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Women's Decision-Making And Factors Affecting Their Choice Of ...

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The Short report (1980)<br />

The Short report was a name given to the House of Commons Social<br />

Services Committee report under the chairmanship of Mrs Renee Short. The<br />

committee took over and completed work begun by an earlier committee, to<br />

perform an inquiry into perinatal and neonatal mortality. The Social Services and<br />

Employment Sub-Committee, that was originally going to do the inquiry, was<br />

prompted to do so by increasing public concern that babies were unnecessarily<br />

dying or suffering permanent damage during late pregnancy and early infancy<br />

(House of Commons Social Services Committee 1980). The committee was also<br />

worried that the mortality rates in England and Wales were falling more slowly<br />

than in other developed countries. In addition, there were wide differences in<br />

mortality rates found in different socio-economic groups and different areas in<br />

England and Wales (para 1).<br />

The investigation embraced a number of aspects of maternity care,<br />

including the question of place of birth. Evidence was received from mothers,<br />

Royal College of Midwives, and the Royal College of Obstetrics and<br />

Gynaecologists. Evidence from women, who are the consumers of the service,<br />

showed that they were in favour of delivering at home or in GP units (para 53-54).<br />

Women in the study were described as having strong views, and that it was not<br />

only the middle-class that had such strong views. On the other hand, the Royal<br />

College of Obstetricians and Gynaecologists argued that GP units did not meet the<br />

college's minimum standards for safety.<br />

When the committee made their recommendations, women's views did not<br />

carry much weight. The committee felt that "...the understandable preferences of<br />

mothers in regard to place of delivery may not be compatible with the<br />

17

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