Auditing the Work of a Teenage Pregnancy Midwife - Barking, Havering & Redbridge
In 2017, a retrospective audit of the Barking, Havering & Redbridge teenage pregnancy service was carried out.
- The audit aimed to benchmark the service against NICE guidelines and to compare outcomes with those reported for teenagers nationally
- The audit analysed data from 50 young women consecutively cared for between May 2015 and August 2016.
Demographics and social risk factors
- 93% of the pregnancies were unplanned
- 22% booked at between 13-20 weeks gestation and 30% booked at over 20 weeks
- 66% did not attend at least one appointment
- 32% of the young women disclosed domestic abuse
- 24% disclosed sexual abuse
- 10% disclosed child sexual exploitation
- 24% disclosed self-harm
- 32% admitted to drug use
- 64% admitted to smoking
- 24% of the mothers were accommodated by social care or had been in the past.
- 82% had some safeguarding input for their babies: 24% of the babies were put on a Child in Need plan, 26% on a Child Protection plan & 32% were assessed and the cases closed.
The outcomes were positive, compared with national statistics:
- Low birthweight – 2% , compared with 8.4% national rate for teenagers
- Caesarean – 6%, compared with 11.3% national rate for teenager
 Pregnancy and complex social factors: a model for service provision for pregnant women with complex social factors. NICE clinical guideline 110, 2010
 Public Health England, Department of Health, Royal College of Midwives. Getting maternity services right for pregnant teenagers and young fathers. A practical guide for midwives, doctors, maternity support workers and receptionists. 3rd edition, 2015