A newborn in Afghanistan, which has the 6th highest rate of babies dying on their first day of life. Photo: Getty.
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Why are one million babies a year dying in their first day of life?

The first 24 hours in a baby's life are the most dangerous, but newborn deaths have been under-researched and neonatal care is under-funded.

The first day of a baby’s life is the most dangerous. According to a report published by Save the Children today, one million newborns a year die in their first day of life. Another 2.9 million annually die within their first 28 days. And 1.2 million newborns die during labour. The charity believes that two million of these deaths are preventable, and if healthcare services were more equally distributed, this would reduce newborn mortality by 38 per cent.

These statistics make for depressing reading, but they are very significant. Traditionally, international aid agencies and charities have focussed on reducing infant mortality, which is usually defined as cutting down the number of deaths in children under five. Reducing infant mortality was one of the Millennium Development Goals pledged by the UN and signatory states in 2000, and since 1990 the number of children who do not make it to their fifth birthday has halved – although 18,000 children under five die each day from preventable illnesses.

Save the Children’s research however focuses specifically on the first month of life, and so highlights the important role that midwives can play in infant survival. Conventional statistics on infant mortality don’t count the 1.2 million babies that die during labour  - but these deaths are too numerous to ignore.

The best way of preventing the death of newborns is to ensure that women are looked after by skilled birth professionals – especially if they are trained in basic techniques like neonatal resuscitation and can advise on basic newborn care –  but each year 40 million women give birth without one, and two million of these will give birth completely alone. In Guinea, Nigeria, Somalia and Sierra Leone there are fewer than 2 doctors, nurses or other medical professionals per 10,000 people – but the critical threshold is considered to be 23. It’s no surprise then that together with Pakistan (which tops the list) these are the five countries where babies are most likely to die in childbirth or on their first day of life.

The positive from Save the Children’s report – if you can consider it that – is that the charity estimates that increasing health expenditure by $5 per person could prevent 32 million stillbirths, and save the lives of 147 million children and 5 million women by 2035. The biggest barrier isn’t financial: it’s finding the political will and commitment. 

Sophie McBain is a freelance writer based in Cairo. She was previously an assistant editor at the New Statesman.

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After Article 50 is triggered, what happens next?

Theresa May says Article 50 will be triggered on 29 March. The UK must prepare for years, if not decades, of negotiating. 

Back in June, when Europe woke to the news of Brexit, the response was muted. “When I first emerged from my haze to go to the European Parliament there was a big sign saying ‘We will miss you’, which was sweet,” Labour MEP Seb Dance remembered at a European Parliament event in London. “The German car industry said we don’t want any disruption of trade.”

But according to Dance – best known for holding up a “He’s Lying” sign behind Nigel Farage’s head – the mood has hardened with the passing months.

The UK is seen as demanding. The Prime Minister’s repeated refusal to guarantee EU citizens’ rights is viewed as toxic. The German car manufacturers now say the EU is more important than British trade. “I am afraid that bonhomie has evaporated,” Dance said. 

On Wednesday 29 March the UK will trigger Article 50. Doing so will end our period of national soul-searching and begin the formal process of divorce. So what next?

The European Parliament will have its say

In the EU, just as in the UK, the European Parliament will not be the lead negotiator. But it is nevertheless very powerful, because MEPs can vote on the final Brexit deal, and wield, in effect, a veto.

The Parliament’s chief negotiator is Guy Verhofstadt, a committed European who has previously given Remoaners hope with a plan to offer them EU passports. Expect them to tune in en masse to watch when this idea is revived in April (it’s unlikely to succeed, but MEPs want to discuss the principle). 

After Article 50 is triggered, Dance expects MEPs to draw up a resolution setting out its red lines in the Brexit negotiations, and present this to the European Commission.

The European Commission will spearhead negotiations

Although the Parliament may provide the most drama, it is the European Commission, which manages the day-to-day business of the EU, which will lead negotiations. The EU’s chief negotiator is Michel Barnier. 

Barnier is a member of the pan-EU European People’s Party, like Jean-Claude Juncker and German Chancellor Angela Merkel. He has said of the negotiations: “We are ready. Keep calm and negotiate.”

This will be a “deal” of two halves

The Brexit divorce is expected to take 16 to 18 months from March (although this is simply guesswork), which could mean Britain officially Brexits at the start of 2019.

But here’s the thing. The divorce is likely to focus on settling up bills and – hopefully – agreeing a transitional arrangement. This is because the real deal that will shape Britain’s future outside the EU is the trade deal. And there’s no deadline on that. 

As Dance put it: “The duration of that trade agreement will exceed the life of the current Parliament, and might exceed the life of the next as well.”

The trade agreement may look a bit like Ceta

The European Parliament has just approved the Comprehensive Economic and Trade Agreement (Ceta) with Canada, a mammoth trade deal which has taken eight years to negotiate. 

One of the main stumbling points in trade deals is agreeing on similar regulatory standards. The UK currently shares regulations with the rest of the UK, so this should speed up the process.

But another obstacle is that national or regional parliaments can vote against a trade deal. In October, the rebellious Belgian region of Wallonia nearly destroyed Ceta. An EU-UK deal would be far more politically sensitive. 

The only way is forward

Lawyers working for the campaign group The People’s Challenge have argued that it will legally be possible for the UK Parliament to revoke Article 50 if the choice is between a terrible deal and no deal at all. 

But other constitutional experts think this is highly unlikely to work – unless a penitent Britain can persuade the rest of the EU to agree to turn back the clock. 

Davor Jancic, who lectures on EU law at Queen Mary University of London, believes Article 50 is irrevocable. 

Jeff King, a professor of law at University College London, is also doubtful, but has this kernel of hope for all the Remainers out there:

“No EU law scholar has suggested that with the agreement of the other 27 member states you cannot allow a member state to withdraw its notice.”

Good luck chanting that at a march. 

Julia Rampen is the editor of The Staggers, The New Statesman's online rolling politics blog. She was previously deputy editor at Mirror Money Online and has worked as a financial journalist for several trade magazines.