If the coalition is committed to families, why are maternity services being cut?

The strain of austerity is beginning to show on maternal care provision.

Recent news that the health of pregnant women and new mothers is being negatively impacted as a result of the coalition’s budget cuts strikes an odd note:  like them or loathe them, if there’s one thing you can rely on Conservatives for, it’s proclaiming their allegiance to the family. When the brutality of the cuts began to show in areas like refugee services or young people from non-privileged backgrounds no longer applying to university, there was at least the grim ring of consistency – have the Tories ever credibly claimed to care about such constituencies? Similarly, when feminist groups like the Fawcett Society demonstrated that women were facing a double-burden of the recession and government cuts in the workplace, one didn’t need to stretch one’s imagination too far to place this in the broader picture of a Conservative Party who seems to prefer women both at home and "in their place". “Families” though, were safe in the arms of the Conservatives’ paternal concern. Never mind that the whole gamut of austerity measures, from the game-changing overhaul of higher education to the cutting up of the NHS, daily and tangibly corrode the wellbeing and future prospects of parents, children, communities – families, in short, of one kind or another.  Still the amorphous ideal of the "traditional" family unit was one the governing party claims to hold close to its heart.

It’s striking, then, that the latest area in which the government’s cuts are being felt is in maternal care. Framing its concern largely in terms of children, the Daily Mail (that other "family" cheerleader) recently reported that breastfeeding rates have been directly hit by the cuts to healthcare services, citing research by health data analysts SSentif that post-natal women living in areas where cuts to maternity services have come into effect are more likely to stop breastfeeding in the first eight weeks, due to lack of available support from midwives and healthcare visitors. Given the wealth of scientific evidence on the life-long benefits, for children, of being breastfed, the logic follows that there may likely be a long-term negative impact on a future generation’s health.

The blog FalseEconomy has detailed further reasons for, and consequences of, the increased strain on maternal care provision, including demographic shifts towards later pregnancies as a reason for an increase in "complex pregnancies" taking more time for midwives, and the "knock on" effect of cuts in other areas such as violence against women provisions and services to the homeless. It cites the Royal College of Midwives’ State of Maternity Services report to lend credence to the claim that the government cuts have combined with demographic changes to stretch maternity services beyond their capacity. The Valuing Maternity campaign by Maternity Action is calling for greater commitment from the government to ensure this vital aspect of public health is addressed.

Aside from the inherent concern of the reduction in maternal care, and the worrying evidence suggesting its impact on a decline in breastfeeding, the example of the over-stretching of reduced maternal services is also a chilling reminder that no reduction of a public service happens in a vacuum. Women’s experiences of the recession are a prime example of the knock-on effect of one area of government policy to another, and how the recession and the cuts introduced under the guise of "austerity" have combined to corner women into a position of less work, less pay, fewer benefits and fewer rights. (Meanwhile urgent calls to address issues such as gender-inequities in public life and pre-recession concerns about the continuing pay gap are dismissed as a luxury "in these difficult times". As Susan Faludi outlined so eloquently in The Terror Dream’s analysis of the Bush-Blair years, that women’s concerns were dismissed along the lines of “not now dear, there’s a war on”, in the post-financial crisis era this is modified: not "now dear, it’s the austerity – but we’re all in this together"). 

Not only was this the first feminised recession in terms of the sectors hit hardest by job losses, but measures introduced under the guise of "austerity" doubly-targeted women, as women were both a larger proportion of public sector workers with jobs on the line, and some of the main users of state-provided services. (To add a further grim footnote: just as women needed financial independence the most, research from IPPR suggests that banks, too, turned on women, arbitrarily denying mortgages and other loans to female customers, using the new excuse of "new stricter regulations").

Eventually, as the new evidence on maternal health provision in the UK indicates, the knock-on effect manifests even in an area the Conservatives claim as their own: protecting the "family" and women as child-bearers. The painful cycle being played out in dominoes as one service after another is gutted by the cuts reveals the inherent flaw even in ideologically-driven cuts – while wealth may not trickle-down, corrosion of communities and services does trickle up, and into areas the Tories claim are their priority.

It also reveals what a sham it is to say you care about "families" when your policies show little if any concern for women.

Follow Heather McRobie on Twitter as @heathermcrobie.

 

A young boy is weighed after being born in an NHS maternity unit in Manchester. Photograph: Getty Images
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Ann Summers can’t claim to empower women when it is teaming up with Pornhub

This is not about mutual sexual fulfilment, it is about eroticising women’s pain. 

I can’t understand why erotic retailers like Ann Summers have persisted into the twenty-first century. The store claims to be “sexy, daring, provocative and naughty”, and somewhat predictably positions itself as empowering for women. As a feminist of the unfashionable type, I can’t help but be suspicious of any form of sexual liberation that can be bought or sold.

And yet, I’d never really thought of Ann Summers as being particularly threatening to the rights of women, more just a faintly depressing reflection of heteronormativity. This changed when I saw they’d teamed-up with Pornhub. The website is reputedly the largest purveyor of online pornography in the world. Pornhub guidelines state that content flagged as  “illegal, unlawful, harassing, harmful, offensive” will be removed. Nonetheless, the site still contains simulated incest and rape with some of the more easily published film titles including “Exploited Teen Asia” (236 million views) and “How to sexually harass your secretary properly” (10.5 million views.)  With campaigns such as #metoo and #timesup are sweeping social media, it seems bizarre that a high street brand would not consider Pornhub merchandise as toxic.

Society is still bound by taboos: our hyper-sexual society glossy magazines like Teen Vogue offer girls tips on receiving anal sex, while advice on pleasuring women is notably rare. As an unabashed wanker, I find it baffling that in the year that largely female audiences queued to watch Fifty Shades Darker, a survey revealed that 20 per cent of U.S. women have never masturbated. It is an odd truth that in our apparently open society, any criticism of pornography or sexual practices is shut down as illiberal. 

Guardian-reading men who wring their hands about Fair Trade coffee will passionately defend the right to view women being abused on film. Conservative men who make claims about morals and marriage are aroused by images that in any other setting would be considered abuse. Pornography is not only misogynistic, but the tropes and language are often also racist. In what other context would racist slurs and scenarios be acceptable?

I have no doubt that some reading this will be burning to point out that feminist pornography exists. In name of course it does, but then again, Theresa May calls herself a feminist when it suits. Whether you believe feminist pornography is either possible or desirable, it is worth remembering that what is marketed as such comprises a tiny portion of the market. This won’t make me popular, but it is worth remembering feminism is not about celebrating every choice a woman makes – it is about analysing the social context in which choices are made. Furthermore, that some women also watch porn is evidence of how patriarchy shapes our desire, not that pornography is woman-friendly.  

Ann Summers parts the net curtains of nation’s suburban bedrooms and offers a glimpse into our peccadillos and preferences. That a mainstream high street retailer blithely offers guidance on hair-pulling, whipping and clamps, as well as a full range of Pornhub branded products is disturbing. This is not about women’s empowerment or mutual sexual fulfilment, it is about eroticising women’s pain. 

We are living in a world saturated with images of women and girls suffering; to pretend that there is no connection between pornography and the four-in-ten teenage girls who say they have been coerced into sex acts is naive in the extreme. For too long the state claimed that violence in the home was a domestic matter. Women and girls are now facing an epidemic of sexual violence behind bedroom doors and it is not a private matter. We need to ask ourselves which matters more: the sexual rights of men or the human rights of women?