20+ years in birthwork – What has changed, and what urgently needs to

The language has changed. The awareness has increased. The figures have not moved in proportion.

Knowing the problem exists is not the same as fixing it. Saying the right words at conferences is not the same as changing what happens in the birth room, in the postnatal ward, in the moment when a Black woman says she is in pain and is not believed.

The gap between acknowledgment and action is where families are still being failed.