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Louis Tomlinson’s 19-year-old sister has reflected on the negative comments and criticism she received after announcing her pregnancy earlier this month. On 19 June, Phoebe Tomlinson revealed that she and her boyfriend, footballer Jack Varley, 26, are expecting their first child together. The couple said their firstborn is a boy, sharing the news in a gender reveal video posted on Instagram 10 days later. In the video, Varley pops a black balloon filled with blue confetti, before hugging Phoebe as they celebrate the news with friends and family. The model and mum-to-be later answered fan questions about her pregnancy journey on her Instagram stories, including whether she had dealt with any backlash for being a “young mama”. Phoebe replied: “Any nasty comments will get removed and blocked, so I just try and let them go over my head. That’s the downside of social media. And I’ve truly learnt in the past few weeks how incredibly cruel people can be. “I’m lucky I have an amazing family,” she added. Her twin sister Daisy left lots of blue heart emojis on Phoebe and Varley’s gender reveal video, while their older sister Lottie Tomlinson, 24, said she “can’t wait to meet” her nephew. Phoebe also responded to a 19-year-old fan who also “wanted a baby early in life but people were against it”. She said: “Why do ‘people’ matter? It’s your life, sweets.” Phoebe also shared she “feels like any other expecting mum” when asked if it was scary to become a mother at “such a young age”. Elsewhere, she said her brother Louis was “excited” to find out Phoebe and Varley were having a boy. While the former One Direction star wasn’t at the gender reveal, Phoebe told a fan she texted him a few days prior to the announcement. She also expressed her excitement at her baby meeting Daisy, and told a fan she becomes “emotional” when she thinks about Varley becoming a father. “I can’t wait to see them snuggle and to watch him thrive as a dad,” she added. Finally, Phoebe said that she felt her late mother Johannah Deakin “guiding us through” the pregnancy. Deakin died from leukemia in December 2016, aged 43. The family was dealt another tragic blow in March 2019, when the siblings lost their sister Félicité Tomlinson after she died from an accidental drug overdose, aged 18. Read More Kevin Costner’s estranged wife says she’ll move out of their $145m home on one condition Colleen Ballinger: Everything we know about the ‘grooming’ allegations against YouTuber Miranda Sings Sarah Jessica Parker reveals she and husband Matthew Broderick haven’t ‘spent a night apart’ in 31 years Ellie Simmonds decided to find her birth mother as she starts ‘new chapter’ with partner Matt Dean Nutritionist explains how women can eat to help balance hormones

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Neglecting women’s health in the workplace could be costing the UK economy around £20.2 billion each year, analysis has suggested. In a new survey of 2,000 women, 68% said that they have dealt with health issues at some point in their career, whilst almost 29% felt their employers were not supportive. When factoring in specific health matters that relate to women, including endometriosis, fertility, menopause and periods, this figure increases to 36%, leaving 46% of women worried that their health could impact their career trajectory and 48% thinking they would be forced to resign. The study conducted by AXA Health in partnership with the Centre of Economics and Business Research (CEBR) also suggested that 83% of women have had their personal finances affected when faced with health issues. For instance, 52% of women have had to take time off, 22% missed out on a promotion and 20% settled for lower pay. Economic modelling from AXA Health and CEBR suggested that ignoring women’s health at work could be costing the UK economy £20.2 billion a year. From 90% of women struggling emotionally, 46% feeling helpless and 43% feeling less motivated at work, this issue has also had a huge impact on their mental health and wellbeing. “As this report finds, neglecting the health of women in our workplaces isn’t just a matter of compassion; it’s a serious economic oversight,” said Flick Drummond MP, who is serving as the co-chair of the All-Party Parliamentary Group on Women and Work. Dr Pallavi Bradshaw, deputy chief medical officer at AXA Health, added: “While companies certainly still have a way to go in addressing women’s health at work, there is promise in the increased willingness of women to discuss their health concerns with colleagues and managers.. “For example, our women’s health report found that 60% of women who talked about their health found their employers to be supportive, whether this be through time off, offering counselling or making adaptations to the workplace. “These developments are positive, but as we delve further into the findings, it becomes evident that concerns extend beyond just health issues. A striking 53% of the women we surveyed voiced that, within their workplaces, women often shoulder more unplanned responsibilities – such as caring for loved ones – than their male counterparts. “Furthermore, when reflecting on their own families, 39% of respondents revealed that they bear a greater burden than male family members when it came to unexpected caring responsibilities. This gender-based imbalance in unpaid labour not only perpetuates inequality but also places women at risk of being sidelined in their careers, overlooked for promotions, or compelled to work beneath their true potential.” Bradshaw said the economic impact of neglecting women’s health is “still significant”, and urged the need for “more education, robust workplace policies and talent retention initiatives”. The report suggested women who work part-time are hit even harder when it comes to health-related issues. It found that 61% are worried about having to leave their jobs prematurely, which exceeds the average by 19%. Only 17% of women who work full-time believe that conversations surrounding women’s health are not encouraged in their workplaces, but this increases to 23% for those who are employed part-time. According to a report conducted by The Royal College of Obstetricians and Gynaecologists, women represent 51% of the population and 47% of the workforce. Read More Nearly three-quarters of mothers feel invisible, study suggests The best ways to work-out in 22 minutes – as study finds this is magic number for offsetting ‘negative impact of sitting’ What crops will we be growing in the future, as climate change alters the landscape? As Rebecca Adlington shares heart-breaking miscarriage news: How to support others experiencing baby loss What you need to know about new research into treating cervical cancer How to do Halloween make up and still take care of your skin

Surgeons worked all day and into the night to ensure Britain’s first womb transplant went smoothly. Its success is down to meticulous research, years of sharing knowledge between experts around the globe, and the hard work and dedication of doctors Professor Richard Smith, from Imperial College London, and Isabel Quiroga, from the Oxford Transplant Centre. Around 50 babies have been born worldwide as a result of womb transplants, which give women missing a functioning uterus a chance to have a baby. In the first UK case, the operation to remove the womb from the recipient’s 40-year-old sister lasted eight hours and 12 minutes, with surgeons leaving her ovaries behind to prevent pushing her into early menopause. One hour earlier, surgeons began operating on the 34-year-old recipient, preparing her body to receive the donated organ. This operation lasted nine hours and 20 minutes, with the surgical team experiencing some difficulties including a higher-than-expected blood loss of two litres. However, after just 10 days, the recipient was well enough to leave the hospital and has continued to have a good recovery. She is also having regular periods, which shows the womb is working well. Her sister was discharged five days after her donor operation and has also made a good recovery. Removing a womb is a similar operation to a radical hysterectomy, according to Prof Smith, who as well as being a gynaecological surgeon is the clinical lead at the charity Womb Transplant UK. He and Miss Quiroga led the team of more than 30 staff who worked on the transplant one Sunday in February. Prof Smith and Miss Quiroga removed the older sister’s womb, cervix and fallopian tubes, plus crucial blood vessels around the organ. The main vessels are the uterine arteries running into the womb, but the surgeons also aimed to collect some of the larger internal vessels that lead into the smaller branch of the womb. Prof Smith said surgeons doing these operations have to retrieve veins involved in the drainage of the womb. “One of the amazing things is that my surgical skill-mix as a cancer surgeon is to remove organs with a margin of normal tissue, while sealing the vessels as I go,” he said. “Transplant surgical skills are different – that is to remove a normal organ with the best number of non-sealed vessels as you can. “Isabel and I operate together with no ego – it just flows backwards and forwards across the table.” He added: “The day itself was truly humbling. We turned up at 7am at the Churchill transplant centre with the donor and the recipient families, then we went into a pre-op huddle. Those in the huddle included surgeons, nurses, anaesthetists and technicians. Prof Smith and Miss Quiroga worked to remove the womb, before the organ was prepared for transplantation by a “back table” team. “This was an organ which had a very, very unusual blood supply,” Prof Smith said. “In fact, it had a set of blood vessels which I’ve never seen in my entire career. They made my dissection a bit harder than it might have been, but we got there.” In the theatre next door, one hour before the retrieval of the womb was completed, surgeons began to operate on the donor’s younger sister to enable her to receive the womb. Prof Smith and Miss Quiroga switched from donor to recipient and Prof Smith removed the vestiges of the underdeveloped womb the recipient was born with. Meanwhile, the organ was packed and transported between the two theatres under sterile conditions to prevent contamination. A sterile bag with a cold perfusion solution contained the womb, which was then placed into a container with ice. During surgery, ligaments attached to the womb were attached to the recipient to help the womb stay in a relatively fixed place so it does not move around the pelvis. The most important part of the transplant operation was the joining of the very small vessels that give the blood supply to the womb. This was the most delicate and difficult part of the operation and was led by Miss Quiroga. Once all the vessels were connected, the donor’s vaginal cuff – around a 1cm part – was stitched into her sister’s vagina. If and when the recipient is able to complete her family, the womb will be removed six months later to prevent her from needing immunosuppressants for the rest of her life. Prof Smith said: “We know that the chance of failure at the point where the uterus goes in – if you look at the world literature – is 20 per cent to 25 per cent. And that failure is usually on the basis on sepsis and thrombosis. So technically, we are up to the job, but what happens thereafter can be scary. “Once you get to three or four days later, the chance of failure drops to probably less than 10 per cent. “Once you get to two weeks – and at the point where the woman has a period – the chance of her having a baby at that point is very high and the chance of failure has dropped to low. But those first two weeks – it’s very scary as a surgeon to watch and wait.” Biopsies to check the womb was functioning were read in London but then also confirmed by an expert team in the US at Baylor University Medical Centre in Dallas, where other womb transplants have been performed. Prof Smith said the procedure gives new hope to women born with devastating conditions. He said: “You’ve got girls, maybe 14, who have not had periods, they go to the GP and a scan shows there is no uterus. Absolute catastrophe. “Up until now, there’s been no solution for that, other than adoption or surrogacy... That’s not the case now. It’s really exciting.” On whether transgender women may also benefit from the operation, Prof Smith said that was still a long way off. He said the pelvic anatomy, vascular anatomy and shape of the pelvis are different, and there are microbiome issues to overcome. “My own sense is if there are transgender transplants that are going to take place, they are many years off. There are an awful lot of steps to go through. My suspicion is a minimum of 10 to 20 years.” Miss Quiroga said the living donor programme to date in the UK has focused on women with relatives who are willing to give their wombs. “It will come to a point where we will have friends or altruistic donors, like we have with many other transplants, but at the moment we’re only focused on people who have come forward with relatives,” she said. 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