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Topics: Parent, Pregnancy, Assessment Pages: 9 (2294 words) Published: July 4, 2013
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1.3.3 Guidance for Conducting the Pre- birth Core Assessment| ------------------------------------------------- Top of FormBottom of Form|
OTHER RELEVANT CHAPTERS
Pregnant Looked After Children Procedure
Pre Birth Assessment Procedure
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Contents
1. Introduction
2. When Should Pre Birth Assessments be Considered?
3. Starting the Pre Birth Core Assessment
4. Assessments Completed in Conjunction with the Pre-birth Assessment 5. Service User's Perspective
6. The Pre-Birth Assessment Report
7. Overall Risk Assessment
8. Risk Estimation Matrix
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1. Introduction
There are some situations where sufficient concerns exist prior to the birth of a baby that requires multi-agency assessment, intervention and planning. The assessment and the subsequent weighing up of vulnerability factors is an important process and needs to be considered in a context that includes: * Factors specific to the child

* Factors specific to the adults
* Adverse stress and environmental factors
* Strengths, supports and protective factors
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2. When Should Pre Birth Assessments be Considered?
Pre-birth assessments must be considered in the following cases: * Where previous child(ren) have been removed because of Significant Harm * When a person is deemed to be a risk to children lives in the household or joins the family * Where there are concerns about the mother's ability to protect * Where there are acute professional concerns regarding parenting capacity, particularly in relation to parental mental health, learning disability, or domestic violence. * Where alcohol or substance misuse could affect the health and wellbeing of the baby or the adult(s) caring for the child. * Where the parent is young, was/is Looked After and the parent's lifestyle leads to concerns about their ability to meet the needs of a baby. NB. This is not an exhaustive list and if in any doubt discuss with your Team Manager -------------------------------------------------

3. Starting the Pre Birth Core Assessment
It is useful at the start of a pre-birth assessment to conduct the following: * Read all documents relating to the family including the documents for any siblings subject to proceedings or Child Protection Plan Safeguarding & Specialist Provision Case Files (ESCR and paper files), other Local authority case files and reports produced by other professionals. This should include any past legal files and court judgements. * If there is a court judgement this must form a factual starting point of any assessment * Compile a Chronology of significant events with coherent histories and accurate recording, following up any missing information if possible * Take an objective look at the Chronology to see if there are any overall patterns emerging * Obtain details of all family members/significant adults living in the household including details of any name changes, previous addresses, cautions, convictions, final warnings and other significant relationships. * Establish the date of confinement and the antenatal history relating to the unborn child. The expectant mother's ante-natal care, medical and obstetric history. This can be completed by the Midwife/Health Professional as part of the pre-birth assessment but reference to this must be included in the assessment report. The central question is whether there is anything in the medical and obstetric history that seems likely to have a significant negative impact on the child and if so, what? * Establish details of any previous pregnancies and subsequent births. * Determine professional responsibilities...
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