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North East London set to reduce maternal health inequities with new app

CardMedic will be used to address healthcare inequalities and support improvements in perinatal pelvic health

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The digital patient communication app CardMedic will be used to improve communication and boost safety for maternity service users in London.

People using maternity services in north east London will be encouraged to play a greater role in their care with the rollout of the digital tool, helping to reduce health inequalities.

The system has been commissioned by North East London Health and Care Partnership, the integrated care system (ICS) which covers Barking, Havering and Redbridge University Hospitals NHS Trust, Barts Health NHS Trust, and Homerton Healthcare NHS Foundation Trust.

It follows national reports and audits suggesting poor outcomes – particularly for those from black, asian and mixed ethnic backgrounds – could have been different with more accessible information, stronger communication and greater cultural awareness.

“After speaking with maternity service users in north east London and understanding their experiences, it was clear that major gaps in service provision existed, with pregnant people and families often feeling they were not being listened to by staff,” said Alice Compton, senior project manager for maternity digital and data transformation and a digital midwife at NEL ICS.

“Deploying CardMedic will help us address this – giving service users the opportunity to play an active role in their care and reassuring clinicians that they are delivering the same care standards to all their patients, irrespective of their language or background.”

She added: “We know improvements need to be made to ensure pregnancy and birthing experiences are equitable, personalised and culturally appropriate for everyone, so by getting it right for those who experience the poorest outcomes, we’ll get it right for everyone.”

North east London (NEL) ICS serves a diverse and fast-growing population, with more than 250 languages spoken and 53 per cent of residents identifying as belonging to an ethnic minority, compared to 11 per cent across England. It also has the highest birth rate in the country.

CardMedic will initially be used in maternity services to address the healthcare inequalities that exist in parts of NEL and support improvements in perinatal pelvic health among those who need extra specialist care during or after pregnancy.

As well as providing instant translation support in a number of different languages, the app can also be switched to British Sign Language and subtitles to help those who are deaf or have hearing problems, Easy Read for children or people with learning disabilities, and a ‘read aloud’ function for those with visual impairment or literacy issues.

It is hoped this will enable maternity teams to use translation services in a more efficient way, allowing staff to act more quickly in urgent and emergency situations and overcome communication barriers at times when translators are not available.

Dr Rachael Grimaldi, co-founder and chief executive, CardMedic, said: “Everyone as the right to access healthcare, and communication barriers should never stand in people’s way.

“We’re proud to be a part of NEL’s journey in reducing health inequalities, improving communication between healthcare staff and families, and making care more accessible for all.”

The feedback gathered from maternity service users in north east London and their families has been used to produce a strategy and action plan which aims to improve equity and equality for pregnant people, so services better meet the needs of those who use them.

Digital tools such as CardMedic have been recognised in the strategy as important elements to consider to deliver on these aims.

Pregnancy

Chemicals in plastics may be linked to high blood pressure during pregnancy

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Phthalates found in plastics and personal care products may be linked to higher blood pressure during pregnancy, a study suggests.

Hypertensive disorders of pregnancy, including pre-eclampsia, are a leading cause of maternal mortality in the US.

Higher blood pressure during pregnancy has also been linked to adverse health outcomes for both mothers and children.

While family history and lifestyle are known risk factors, growing evidence suggests exposure to phthalates may also contribute to raised blood pressure during pregnancy.

Phthalates are chemicals found in plastics, personal care products and hundreds of other consumer goods. Some can interfere with the body’s natural hormones.

Kimberly Parra, of Harvard T.H. Chan School of Public Health, said: “Our study suggests that having higher concentrations of personal care products-associated chemicals, known as phthalates, in the body might contribute to elevated blood pressure in pregnancy.

“While our study does not show that phthalates cause high blood pressure during pregnancy, it suggests that reducing exposure to this class of chemicals by limiting personal care products containing these ingredients, particularly those with fragrance, may be a way to address high blood pressure in pregnancy and improve pregnancy health.”

Researchers measured phthalate exposure and blood pressure in 338 pregnant women from the Environmental Reproductive and Glucose Outcomes Study at three points during pregnancy.

They analysed whether higher levels of the chemicals, individually and in combination, were linked to higher blood pressure or an increased risk of pregnancy-related high blood pressure disorders.

Women with higher urine concentrations of phthalates associated with fragrances and personal care products had higher systolic and diastolic blood pressure, markers of increased risk of hypertensive disorders of pregnancy.

Systolic blood pressure is the pressure in the arteries when the heart beats, while diastolic pressure measures it between beats.

Around 13 per cent of participants developed a pregnancy-related high blood pressure disorder.

Women with higher levels of certain phthalates, particularly those found in personal care products, tended to have higher blood pressure later in pregnancy.

Parra said: “More research is needed to better understand these findings, particularly whether the effects are driven by changes in oestrogen-related pathways. Additional studies should also examine the potential role of other phthalates and their replacement chemicals.”

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Entrepreneur

Applications close August 18 for Women’s Health Innovation Summit 2026 Innovation Showcase

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The Women’s Health Innovation Summit (WHIS) has reminded startups that applications for its 2026  Innovation Showcase close on Tuesday, August 18.

The Showcase gives early and growth-stage companies the  opportunity to pitch live on stage to the most influential audience in women’s health, at a summit that convenes more than 1,000 senior decision-makers from across the ecosystem, including payers, providers, pharma, and  investors.

Now in its eighth year, WHIS takes place October 13–15, 2026 at Encore Boston Harbor.

The event has built a  reputation as the leading platform uniting the full women’s health ecosystem, from health systems and health  plans to pharmaceutical leaders and the investors funding the next wave of innovation in the space.

A Direct Line to Funding, Partnerships and Adoption

Companies selected for the Innovation Showcase will present directly to an audience with the capital, clinical  expertise and commercial relationships to move deals forward.

Past participants have gone on to secure investor  introductions, commercial partnerships and clinical collaborations that started as presentations on the WHIS stage  and turned into signed agreements.

Applications Reviewed by an Expert Selection Committee

Submissions are being reviewed by a selection committee of leading investors and industry operators, including:

  • Parambir Bhangu, Executive Director, External Innovation & Emerging Science, Organon
  • Elizabeth Bailey, Co-Founder & Managing Partner, Foreground Capital
  • Karla Loken, Founder, Loken and Associates
  • Mané Mikayelyan, Associate Partner, DeciBio
  • Anna Valcheva, Founder, Managing Director & CEO, Astra Ventures
  • Azin Radsan van Alebeek, Co-founder & General Partner, Emmeline Ventures

WHIS is where the women’s health ecosystem comes together to get deals done,” said Poppy Howard-Wall,  Event Director of WHIS.

How to Apply

Early and growth-stage companies across digital health, therapeutics, diagnostics, med device and consumer  health are encouraged to apply before the August 18 deadline.

Full details and the application form are available  at whisusa.com/attend/start-ups.

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Menopause

Third of women unaware of perimenopause mental health impact

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A third of women surveyed did not know perimenopause could affect mental health, with many experiencing symptoms for months before recognising them.

The survey of 1,000 women found many had been caught off guard by mental health symptoms linked to perimenopause or menopause.

It was conducted by Dynata on behalf of LifeStance Health in June 2026 and included women born between 1960 and 1990 who had, or suspected they had, perimenopause or menopause.

Respondents described anxiety as somewhat or extremely severe in 66 per cent of cases and depression in 54 per cent, with many initially attributing the symptoms to a separate condition rather than a hormonal transition.

Stephanie Eken, chief medical officer at LifeStance Health, said: “Women’s mental health needs change across their life stages, and perimenopause and menopause are among the biggest transitions of all.

“Specialised, life-stage-specific care should be standard practice, and I believe the organisations that build care around this reality, rather than taking a one-size-fits-all approach, will define the next era of women’s health.”

Around 33 per cent of respondents said they did not know perimenopause could cause mental health symptoms.

Almost half, 49 per cent, were surprised that mental health symptoms linked to perimenopause or menopause could last for several years.

A further 22 per cent were surprised that perimenopause could begin shortly after childbirth.

The survey found 74 per cent experienced symptoms for six months or longer before suspecting perimenopause or menopause, while 27 per cent recognised the transition within six months.

Before recognising the symptoms as potentially linked to perimenopause or menopause, 49 per cent believed they were experiencing anxiety as a standalone condition and 39 per cent thought they had depression.

Around 36 per cent were surprised that symptoms linked to perimenopause or menopause could resemble a standalone mental health condition.

Among respondents who tried therapy for perimenopause or menopause-related symptoms, 83 per cent said it was helpful.

Around 82 per cent of those who tried medications such as antidepressants or oestrogen also found them helpful.

Nearly half, 47 per cent, said mental healthcare should be a standard part of perimenopause care, while 59 per cent said they would be more likely to seek mental healthcare if they knew it could meaningfully improve their symptoms.

Around 35 per cent said perimenopause or menopause had a slight to significant negative impact on their overall mental health, while 42 per cent reported a negative impact on mood.

However, 32 per cent reported no impact on their overall mental health and 22 per cent reported no impact on mood.

The survey points to women experiencing mental health symptoms for an extended period before connecting them to perimenopause or menopause, with many initially attributing anxiety or depression to an unrelated cause.

That delay may help explain why nearly half did not realise how long these symptoms can persist and why more than a third were surprised they could resemble a standalone mental health condition.

Despite the awareness gap, most respondents who sought treatment, whether therapy or medication, said it had been helpful.

Separate research published in 2023 estimated that menopause symptoms cost the US economy around US$1.8bn a year in lost work productivity.

The estimated cost rose to US$26.6bn when associated healthcare costs were included.

That research was based on more than 4,400 employed women aged 45 to 60, with its authors saying further studies in larger and more diverse populations were needed to confirm the findings.

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