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NHS Training Tells Midwives Not to Discourage Cousin Marriage, Drawing Political and Academic Criticism

The guidance, part of the Maternity Transformation Programme, cites an estimate that 85–90% of cousin couples have unaffected children and advises referrals to genetics services.

Overview

  • Newly publicised NHS England materials describe concerns about genetic risks from cousin marriage as exaggerated and say risks should be weighed against social and economic benefits.
  • The document instructs staff that discouraging cousin marriage is inappropriate and warns against stigmatizing patients for practices considered normal in some cultures.
  • An NHS spokesperson said the service recognizes genetic risks in consanguineous relationships and offers referrals so individuals can understand those risks before deciding.
  • Critics including Conservative MP Richard Holden and academics Patrick Nash and Michael Muthukrishna condemned the guidance and argued the practice harms health and social integration.
  • Coverage notes higher prevalence of close-relative marriage in parts of the British Pakistani community, cites prior local data on congenital conditions, and reports YouGov polling showing broad public support for a ban.