Engender blog

GUEST BLOG: Maternity and pregnancy services during Covid-19

The graphic shows a white background with black left-aligned text quote that reads "Covid-19 restrictions affected everyone, but key groups were disproportionately impacted – including disabled people, people living with long term conditions, unpaid carers, and parents.". In the bottom right-hand corner of the graphic there are the Engender, Health and Social Care Academy and ALLIANCE Scotland logos.

We've been working with the ALLIANCE and The Health and Social Care Academy to gather information about experiences of pregnancy and maternity services during Covid-19 from women across Scotland. Alongside our work, we're sharing a series of guest blogs reflecting on those experiences. Here, Hannah Tweed reflects on her experience of pregnancy services in 2020.

This month the ALLIANCE and Engender launched a survey on people’s experiences of pregnancy (and everything after) during the Covid-19 pandemic.

To be frank, reading through early drafts of the survey was distinctly uncanny. I was pregnant with my daughter when the pandemic started, and she was a #LockdownBaby of 2020 – which, as a larval human with binary needs, probably did her no real harm. I’m not sure I’d say the same of my experiences as a new parent (and particularly one who spent my second and third trimesters immersed in public health policy).

The mental health gap for women in Scotland

The graphic shows a dark green background with whute left-aligned text quote that reads "The onus to achieve positive mental wellbeing should not be put on women and other minoritised and low-income groups but instead must be addressed by good quality, accessible mental health support, and by tackling the underlying inequalities which can lead to the mental health gap." In the top right-hand corner of the graphic there is Engender's logo, which is an equals sign in a white circle.

Women’s social, economic, cultural and political inequality with men undermines good mental health and wellbeing in a wide range of ways, including the impacts of gender stereotyping, medical misogyny and racism, and of course the disproportionate impact that austerity, Covid-19 and the cost of living crises have on women's mental health.

Recently Engender was invited to speak to civil servants working in the Scottish Government's Mental Health Strategy and Co-ordination unit, about the ways in which women's ineqaulity and mental health intersect. Here are some of the things we spoke about.

Tell us your experiences of pregnancy and maternity during Covid-19

The graphic shows a white background with dark purple and black left-aligned text that reads "Share your experiences of Maternity and Pregnancy Services during Covid-19". In the top right-hand corner of the graphic there is an icon of people with speech bubbles above their heads. In the bottom right-hand corner of the graphic are the Engender, Health and Social Care Academy, And Alliance logos.

We know that the COVID-19 pandemic, and the subsequent public health measures, had a disproportionate impact on women. Just one of the ways this is true was the impacts on women accessing fertility treatment, those who were pregnant or trying to conceive, and on people giving birth.

Engender and the Health and Social Care Alliance Scotland (the ALLIANCE) want to hear about your experiences of pregnancy or trying to become pregnant during the COVID-19 pandemic. The purpose of this survey is to gather information about experiences of maternity and pregnancy services in Scotland during COVID-19. This survey will be used to support our work on the COVID-19 independent inquiry and our work to improve women’s health and wellbeing.

Safe access to abortion services in Scotland

The graphic shows a light purple background with dark purple left-aligned text quote that reads "Implementation of safe access zones around healthcare facilities must be part of an overarching and strategic plan to ensure all women can safely and legally access abortion at the point of need". In the top right-hand corner of the graphic there is Engender's logo, which is an equals sign in a bright purple circle.

Engender recently submitted a response to the consultation on the proposed Abortion Services (Safe Access Zones) (Scotland) Bill. We’ve given a brief rundown of key points in this blog. You can access the full submission here, which covers the specific questions raised in the consultation around implementation of safe access zones locally and nationally, the size of potential safe access zones, the effect of current protests on women and staff, as well as the impact on human rights and other measures needed to improve abortion services in Scotland.

Everyone deserves to access reproductive healthcare free from abuse and harassment. Unfortunately, today in Scotland we still see women, and others accessing pregnancy and abortion services, targeted by those who do not believe in bodily autonomy or our right to choose. Following recent activism from organisations and campaigns including Back Off Scotland and others, Scotland is now making progress towards establishing safe access zones (also known as ‘buffer zones’) to enable people to access services in safety.

Gender inequality in sickness and in health

Social and cultural issues, rooted in sexism, have a huge impact on health outcomes for women and girls, and many of these inequalities are deepened for women who face multiple forms of discrimination in Scottish society.

Engender recently produced a briefing for the Scottish Parliament's Health, Social Care and Sport Committee about women's health inequalities. You can access the full briefing here, where we talk about the need for good quality data (of course!), the way that other structural forms of oppression impact on women's health and wellbeing, and provide recommendations to close the health gap. This blog focuses on the role that gender plays in women's health inequalities.

Systemic gender inequality has an enormous impact on health. Although women’s life expectancy exceeds that of men, women spend longer living with disability and ill health, and more women than men in Scotland live with a long-term health condition. Health issues that disproportionately affect women, or affect women differently to men, have historically lacked funding and professional focus, meaning that women’s health needs are not equally prioritised and understood across health services and more broadly.

Downloads

Engender Briefing: Pension Credit Entitlement ChangesEngender Briefing: Pension Credit Entitlement Changes From 15 May 2019, new changes will be introduced which will require couples where one partner has reached state pension age and one has not (‘mixed age couples’) to claim universal credit (UC) instead of Pension Credit.

Engender Parliamentary Briefing: Condemnation of Misogyny, Racism, Harassment and SexismEngender Parliamentary Briefing: Condemnation of Misogyny, Racism, Harassment and Sexism Engender welcomes this Scottish Parliament Debate on Condemnation of Misogyny, Racism, Harassment and Sexism and the opportunity to raise awareness of the ways in which women in Scotland’s inequality contributes to gender-based violence.

Gender Matters in Social Security: Individual Payments of Universal CreditGender Matters in Social Security: Individual Payments of Universal Credit A paper calling on the Scottish Government to automatically split payments of Universal Credit between couples, once this power is devolved to the Scottish Parliament.

Gender Matters Manifesto: Twenty for 2016Gender Matters Manifesto: Twenty for 2016 This manifesto sets out measures that, with political will, can be taken over the next parliamentary term in pursuit of these goals.

Scottish NGO Briefing for UN Special Rapporteur on Violence Against WomenScottish NGO Briefing for UN Special Rapporteur on Violence Against Women Joint briefing paper for the UN Rapporteur on Violence Against Women.

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