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[1] and to compare outcomes with those reported for teenagers nationally[2]
  • The audit analysed data from 50 young women consecutively cared for between May 2015 and August 2016.

1

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.

Outcomes

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

[1] Pregnancy and complex social factors: a model for service provision for pregnant women with complex social factors. NICE clinical guideline 110, 2010

[2] 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

  • Theme: Children & Young People Support & Prevention Service
  • Type: Curriculum/Teaching
  • Cohort: Early Years
  • Audience: Parents
  • Price: FREE
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