
Jacky Holyoake
Shelagh Corker
Helen Bailey
Jane Roffe, Concerned woman
Eleanor Hill
Gail Ennis
Laura Tierney
RJ Turner
Sarah Bradbeer, NHS user
Emma Robertson
Beth Vaughan, Mother
Sera Stewart
Rebecca Lush, Mother
A Read
Heather Welford
Claire Brierley
Chris Pook
Lucy Cleary
Denise Fahmy
Julie Spencer
Catherine Evans
Judith Berridge, Retired
Susan Millership
Sam Reed
Sally Wainwright
Sara Armstrong
Virginia Wakely, Mother/Grandmother
Fiona McAnena
Hazel Chowcat, Concerned feminist
Bob Gould, Landlord
Ms Jillian Nicol
Emma Tompsett, Mother
Ms Deborah Ryan
Carol O’Dea, Life long feminist and supporter of women’s sex based rights
Sarah Neville
Susan Simms
Frances Younson
J Gourley
Susan King
R Baird
Charles Jones
Martine Rousset
Eirene Mitsos, Citizen
Dr Shira Lewin Solomons
Lesley Munro
Georgina Kuna
Steve Holroyd
Sheila Williams
Jacqui Rafferty
Julia Lamb Tod
Barbara Jones, Mother, Retired
Gill Hughes
Louise Devlin, Feminist
Isabella Millar
Linda Curran
Claire Gibbs
Carol Bailey, Concerned NHS-user
Jean Taylor
Derek Clarke
Linda Labonte-hurst
Joanne Hayes
Kathy Salaman
Clare Mabbott
Jessica Fear
Nicola Holland, Teacher, Councillor and mother
Jo McIntyre
Darrell Clarke
Helen Tissington, Retired midwife
Rachel Edney, Mother
Samantha Pillay
Amy Blakeney, Mother & Advocate for women’s birth rights.
Tamsin Evans, Support worker
Liz Evans
C. Wright
Lisa Skeggs
Joanna Foster, Working with children and teenagers
Marilyn Badger, Mother of four, Retired civil servant
Wendy Knight
S.Paine
Josephine Schwab
Natalie Taylor
Val Hirst, Mother and Grandmother
Karina Blanco, Mother
Barbara Gosden, Mother/Grandmother
Lori-Lee Potts
Laura Fletcher
Andria Haffenden
Aurora Sinclair
Christine Fraser
Caroline Knight
Ruth Watson
Yvonne Shelmerdine, Mother
Andy B J Low
Josephine Hewlett
J Bird
Alison Whiteford
Elaine Coates
Caroline Dees
Zoe weston
Carla Jones
Jane Schofield
Carole Leslie
CBM, Mother
Elizabeth Tempest, Mother & Grandmother
Jaye Nolan
Margaret Hopley.
Samantha Stapleton
Leo Hopley
Y W Morrison, Case manager
Anja dumschat
Alison Miles, Retired HV
Trish Lavelle, Retired Trade Union Officer, Mother and Grandmother
Carole Chick
Barbara Lapthorn
Jennifer Drew, Independent Researcher in Male Violence Against Women and supporter of single sex facilities
Vicky Powell
Mary Hinsley, Mother
Harriet Wilder, Mother
M Osner
K How
Lisa Carter
Nina Cartwright
Annie Bishop, Advocate, Phoenix Consultancy and training
Tessa McInnes
Gillian Braithwaite
Hilary Kerr
Sally Eastham
Nicola Gill
Josephine Stapleton, Mother
Frances Patterson, Retired
Nicky Lovick, Mother
Emma Turner
Barbara Bevan
Nancy Wright
Denice Houslin
Charlotte Revely
Rachael Lloyd
Amy Mansfield, Woman and mother
Christine Wright, Mother
Morag D
Cath sarsfield, Engineer
Deborah Twigger
Michaela Mercuri
Deziree Wilson
Judy Webb, Sister to two midwives. Concerned woman and daughter of a nurse
Ruth Todd
Tracey Miller
Talita Conde
Lyndsay Hopkins
Sheila Sutton
Jacqueline Mearns, Community Worker and Adult Education Co-ordinator
Annabel Jones
Irene Wychrij
Deirdre Johnston, Concerned woman
Linda Hart
Arwen Webb
Mrs Linda Wain
Diane Mellor
Sharman Dunn, ex NHS
Abigail Cox
Suzanne Slatford
Maria MacLachlan
BM Smith
Sue Drake
Karly Morris
Wendy Tozer
Laura Scarlett
Emily Putnam
Lisa De-Vall
Dianne Frances, Woman
Tracie, Mother
Ann-Katrine Sayers
Elaine baxter
Christine Karman
Sarah Chaundler, Mother
Andrea Yeomans, Medical Engineer, NHS
Deborah Morrow, Mother
Vikki Williams
Tony Leigh
Claire Winfield
Janine Southern, Support worker, Achieve Together
Mikaela Brunt
Collette Callan
M Henderson
Douglas Forder
Vanessa Bell, Social worker, Self employed
Robyn Cranney
Helen Wightman
Maria-Helena Santamaria
Carol Bartle
Sarah Cole, Service User
Georgia Richardson
Hanora Crowley
Amanda Twohey, Mother
Adriana, Communications Officer, European Network of Migrant Women
Helena Thomas
Kathleen Nicholson
Ruth Lewis
Fran Howkins
Michelle Johnson, Mother
Madeleine Baldon
Stasia Richardson
Beverley Hixon, Retired medical librarian
Rebecca Barrett, Advocate
Diane Corbett
Mary McAuley
Joyce Ferry
Lorraine Gordon, Woman (Adult Human Female), Retired
Liz, Breastfeeding Counsellor
Layla Evans
Victoria Bendon
Sharon Phillips
Carrie Jarvis, Retired Speech and Language Therapist
Laura Davis
Alison J Griffiths, Mother of three children
Mel Knott
Gill Parke, Childrens Social services
Suzanne Hitchin
Carl Taylor
Coleen Gruschow
Julie Mountain, Mother of two children
Mandy Forrester
Ann Dix, Mother and grandmother
Pam Finch
Elaine Lee
Sue Peters
Lisa Holstead, Technical Office, Local Government Officer
Charlene Hutchinson, Logistics Advisor
Melissa Stevenson
Cathy Rosa
Eleanor Greene
Rosalyn Harkin
Joy Bean, Mother
Zoe Ennison, Motor engineer
Amanda Mayes, Volunteer, MIND
Andrea Burford, Mother
Brigid Cherry
Harry Rawlings
Bridget McCann
Ginka Ilieva, ROGD parent
Dulcie Tudor, Helpline response advisor, First light South West
Judith Wright
Joanne Akers
Charlotte Lawrence
Mr Jamie Paine
Liz Panton, Retired Speech & Language Therapist
Fiona longworth
Diane Miles, Concerned parent and retired NHS employee
Jennifer James
Lynsey Cochrane
Lesley Cook
Celia Green, Grandmother
Cathy Maxwell, Mother
Victoria Wiklund
Caroline Williams
Shirley-Jane Merry
Daniela Fisher
Dr Holly Gordon, Social worker
Richard Burke
Natalie Kehr
John Haldon
Catherine Williams
Louise Tonkin
Rebecca Bergfjord
Sandy Smith, Retired, HullHarp
Jude Grant, Domestic Abuse services specialist
Marie Buckley, Woman
Concerned Professional, Counsellor
Louise Branch
Lucy Moore
Sharon Baxter, Mother and grandmother
Rosswitha Morrison, Counsellor
Sheena Fleming
Laura Armstrong
Margaret Christie, Plain-language professional
Juemin Xu
Danielle Wheatley
Katharine Rogers
Carol Lennie, Mother
Celia Hunt
Rosemary Bennett, Counsellor
Jennifer Cowe
Trish McPherson, Acquired Brain Injury survivor, granny
Sarah Wilson
Laura Wyles
Catherine Falsay
Diane Maguire
Ruth Anscombe, Midwife
Lisa Trotman
J Turner
Vicki Vass
Heidi Carlsen
Marion Fallon
Janice Drew
Judie Kinkaid
Victoria Keilthy, Mother
Sara White, Retired
Claire O’kane
Jessica Goldfinch, In a personal capacity
Beth Aze, Mother
Margaret Baker Moss
Linda , Grandmother
Rob Caiger, Father & supporter of women’s sex-based rights
Susan McQueen, Retired nurse
Diana Ward
Janet Warren
Sam Rospigliosi
Jacqueline McNamara
Jane Turnbull, Mother
AL, Midwife
Deborah Kell
Emma Barraclough
Catrin Slade, Mother
C Evered
A Holdsworth
Bethan England
Dittany Rose
Alicia Hood, Someone with experience of underfunded maternity services
Hilary Baxter, Author
Colleen Burton, Midwife
Mari Villafan
Rosemary Pharo, Educator
Joanne Jones, Mother
Jacqui MacLeod
Sandra Harrison, mother and grandmother
Sarah Mayne, parent
Armorel Tara Drake Wright
Shabanah Fazal
Valentina McParland, Retired social worker
Beatrice Walduck, Mother
Coral Lancaster, Mother
Jackie Uphill
Helena Coates, Mother
Louise Randall
Brigid Morison
Sara Miller
Alix Goldring, Project Manager
Siobhan Wall, Freelance writer
Charlotte Wilson, Mother
Nicola Haddon, Domiciliary Care
S Biswas
Jane Mactaggart
Suzanne Lacey, Social worker, NHS
Laura Cowen, Mother
Lindsay Hamilton-Reid
Catherine Dobson
Sarn, mother
Helen Hill
Verity Hoyland
Peter Schiazza
Philippa Woolford
M Hyndman, Domestic Abuse Practitioner
Erika Luukas Greer
Mererid Velios, Mum of 2 girls
Louise
Jayne Finch, Maternity service user
Alison Moon, Local Government worker
Jane Leavens
Anne Ford
Fiona Forster
Zara Cottrill, Woman & Mother
Sharon Caffrey
Leslie Rowe
Bea, Adult human female, Mother
Matt Iveson
Naomi Marks
Liz Pitt
Cath Dyson, Women’s Rights Network
Eleanor Hunt, Teacher and mother
Sarah Gregory, Select
Linda Guthrie
Maggie McHale
Margaret Green
Dee McCullough
Joanne Finkel
Helen Edwards
Claudia Sorin
Deb Ball
Heloise Wire
G Quirke
Alexandra Kershaw
Patricia Dodsworth
Abby-Lee Widger
Julia Spicer
Heather Finlay
Tracey Logan
Kat C Busby Hicks
Julie Armstrong
Maggie Jones8
Rosalind Hurley, Support worker, Creative support
Charlotte Winter
Sally Milks
Carol O’Byrne
Penny Burton
Barry Maidment
Susan Hughes
Sam Parker
Catherine Nicholls
Paula Burlison
Tania Sturt
Erin Livsey
Judy Mason
Charlotte Hilton
Jan Thorburn, Writer
Steven Ferguson, Tutor, Tutor Online
Christine Hall
Jill Foster, Journalist
Marjorie Caw
Sarah Harvey
Pamela Taylor
Ann West, Mother of Vulnerable Woman
Lisa Johns
Amy Carr
Nathalie Kail
Maya Paldi
Emma Taylor
Juliette O’rady, Teacher/Hypnobirthing Teacher
Julia Lence
Liane Cusack
Dr. K J Kaye
Victoria Lax
Magda Devas, NHS patient
Jacqueline Higgs, Mother
Jan Stowe
Mary Catherine Hopkins
Samantha Fisher
Carol Beckett, Grandmother to eight grandchildren, retired
Marika Mason
Lizbeth Collie, Private individual
Sara Mai
Denise Johnston, Mother
Jules Eachus
Sarah Ratcliffe
Barbara Helm
Alice Mathewson, Adult human female and mother
Carey, Mother
Eleni Chrysopoulou, Director, property, female who has given birth twice
Christine Lynch
Kathryn Pitts, Mother
Avril Mewse
Harriet McKenzie
Rosalind Barber, Mother
Marlyn Glen
Kirsti Wenn, Mother
Pippa Richardson
sandy devlin
Geraldine Reith
V Gibson
Siobhan Walker
V Nagy, Mother, Womens Rights Network
Jan Butler
Sandra Mason
Stella Govette
Mary MacCallum Sullivan
Su McLaughlin
Rebecca Newman, Mother of two breastfed children
Joanna Jones
Sandra Humphreys, Woman, mother, grandmother.
Hannah Emerson
Colin Sinnott
Paul Milnes, Retired
Brudget Palmer
Ceri Dyke
Sue Riley
Natasha Norton-Twining
Carina Bennet
Caroline Walton
Lynda Kay
Tracey Neighbour
Vivien Hamley
Indigo Knoxville
Helen Green, Service user
Suzanne Chandler
Maria Farrant, Mother/grandmother
Penny Tunbridge
Jean Rochford
Victoria
Lisa Morgan, Chair, UK Guild of Hypnosis Practitioners
Michael Massey, Human, male, father and grandfather, Individual
Caroline
Kaye McIntosh
Hayley Micciche
Anne Cooling, Mother
Carly Hickey
Catherine Czerkawska
Joy Cain
Susan Ram, Mother and grandmother. NHS supporter
Eleanor Downey, Employee Advisor
C. Taylor
Selina Taylor
Jennifer Smith
Ellie Donaldson
Leila Thexton
Kylie McClelland
Jo Kneale, Teacher, Mother of three
Charlotte Albery-Jones, Woman, mother
Lucy May Loch, Mechanical Engineer
Caroline Mooney
Vivien Perry
Grainne McKeown
Jemma Winborn, Mother and NHS maternity services user
Naomi Walmsley
Sarah Richardson
Catherine Woodall-Crook
Stephanie Danson, Mother
Clare
Rachel F
R Formes, Mother
Elena Prowse
Helen Walsh, Concerned mum
Adam Hibbert, Taxpayer
S Fieldhouse
Rosanna Lindley-McGovern, Trainee Solicitor
J Nanseko, Midwifery Advocate
Angela Melamed
Yvonne Southern, Mother
Madeleine Morey, Mother and grandmother
Kerry Dunn, Mother
Fallon Ferguson
Eileen Kinner
Jon Ford
Diane Few, Retired
Imogen Makepeace
Ruth Lopardo
Ilueng akuany
Catherine Knights
Sheila Jeffreys
Sharon Cooper
Louise Milligan
Laura Burns
Sara Blake, Mother
Emily Bailey
Marion Talbot
C Birbeck
Jennie Fairweather, Grandmother
Natasha Singh Kent
A Hughes
Rowan Songsmith
Eilidh Macleod, Mother
Alix Martin
Kerry Kirkwood
Beck Laxton, mother
Alison Whalley, Granny and retd. welfare rights worker
L Percival
Sara Inkster
Tracey Kirkwood
Suzanne Malyon
Debbie Waldon
Sylv Davey
Cath J.
Karen Bartlett
Nicola Quinn
Jill Barnes
Sarah Smith
Natasha Grange
Andy Bartlett
Sarah Haworth, Mother
Isa Henderson, Woman
Laraine Frederick
Shauna Devlin
Laura Corballis
Denise Edwards, Mother
J Richardson
Amanda Denniss, Woman & Mother
Rebecca Fraser
Emma Cordiner
Sinead sawford
Hedy Watt
Melanie Phillips
Ian Wright
Arkady Hughes
Clare Whale
Tara Wettrich, Carer.
Christine Milla
Bea Jaspert, mother and grandmother
Alexandra Sporidou
Karen Meager, Mother, retired barrister
Gail Heath
Natasha Scott
Jemma Bose
Annabel Nickols
Annie Stevens
Caroline McMillan, Mother
Matesa McKeefery
Helen Gibson, Mother and NHS patient
Ray Trzaska, Colchester Institute
Christine Ce
Sarah Merricks, Retired
Jacqueline Hill, Mother of LGBTQ children
Helen Rogers
Debra Piney
Jean Belton, Mother
Helen Cargill
Brendan Poole
Marie Duffin, Civil Servant
Claire Valentine
Victoria Thomson
Amy Smith
Abigail Rowland, Mother, Grandmother and Teacher (retired)
Emelie Engdahl
Donna Evans
Josephine Liptrott
Paul Leys
Denise Robson, Mother, grandmother
Jodie Whitelock, Mother
Alice Bree
D Ellis
Kate Osborne, Designer
Jasmin Harvey, Partner of a student midwife
Ruth Draper
Clarissa Smith
Matthew Garris
nadia akhtar
Michael Crawford
Angie Smith
Michelle McCarthy, Mother
Elizabeth Blakemore, Woman
D, Biologist
Kathryn Holding
Caroline McCready
Laura Smith, Mother
Beth Noakes
Jo Quinn
Jacqueline Kay
Nikki Laing
Tara Moore
Susan Tollerfield
Maria Deandres, Former trade union rep
Anne Burton
Jill Huskisson
Frances Bill
Ruth Sutton
Rae Livingstone
Mandy Bennett
Julie Daniels
Rosalie Smith
Ramona Lavery, Mother
Ann
Janette Leslie, Mother and grandmother
Saffron Clary
Stella Rainbow
Suzanne Ellis
Julie Karanja
S Murdock
Pauline Graham
Cathryn Mulholland Reilly, Com Ed
Fallon Toner
Lorna Shiels
Lili Bain
Natasha Grover
Mandy Macdonald
Rabya
Jane Anglin
Leon Donnelly
Molly Perman, Mother of two
Rachel Shearer
Louise Somerville, Organiser, Womens Voices Matter
Clare Crestani
Tracey Mills, Midwife
Shiraz Peer Liberman
Denisa S
Linda Smith, Retired
A Lane, Locum
Natalie Hogg
Carmel McDowell
Stephanie Irvine
Loretta Childs
Christine Hadfield
Joanna Johansen
Michelle Doherty
Catherine Bjarnasin
Barbara Davey
Andrea Davies
Níamh Matthews
Sharon Jenkins, Mother and grandmother
Shoma Easo
Sarah Griffiths
Joanne Grant
Helen Quinn
Katy Newman, Mother
Sara Gunn
Patricia Reid
Alison Taylor
A Bindoff
Judith Gaunt, Mother
Rita Rake
Sarah Hetherington
Sarah Morgan
N Blackwood, Educator
Kerri levene
Katherine Bridget Shaw
Trudy Lynch
Miriam Bird, Social Worker
Charlotte Wright, Occupational Therapist
Maria Rowe
Beverley Siddle, Social care professional
Tracie, Woman
Dee Gourlay
Liza Moore
Catherine Hetherington
Clayton Owen
Sian Jones
Charlotte Neal
Dr K Smith, University Teacher/ Research Associate
Elaine Ride
Mary Leigh
Johannah Altman
Chante Williamson
Mary Boyt
Anna-Marie Dolan
Kathryn Singh BEM, Arts and language facilitator for South Asian women
Cynthia McBean
Rachel Miller
M Malone
Christine Kearney, Psychotherapist
Rosemary Schonfeld
Sue Quinn Aziz
Heather McDonald, Mother
Mary Hetherington, Mother
Jane Duncan
Melanie Allan, Concerned woman
Lisa-Marie Taylor, CEO, FiLiA
Rishika Verma
Louise Lavender
Dr. Mila Engelberg
Sarah Webb, Mother
Ghislaine Hubbard, Mother
Suzanne Hester, Retired SRN RSCN SCM HV cert, Retired
Roberta Goodall, Woman
Anna moore, Journalist
Aeronwen Trewent, Mother/Author
Kay Wilkie, Retired senior lecturer
Susan Harris, Teacher, Education
Leyla Burns
Stephanie Davies-Arai, Director, Transgender Trend
Julia Ship
Jane Callahan, Mother
Nikki Brown
Naomi Cunningham, Barrister
Miranda Yardley
Donna Soutar
Amanda Farrell
Kate McLennan
Andy Hattersley
Pilgrim Tucker
Sandie Smith
Charlotte Edwards
Heather Gent
Katie Berisford
Thomas Sargeant
Edward McNamee
Joanne Rigby
Sara Stewart
Susan Sacks
Jane Harrison
Georgia Pye, Mother
Sarah Maidment
Magda Devas, Teaching Assistant
Susan Moores
Shelley
Autumn Martinez
Olivia Lee
Natalie Sheridan
Jenny Gordon
Mary Delisser, SENCO
Alex Keating
Nadja Eklov
Helen, Social Services, Council
Marianne Matthews
Fiona Boyne
Sandra McNeill, Justice for women
Kirstin McKie, SENCO
C Miles
Isobel Baxter
Irene Buchan
Denise Hunter
Lindsay Davies PhD
Roisín Scullion
Rebecca Mitchell, Parent & School Governor
Kym Harman, Teaching assistant
Tracy Neil
Siobhan Forder
Lisa Postill
Laura Williams
Katie Kennedy
M Flanagan
M McIvor
Dr Catherine Hounsome
Siobhan Kierans
Evelyn Strasburger, Mother
Ruth Sinclair
A.Puttick
Karen Bresner
Kate Clark
Julia Tiong
Lisa Churchill
Melanie Berry, Teacher, mother
Jane Powell
Clare Lyons
Richard Kirker
Cindy Douglas
Becca Thom
Stephanie Lombard, Medical writer
Doreen Pugh
Stacey O’Brien
Kirsten Roberts
Dawne Brown
Lynda Constable
Ann Allen
Lizzie Leaman, Parent/Education sector, State primary school
Pen Lindsay
Dara Morefield, Taxpayer & NHS user
Keturah Garvey
Rachel Ward
Amanda Swift
Deborah Ferguson, Retired Social Worker
K Ball
Steve Rogers
Rose Jennings, Retired Headteacher, mother, grandmother
L Slattery
Hilary Lord
Isobel Dugher, Retired Educator
Diana Jeffery
Christine Wood
P F Moir
Julie Cowx
Mary Humphreys, BSc(Hons) PGCE, Mother.
Elizabeth, counsellor
Lynsey Pearson
Camilla Franklin, Breastfeeding mother of two
Jacqueline Thomas
Carla Noden
Anna Arthur
Anna Duda
Claire Lessore
Rebecca Winter
Jane Sargent
Wendy McLean, Maternity services user
Lucinda Gidlow
Anna Quilley, Mother and peer supporter
Kate Ashdowne
K Hunter
Delma McDermott
Sharon Austin, Retired
Michelle Parker
Fiona Stratton, Mother
Donna Buckley
Mary Salmon, Journalist
Zoe, NHS England (National team)
Diane Davidson
E Evans, Patient
Natalie Lauren Jordan
Sally Stafford
Paula Birch, Retired teacher
Tim Wright
Alsion King
Tish
Claudia Schirmeister
Linda Oubridge, Grandmother, Mother.
Emma Sheppard
Laura Lyon
Rosa Borg
Aimee mura
Caroline Chautemps
Kim Parker
Kerryann Lund
Elisabeth Bray, Mother
Dorothy Badrick, Mother
Lyndsey Snow, Concerned mother
Faye Clark
Sharon Creasey
Claire Stevens, Woman and mother
Jessica Saxby, Project Manager, Quickslide
Julie Maister
Julie Eason
Leanne Taylor, Northumbria university
Fiona Barrett
Jan Hunter
Anna Wynne, Legal advisor
Lucy Howard, Mother
Sarah Blandy
Magenta Wise
Linda Heato
J Sandall
M Sandall
J Cox
S. Perry
Marie-Anne Fisher
Karen Davies
Skye Wilson
Emily Greeves
D. Smith
Simone Stewart
Elspeth Cooper
Maria Medhurst, Mother and grandmother
Susan Ahern, Manager
Maggie Carey
Daire Cunningham
Ken Adams
Lisa Scerri
Louise Cole
Sarah Baldwin
Mairi Logie
Louise Bath
Julie Colton
Sophie Smith
Jessica Pyne
Tara Stevens
LJH Taylor
Suzanne Willson, mother
Penelope Allen, Mother of four, therapist/healer
Alison NichollsMother
Veronica Carver
Leah Wooding
Leah Gunn Barrett
Susan PhillipsNurse
Finn Raven
Polly Tuckett
Amba Shah
Jo Stock
Susan Phillips
Solveig Senft
Andrew Hitchcock
Patricia Edwards
Barbara Spence
Beverley Turner
Gina Taylor, Mother and activist
Jill Davies, Ice Angels
Vanessa Evans
CM Daventry
Lesley Cottle
James Mackenzie
Carolyn Purves
Claire Hutcheson
Lynne Chellingworth
Peter Biggs
Neil Russell
Anne James
Karen Richardson
Anne Ford
Mary C Smith
David Cheal
H Thistlethwaite
Sean McDonagh
Julie Straw
Keith Savage, Counsellor
Paula Fay
Stuart Roberts
Christina Goeke
Leslie Renfrew, Mother of 2
Dr Christina James
Alasdair Dickson
Linda Johnson
Lillian Aldus
Glenn Williams
Joy Clifford
Una Smith
Lloyd Terrett
Amy Poole
Russell Biggs
Lynne Keys
Kate Salway
Bethany Hitchens
Katherine Lane
Eve Lennard
H Jackson
Loretta Kane
Emma Mcsharry
Moira Wrathall
Jennifer Chan, Mother
Dani Hart
Valerie Perman
Julie Barlow
Stephen Phillips
Lynne Peacock
David Crozier
Gill Jones
Sandy Smith
Kathy Spencer, Teacher (retired)
Maxine Sullivan
Renee Allen
Ingrid Fountain, Marketing Executive
Rabbi zvi L Solomons, Rabbi, JCoB
L Rea, Mother
J Beck
Gail Slavin, Retired woman
Poppy mccoll, Social worker
Jeannine Parent, Supporter
Clare Perry, Woman
Lalita Devi, Woman
Tamsin Griffiths, Woman
Georgina Watson
Lisa Tebbutt
Julie Goldsmith
Amber Hartman
Karen O’Neill
Linda Wild
Alex
Angela Vaughan
Margot Williams
Catherine Roberts
Simon Fairburn
Renate Bob
Khalid Alvi
S. Linhart
Elizabeth Fleming
Samantha Brown
Caroline Rynn
Robert Jenner
J Mason
rebecca dawe
Melissa Friedberg
Grace Ansani
Saskia Palmer
James Goodson
Hilly Parkins
Paul Smart
Jayne J. Henderson
Rebekah Sharpe
E. Swimmer
C Outten
Alison Oliver
Grant Cawley
Bridget Derc
Julian Self
Jennifer Trethyn
Dominika Oliver
A Q
Kelly Richardson
Christine Lee
Daniel Tril
Suzanne Moore
Maria Armstrong
Madeleine Fitch
Cathy Taylor
Emma Louise Monaghan
Rebecca Penders
Katharine Samuel
Jennifer Kent
Gareth Johnstone
Gabrielle B
Christine Lim
Deborah Davy
Andreana Sutherlans
Clare Brown
David McGiffen
Derek Kennedy
Angelica Lindsay
Paul Beattie
Cheryl McCarthy
Patrick Doyle
Denise Ward
Fay Boans
Jill Hirst
Joanna Louise Mates, Mother
Barbara morrissey
Holly Ellyatt
Jennifer Mates, Grandmother
Tom Johnson, HR Manager
Ian Evans
Mia Jenni Elisa Mates, Beautician and Mother, Coco Cosmetics and The Body Lounge
Georgie Mates, Trainee Teacher
Katherine Aiken
Amanda Harkness
Dr C Holdridge, GP
Heather Pymar, Mother
Elizabeth Gray, Mother
Helen Gair
Jill Leigh, Social worker, Kent
Patricia Walsh
Sally Cotty
Judith Harrop
Denise J Stones
K Williams, Teacher
Ruth Stanley
Lesley Hammond
Esther Lord
Andrea Jones
Leila Chan, Counsellor
Caroline Chirnside
Marie Rendell
Anna Tuckett
Joy Clarke
Stella Rainbow
Miranda Coulson, Womens rights campaigner, Adult human female
Stephen Price
Josephine Botting
Hugh Byrne, Obstetrician
Jonathan Rickard
Rowena Easton
Colin Lenton, Father., NHS
Soreh Levy, Health worker
Kevin Darlington
Lesley Hammond
Jennifer Sachdev
Louise Shiers, Registered Nurse, NHS
Stephen Woodhouse
Emma Pettican
Farzana Ismail
Fiona slade, Midwife, Manchester foundation trust
Sheila Roderick, Mother
Margarethe Batteson
Dr Natalie Roberts, Consultant Clinical Psychologist, NHS
Jill Farrell, Mother
Lorraine Shipley, Nurse
Kate Dean
Susan Williams
Gary Dixon
Joe McGann
Dr Sonya Andermahr
Rebecca McNeil
Margaret McIntyre, Mother grandmother sister and daughter, Concerned women who has had a boy and girl
Clifford Ian Lomasx, Concerned Citizen, Husband and Father
Marit Stevens, Mother and woman
Pam Millar
Jane Carlisle-Leahy
Tessa Finch, Mother
Susan Robinson
Linda Ferguson, Retired NHS worker
Susie Webb, Mother
Rosie Montgomery
Sue Ward
Pip Lee
Susanna Hall Roberts
Lucy Smith
linda murdoch, Student, University of Glasgow
Geraldine Gallagher
Chris Batey
Jo Wright
Andrea Fay
Louise Carpenter, Mother of young woman
Georgina Sparrow, Retired Midwife
Jayne Vaun, Education
Anne Cooling, Mother
Jean Calder
M Foley, Retired Social Worker
Jacqueline McSharry, Welfare Officer, Solace Counselling.
William Quirk
Lizzy Brown, Civil Engineer, Woman, Mother
Hamish McIntyre
morna simpson, Design Research
Shelley, RGN
Julie Courtney, Biological woman!
Mary Berry Lamb
Susan Bradshaw
MKL anon
Emma Pageot
Drew stubbs
Jennifer Smith, Adult female
Susan Dixon, Pharmaceutical professional
Jean Bartrum
Sally Maslen, Retired midwife
Lisa Blayden
Elena Macleod
Francesca Muscroft, Mother of three
Dr Sheila Henderson, Woman
Jude Urwin
Donal Hughes
Rachel Lee
Jacklyn Lavery
Margarethe Batteson
Suzanne Airey, Counsellor/Therapist
M Vigar BSc, Shropshire Women’s Rights Network
Emma Hill
Toni Meredew, Teacher, Retired
Angela Plotel
Alicia Sufit
Sally Ingrey, Former Lecturer, Now retired.
Fenella Maddison, Former nurse 25 yrs NHS
Fred Franks
Sarah Bettison, Woman
Margaret Egrot, Retired social worker
Kirsty Fox, Mother
Kelly Bowles
kay anderson
Kate Howard, Mother Parent and Teacher
David Hansell
Elizabeth Davies, Educator
Karen Overton, Journalist and mother
Fiona Davis
Abigail Crawley, Senior Midwife
Christine Sinclair, Ex nurse (retired)
Jayne Fellows
Claire Cottom
Ruth Conlock, Former Social Worker
Alicia Sufit, Biological female, None
Marina Moss
Neil Conlock, Former Psychiatric Nurse
Margaret Mageean
Una-Jane Winfield, Transwidow and previously post-natal supporter (including breastfeeding supporter) at National Childbirth Trust, Transwidows and National Childbirth Trust
Anne Phipps
Olwen Moseley
Anonymous, Woman, mother and previously a breastfeeding peer-supporter
Gill Hunter
Chris Balchin
Lynn Vooght, Senior Occupational Therapist, NHS
Mary Casey
Maria Starling
Lynne Chellingworth
Sally Lawrence
Anna Chetwynd, Architect
Gary Vallier, Father and Grandfather
Helena Wojtczak
Julia South
Julia Pannell
Annie Tunnicliffe, Retired counsellor
Elizabeth Davison
Jessica Jones, Retired GP and former safeguarding lead, NHS
Alice Breed, Mother
Leigh Noble
Sharon OBrien
Paul Booth
Sarah Gellner, Mother
Gilly Langley, Librarian, University of Leeds
Julia Graves
Sharon Close
Chris Quinn
Dr David Hartin, EM Consultant
Steven Williamson
Susanshelleymorris@gmail.com
Daire McGrath
Alison Stancliffe
Caroline Struthers
Shelley Morris
Alexandra Curtain
Shelley Morris
Eileen Gilpin
Teresa Hobday, Therapist, Self Employed
Val Robertson, Mother and Grandmother
Patricia Scully, Registered Nurse, SNHS
Deirdre Feehan
Angharad Joseph
Rebecca Mordan, Social archivist, modern feminist experiences, Scary Little Girls
Tamsin Taylor
Sarah Smith, Mother
Mairi Henderson, Mother who breastfed, you cannot take that away from me and should not seek to take it away from other females.
Kathy
Sara White
Lynne sheridan
Steve Smith, Engineer, Self Employed
C Fearon
Julie West
Rose Yates, Concerned Citizen
Catherine Simoni
Rod Webb
Marie Swann
Jan Cowan
Hilary Lowson
Tim Venables
Jessica Snape
Francis Wellington
Christine Underwood
John C Preston, Musician, Self Employed
Sarah Wilkinson, Concerned woman
Sharon Stanfield
Fay Denton
Trisha Kelly, Senior Lecturer in Social Work ( retired).
Stewart Crabtree
Jenny Slade, Local Government
Claire Tchaikowski, Founder/Director, Human Milk
Claire Bellot
Linda Beattie, Specialist midwife, GG&Clyde NHS Trust
Beverley Jenkinson
Kim Metcalf
A Brodigan
Elcizabeth Marsden
Thea Daum, Mother of three
Rochelle Firth, NHS
Carol Ackroyd, Mother, Grandmother
Rozy Wells
Vivian Burman
Emma Ko
Adrian Dalton
Brendan Staunton, Copywriter, Nail On The Head
Michael Bolton
Mandy Sutton
Daniel Sanchez
Carolyn Dugdale, Taxpayer
Verity Conway, Mother & Doula
Nina Piras
Helen Smith, Retired teacher
MS JULIE C MACLUSKY, Mother and Candidate for Local Council elections
Janet saunt
Pauline Price, Retired GP, NHS
Michael Dunphy
Jill Thirkell, Piano teacher
A drew bywaters
Katie Davies
Christian Thompson, Mental Health Nurse, NHS
Miriam Main
James Harrison
andy byeater
Jane Irving
Patricia Innes
Denise, Teacher
Faith Bowman, Woman, Retired
Andrei Doicin
Natalie Wilson, Mother, Mother
Samantha Henry
Dara Morefield, Taxpayer & NHS user
Eileen Comerford, Woman, Mother, Grandmother
Dave Taylor, NHS supporter wanting to avoid wasting money on this bogus project
Z Wood, Clinical healthcare staff
Susan Austin, Educator
Peter Yates
Jennifer Griffiths, Volunteer Tutor of English for Refugees
Amanda Lucas, Mother
Nathan Townshend, Father, grandfather, Sandbach School
Brendan Martin
Kit Read
Mrs B Stacey, Woman
Helen Dunlea, Retired teacher and systemic family therapy manager
Katie Graham, Mother
Genevieve Jordan, Breastfeeding Counsellor, Mother
J R Attar
Essy Fanshawe
Hebe Powell, Mother of two
Sara Tyrrel, Woman, mother, carer
Helen Dunlea, Retired teacher and systemic family therapy manager
T Hough
Rachel K, Nurse
Doreen Pugh
Heather James
Stuart Healey
Stephanie Hedger
Rosie Courtney
Kate Flather
Shah Wharton
Therese Munn
Esther weisz
Nicola Porter, GP
Katie matthews
Anna Brown, Carer
Francis Dougan
Simon Paul Greenham
Deborah Hamilton, Community links worker
Neil Elphinstone
Christine Emmett, Mother, concerned abt overstretched resources
Samantha Haycock
Mr Matthew Hayden
K Armour
Denise Prideaux
Hania Cooper
Cleo Evans
Lucy, Pregnant woman
Julie Evans
Hilary Axelrod, Retired
Hilary Penney
Rosemary Johnston
Dr Peter R Ashby BSc PhD
Melissa Taylor
Linda King, Nurse and breasteeding volunteer
Holly Ellyatt
Chris McMahon
Jennifer Clarke
Lucy Rochester
Linda Pepper, NHS Trust public governor
Rachael Smith
Jane worsley
John Kerfoot
Jayne Fellows
Kathryn Holding, Great Grandmother
michael macintyre
Paula Hannon
Shelagh Morgan
Jennifer Kerfoot
Ela Manser
Marian Carty, Teacher Educator, mother & grandmother
Duncan Smethurst
Natasha Edstrom, Mother
Jacqueline Morley
Francesca Lombardo
Christian Garland
Catherine Bull, Mental health Professional
Marion Martin
Hannah Anthony
Pam Martin
Lesley Hilling
Catherine Lomas
Ms. Azra Dale
R Johnstone, Mother
Caterina Conte
Caterina Conte
Paul Rutherford, Civil Servant, DWP
Joanna Griffiths
Michael Kent
Terry Barrow
Olwyn Curwen
Chris Curwen
Annie George
Christine Brumpton, Teacher and mother
K Johnson, Midwife, NHS
Teresa Fallon
Maggie Jihan, Retired home birth midwife
MaryFaith Autumn, BSL/English Interpreter (Retired)
S Taylor
Sam Young
Louise Gaynor, UCL
C Holland, Mother
D Blakely
Sam Young
Roy Codrington
Susan James, Mother
Natalie Peacock, Mother
Kate Buchanan
Helen Law
Elizabeth Purslow, Staff Nurse, NHS
Shonagh Buchanan
A Thomas
Harriet Marzec
Lucy Charlesworth
Mariusz Marzec
Georgina Charlesworth
Kimberly strueli
Cath cook
Lauren Sleeman
Kaja Marzec
Weston Charlesworth
Farah Rashan, Aerospace engineering
Donna Rivet, Retired teacher
Emma Lewandowski
Robin Jones, Midwife
Susie Wilson
Helena Binder
Elizabeth Oldroyd, Medical student
Dr A M John, Mother and breastfeedeer
Emily Knox
Michael D Dennis, Program Director/ Fleet Development, Image Clear Ultrasound
Victoria Tebbs
Sarah Roberts
Neil
Louise Parker
Deborah Allen
Dr Denise Williams, Consultant Gynaecology/Sexual and Reproductive Health, NHS
Rachelle Rush, Mother of Girls, Woman, Feminist
Hannah Pieri, Domestic Abuse Worker
Marilyn Higham, Retired Mental Health Registered Nurse
Daniel Mooring
Jane Kidd
Jennifer B
Jessica Gibson
Tara Ford, Mother
Chris Moore
EJ Lucas
G Worthington
Anne Woodhouse, Clinical Psychologist (formerly SCBU) and mother
A Povey
Nuala King
Leigh Andrews, Paralegal
Rose Rowson, Woman and mother
Peter Murdoch
Jeni England, Concerned member of the public
Victoria, mother
Anne Morgan
Gemma Shepherd, Former breastfeeding counsellor, mother
Maritza Uzelac, Retired mother and grandma, Womankind
Mrs Angela Mehra
Natalie Phillips
Lisa Connor, Midwife, BHRUT
Linda
Jenny Smith, Occ Threapist (ret.), Ex NHS
Holly Jones
Karyn Waladkewics
Karen Guilliland, Consultant Midwife New Zealand
Khia David, Concerned woman
Jean Dowton, Psychotherapist
Lucy Cordwell, Research Professional
Jasmine H
Tracey Brisband
Katy Lane
A Law
Wendy Stokes, User of NHS maternity services
Gayle Gander
rhonda swainson, mother and grandmother
Valerie Keen
Jan Shepherd
Jocelyn Gaskell
Carolyn Murray, Retired
Penny Burgess, Penelope Textiles
Allison Jones, Mum
Charlotte MW
D Powell, MSc Applied Health Research
Laurie Cowden
Rona Stewart
Imogen Porter, Mother and events producer
Sarah Quick
Tracey Moore
Fiona Tchen
Alison, Woman/service user
Fran Batin
Tish Naughton
Celia Mindelsohn
Stuart Davis
Susan Palin
Louisa Aldridge
Les Warburton-Marsh
Daiva
Lisa Ward, Mother & Concerned Citizen
Amber Vitai
Dr Sophie Riches, Statistician and former clinical scientist
Bobby King, Designer
David McAllister
William Beedie
Jean Beedie
Abigail Beedie
Emily Wilson
Nikki Beedie
Jessica Beedie
Anna Denton
Kimberley Hayter, Teacher
Yvonne Manly
Emma Barker-Lloyd
Finella Hill, Systemic/Family Psychotherapist
Simon Kiddle
Dr Dionne Joseph
Catherine Curtis
Karen Anne Sage
Maria Mills Shaw
Holly Byrne
Elizabeth Carter, breastfeeding peer supporter
Samantha wright, Community midwife, NHS
Patricia Gillen
Jessica Armstrong, Breastfeeding peer counsellor
Jacqueline Kemp
K Matthews
Dr Carly Brooks
Susan Holmes, Retired Trained General Nurse
L Sinclair
Veronica Blanco, Midwife
Dani Ahrens, Brighton Women’s Liberation Collective (Sisters Salon)
Tracey Smith
Beverley Siddle
Lisa Markham, Specialist PA (Disability ), Independent
Magda Bartosch
Linda Lancz
Fran Zuliani-Holland
Jennifer Jane Fortune, Architect, Labour Party
Daniel Davis, Consultant Physician
Cllr Terry Barrow, Labour Councillor and Ret nurse
Khan Jooneed, Writer, Journalist and Rights Activist, Journalist/Writer/Rights Activist
Helen St Luce
Julie Wild
Katherine S
Joanne Goff, Senior Immunisation nurse
Stewart Gibb
Sharon Stanfield
Amanda Burleigh, Midwife/nurse, NHS
Jane Reed, Mother
Emma Patel
Mandy Robinson
Julia Gallacher
CC, I work with high risk pregnant women in the volunteer sector
S A, NHS
Louise Shiers, Registered Nurse, NHS
Linda Bentley
Jo catterall
Emma Thomas, Children of Transitioners
Fiona Innes, Practice Nurse, Dingle Park Doctors
Elina Riuttanen
Amy Carr
Jo Burnett, Social Prescriber
Janet Llewellyn Dunn
Melanie Radford, Maternity investigator
Jennifer Spencer-Welsh
Dr Clare Davison, Midwife and academic
Nicola Benge
Jayne Egerton, Mother
Terence Waites, Father of an NHS Employee
Ann Woods, Mother
Carol Gibbons
Emma Lester
Mary Garner, Therapist
D Wilson
Lynne Evans, Psychotherapist
Lucy Wainwright
Carolyn Brown, Psychologist, Retired
Jo Gaylor
Joanne Wright
Anne Glynn, Self employed
Ava Glynn
Derek Irwin
V Haynes
Lynn Alderson
Sharon
Karin Glennon
Victoria Richards
Ali Rhind
Debra Fox
Charles Gregory
M Hewitt, Midwife, NHS
Nicola Kerry, Adult human female & mother
Joyce McCarthy, A mother
Rebecca Winter
Carol Bwden, Mother
Sally Bishop
Gwen Chapman
Natalie Seeve McKenna, education / parenting
Cheryl Tempest
Andrea Boon
Stephen Bryan
Susan Jarman, Midwife
Jayne EGERTON
Harriet Dodsworth, Doctor
Gill Fox, Retired nurse and health educator
D Evans, Trainee psychotherapist
Kerry Taylor
Dr Adela Boak, Exeter University
Susan Burlace
Sharon wells
Sybil Peters
Margaret Jowitt, researcher
Stephanie lewis, Paramedic
Patricia Heaney
Sarah Barratt, Complementary Therapist
Jenny Rust, Former NCT Breasttfeeding Counsellor
Heather Britton
Perveen Aslam
L Williams
L C Williams
Chris Holt
Francis Walter
Caroline Jamieson, Social Work
Imogen Thorpe
Jan Edoe
Louise Parker
Julia Mathias
David Flint
Alex Morgan
Linda Oubridge BA (hons)
Fiona Karbal
C. Ryan, teaching assistant, Primary School
Laura Epstein, GP
Pauline Price, retired GP, NHS
Louise Bowyer, Mother
Denise Burchard
Matt Angell
Joe Green, GP Partner
angela nash, midwife, HHFT
Seonaid Gardiner-Keir
Lynda Constable
Sharron Taylor
Simon Grant, Consultant Obstetrician
Lucy Gee
Nicky Cowan, Consultant Psychiatrist
Dr Marcus Allen
Hugh Byrne, Consultant Obstetrician & Gynaecologist
Delia Morris, Retired nurse, social worker, mother of two.
P Hodge
Mark Hammonds
Aaron jamieson
Catherine Tutt, Retired nurse
Sarah Cole, Midwife
Dr Maja Bowen
Stef Heinrich
Marion Macleod, Researcher
Jenny Smith, FE Pastoral Support & Guidance Tutor
Lindsay Copeland, Former midwife, NHS Scotland
Suzi Eves, HCA
Marilyn Herman (Dr)
Linda Gemmill
Z Morse
Ms. B. Norville, Mother of trans son
Christine Sinclair
Julie Seddon
Sarah Cummings
Heidi Tattersall
Emma Hamilton
Christine McLaughlin
Deni Sevenoaks
Lynn Smith, Midwife, Independent
Joanna Bottiglieri
Patricia bailey
Patricia bailey
Charles Hart
Quentin Kean
Claire Patience
Gerry Smith
Anne-Marie Evans
Nina Wright, Retired Psychotherapist, UKCP
Paul Stirman
Brian Moore
Susie Gardiner, Mum
Amanda Tatton
Dee OConnor, Midwife, NHS
Jenny Glynn
Julie Goldsmith
Simon Edwards, Chief Executive CCN
Dr Martin F Seely, Retired GP, Salford & Trafford
Amber, Mother who has recently had two babies
Jenny Thompson
Francesca Iannelli
Romi Elnagar, mother
Dorothy Lindsay, Woman, Mother, Grandmother
Mary Hetherington
Jade Webb, Ex Nurse
Penny patton
Lesley, Landlord, Self employed
Michelle Anderson
Louise Marsh
Ella Beane
Victoria McKenna
John Copier
Rachel Morar
Eva Schmidt, Mother
(Last updated: 15 Jan, 11:35pm)
References
- Trans and non-binary experiences of maternity services: survey findings, report and recommendations, LGBT Foundation 2022 https://dxfy8lrzbpywr.cloudfront.net/Files/97ecdaea-833d-4ea5-a891-c59f0ea429fb/ITEMS%2520report%2520final.pdf
- ‘Inclusive’ language on maternity care risks excluding many women, The Guardian, 6 May 2022 https://www.theguardian.com/lifeandstyle/2022/may/06/inclusive-language-on-maternity-care-risks-excluding-many-women
- Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK, MBRRACE-UK | NPEU (2020) https://www.npeu.ox.ac.uk/mbrrace-uk
- Information and support for pregnant women and their partners. NICE guideline: Antenatal care: https://www.nice.org.uk/guidance/ng201/chapter/Recommendations#information-and-support-for-pregnant-women-and-their-partners
- Effective Communication About Pregnancy, Birth, Lactation, Breastfeeding and Newborn Care: The Importance of Sexed Language, Gribble et al. Frontiers in Global Womens Health, 07 February 2022 https://doi.org/10.3389/fgwh.2022.818856
- Improving health literacy to reduce health inequalities, Public Health England & UCL Institute of Health Equity https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/460709/4a_Health_Literacy-Full.pdf
- The Cass Review, Dr Hilary Cass: https://cass.independent-review.uk/
- Doctors outraged at NHS trust’s two-hour lesson on ‘gender unicorns’, The Telegraph, 2022https://www.telegraph.co.uk/news/2022/10/22/doctors-outraged-nhs-trusts-two-hour-lesson-gender-unicorns/
- Trans Pregnancy, University of Leeds https://transpregnancy.leeds.ac.uk/about/
I support the letter which says that the money for this project would be better spent elsewhere. I also believe that changing the meaning of words such as mother and breastfeeding has huge potential to lead to confusion and misunderstandings. Trans advocates appear to be driving an agenda which damages women. Real women or should I say biological women. The impact of change and the negative affect it has on the majority of women should be considered for carefully and with robust research.
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Why use flawed research. It is not peer reviewed. Pause this now.
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Please consider our reasonable and measured request, and pause.
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Please read and engage honestly and fairly with these genuine real concerns and agree to pause
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This is wrong, women need their own words and language to be used, in every section of law, nhs, particularly in maternity. It shouldn’t need to be said.
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Money wouldbe better spent elsewhere
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i find it quite ironic that as women try to take their place in the human world, run by men and their morals, that we are being actually shut out by changing the words that define us and so denying we exist. how very bizarre?!
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