THE BRITISH STATE IN MOURNING
Ten days of national mourning for the Queen touched and cheered a depressed, divided and anxious country. Thanks to the dedicated efforts of the BBC everything that should have been said was said, and heard. In addition, and less noted, the pageantry and media commentary demonstrated to the world the unique nature of British governmental institutions, the complex relationship between Church and State, the subtleties of its constitutional monarchy including royal protocol that placed President Biden in Westminster Abbey fourteen rows back behind the fifteen Commonwealth countries of which the Queen had been Head of State. Heartening as were the shared expressions of genuine grief, the ceremonies concealed certain tensions.
Throughout the period of mourning and her funeral rites the Queen’s ‘servant leadership’ was recognised and applauded, her rigorous compliance with constitutional norms praised. She was acknowledged as the constant focus of togetherness during the transition from empire to commonwealth, a calming, reassuring voice in a changing world. But she was also Commander in Chief of the Armed Forces, colonel-in-chief of sixteen British army regiments and many Commonwealth units. A living Britannia as well as a staunch practicing Christian and Supreme Governor of the Church of England. The public ceremonies accordingly tried to strike an extraordinary balance between military choreography and Christian liturgy. Yes, it was extraordinary.
The expression of the State’s military power during a British State funeral is very distinct from displays of the latest military technology at, say, a Russian May-Day parade where the threat is overt. Spectators at such parades clearly see what the State is all about: power. But in London and Windsor the dress uniforms, the seductive colours and headgear, the Grenadier Guards, the Royal Company of Archers, the Household Cavalry, the many gun salutes and the Royal Navy’s gun-carriage, the different steps and drum-beat rhythms, all speak of controlled, reassuring power, the strength of restraint, of discipline, soft power with swords. Military power nonetheless.
Before Archbishop Geoffrey Fisher anointed the 25 year-old Elizabeth II with chrism in June 1953, before she became ‘Defender of the Faith’, she had been a member of the Armed Services. Towards the end of World War II she took the first opportunity aged eighteen to join the Auxiliary Territorial Service (ATS) training as a driver and mechanic and was awarded the rank of captain. One BBC commentator even described her later reign as ‘burnished by war’.
The Queen’s family has intimate connections to the Armed Forces some having been on active service. Prince Andrew’s civilian clothes at the State funeral were a public expression of his disgrace and his family’s disapproval - though he did not ask to wear uniform, it must have pained him not to do so. . A military profile is expected of the monarch and of close members of the royal family. Why this martial identity? Monarchs once led their troops into battle. Today a constitutional monarch represents or embodies the State and the prerogative of the State is sole possession of the means of coercion needed both to defend the realm and to maintain law and order. At the same time, because we have a national established Church, the monarch is Defender of the Faith, a faith which enjoins loving our enemies and worships ‘the Prince of Peace’. We are so accustomed to this dual role we overlook any tension between monarch as head of a national Church and monarch as head of State, between the practice of Christianity and the practice of war.
The Queen’s State funeral service in Westminster Abbey was almost defiantly Christian as if by way of counterweight to the spectacular military display we had seen up to this point. It was, as the Queen had wanted, within the magnificent setting of the Abbey, the ordinary simple Church of England prayer-book service accompanied by wonderful choral music. The Archbishop of Canterbury took the unprecedented opportunity to preach an evangelical sermon to a vast national and global television audience . ‘Jesus – who in our reading does not tell his disciples how to follow, but who to follow – said: “I am the way, the truth and the life”. Her Late Majesty’s example was not set through her position or her ambition, but through whom she followed’. Words spoken a few brief lines into his sermon.
A little after came: “People of loving service are rare in any walk of life. Leaders of loving service are still rarer. But in all cases those who serve will be loved and remembered when those who cling to power and privileges are long forgotten”. One wonders how the many leaders attending, the Queen’s former prime ministers and politicians in office, fellow royalty, heads of State and dignitaries, felt as they listened. But around the world around millions of television sets there must have been cheers, or at least silent assent.
See TheArticle 23/09/2022
LIFE BEFORE BIRTH
A new-born baby’s first cry: a sound that signals its triumphant transition from the fluid world of the womb to the air of the outside world, from complete dependence on the placenta for oxygen to independent breathing. A transition, for which nine long months of pregnancy have prepared, achieved during the first seconds and minutes after birth. Almost miraculously the new-born child instantly adapts to life in another world.
Towards the end of pregnancy, the baby increasingly exercises its breathing muscles, taking in and expelling amniotic fluid from its trachea. After the umbilical cord and artery are tied off, with its first breath, the arteries in the baby’s lungs dilate and their air sacs are ventilated as the oxygenated blood flow switches to the pulmonary artery. To change the blood flow, a little flap-valve in the foetal heart, and a small duct between the major pulmonary artery and aorta close, one immediately, the other over a few hours, sending all the blood through the lungs at each heart cycle. To grow and develop successfully, to reach this point, the baby has depended on its surrounding environment.
Peter Nathanielsz has recently updated and expanded his book, Life Before Birth; The Challenges of Foetal Development, (Life Course health Press ISBN: 978-1-7359896-0-0). Professor Nathanielsz is an internationally respected expert in foetal physiology. His original work, translated into fourteen languages received accolades from around the world. Written in clear English with helpful diagrams and illustrations, an excellent glossary and index, the book established a trend making scientific research accessible to the non-specialist, continued today in the BBC’s science broadcasting. He keeps to his promise to avoid speculation and provide only factual information that is backed up by credible and tested research. In this second edition the story of foetal development is filled out with evidence from the last thirty years’ scientific researches. And what a story it is!
The Human Genome Project, unravelling the make-up of our genetic code, our genotype, completed in 2003, was just getting underway in 1992 when the first edition of Life Before Birth was published. This recent edition includes fascinating data from molecular biologists on the complex process of how particular genes are ‘expressed’, that is step by step how they provide instructions for building proteins and the body’s different cells and tissues, controlling and regulating the events that take place during the development of the placenta, embryo, foetus and new-born baby. For example, a single gene, SRY, on the exclusively male Y chromosome provides instructions for the primitive gonad to become a testis.
Experiments on, rats, mice, sheep, and rhesus monkeys have yielded much of the results applicable to human development. Ultrasound, MRI (Magnetic Resonance Imaging) scans and technological advances have played their part. Studies on sheep, for example, have shown the sensitivity of the foetus to sound and light. Foetal response to sound begins and grows at two-thirds through human pregnancy. If a mother whispers in one ear of new-born baby and the father in the other, the baby will invariably turn towards its mother; in utero it has heard her voice most often.
But the core theme of the book is in the title: ‘challenges to foetal development’. We are susceptible to a range of intra-uterine experiences. As a result of current or past environmental changes, conditions in the womb may deviate from a normal range with resulting changes in gene function. Analysis of such changes in gene function are a growing area of study known as epigenetics. And some of these changes predispose the individual foetus to ill-health in later life.
Over the last thirty years, understanding has grown of how responses to challenges experienced in the womb may, as the book says, “alter the development of foetal organs changing their functional capacities in ways that can persist across the life-course”. This alteration of normal development is known as ‘developmental programming’. In other words how our inherited genotype plus environment creates, for better or worse, our phenotype, the sum total of our unique physical and behavioural characteristics.
Smoking, parental obesity or malnutrition, parental age, alcohol, ‘recreational drugs’ can all cause potentially measurable negative changes in foetal development with consequences in later life such as hypertension, obesity, diabetes, and cardiovascular problems. Changes in developmental programming can even accelerate aging, a remarkable story told in later chapters of the book. Despite being an extraordinary nurturing organ, damaging molecules with potential to harm mothers cross the placenta, and by entering the foetus’ own developing gametes (sperm and eggs), to harm their children and grandchildren. Cocaine in the mother’s blood can harm the foetus by shutting down blood supply to the uterus without having to pass through the placenta.
It is not only the mother’s physical condition which affects the child. For example, recent Canadian research on male mice has shown how paternal obesity acts not only through poor sperm quality but also through the impact of seminal fluid/plasma on the biochemistry of the uterine lining. Mating with high-fat males produces offspring with poorer glucose tolerance in adult life and suggests damage to the energy-generating units in the offspring’s cells, the mitochondria, transmissible to the next generation.
In a final chapter Lucilla Poston, Professor of Maternal and Foetal Health at Kings College London, explains the importance and practical implications of our current knowledge of epigenetics. Economic and social disadvantage affect future as well as present generations. Even from before conception foetal, neonatal and later health all depend to a significant degree on good diet, parental health and fitness. Another powerful reason for government to ‘level up’. No-one pretends that will be easy. But there are more simple, achievable policies such as promoting dietary supplements: in one survey ‘of more than 131,000 women planning pregnancy in the UK, less than one third were taking folate supplements’ (folic acid prevents spina bifida and is essential for the body to make DNA).
Often the stuff of our contemporary ‘culture wars’, discussions about the beginning of life - with all its intricate self-regulation and complex bio-chemistry ignored - are increasingly fraught. Views are mainly expressed in the assertive language of conflictual rights, with little acknowledgement of duties, whether personal or social, and negligible concern for the significance of hard-won medical scientific knowledge on which health and lives depend. Nathanielsz brings four precious assets to his story: a well-honed scientific mind, wisdom, clarity of expression and above all facts.
To say a book is a must-read is a cliché. But Life before Birth really should be widely read. This new edition is a treasure trove of material suitable for inclusion in school curricula. Poston cites as exemplary the University of Southampton’s ‘Life-lab’ project which aims to teach secondary school children about biology and health from womb to tomb.
Finally, no disclaimer this, at secondary school Nathanielsz and I had the same inspiring biology teacher. We can both vouch for the importance of a first-rate science education for everyone. Life before Birth shows how it is done. Our generation owes the next not only good health but the awe and wonder that insights into foetal life evoke.
See TheArticle 09/09/2022