Routine Antenatal Care with Additional
Support for Teenage Mothers Up To 19 Years
Name:
Wk
1-5
6
7
8
17
18
19
20
21
22
23
24
25
26
27
28
Additional Support
First Contact
6-8 weeks
Using inter-agency communication form (ICF) please forward to:
 Public Health Midwife – who will forward to Family Health Partnership (FHP)
 Connexions; Health Visiting team; Children Centre; GP; School nurse (if in
school); consider young people drug and alcohol service if needed
 Consider CAMHS if under 18 with mental health problem
 Safeguarding lead if under 16 or safeguarding concerns
 Sexual Medicine Outreach Team for 18 and under (Torbay only)
Complete healthy start scheme form and refer to smoking cessation if applicable
Home Booking
10-12 weeks
Follow unborn baby protocol from South West Child protection procedures
www.swcpp.org.uk and refer to Children and Young People Services as
appropriate.
Dating Scan 12-14 weeks
Hand out Tommy’s young parents guide’
Consider the need for common assessment framework.
Please hand out a copy of flow chart to all clients.
GP Surgery or Midwife Appointment
16 weeks
Hospital 20 Week Scan
Midwife 25 weeks (1st baby)
35
36
37
38
39
40
Health Visiting Team to make contact between 20-30 weeks gestation or the
Family Health Partnership have made contact.
Arrange multi agency meeting for 28 weeks and consider CAF, if in child
protection arena please do not duplicate meetings. Consider Housing needs, and
invite to multi agency meeting if appropriate.
Midwife (for bloods + anti D if Rh. Neg) 28 28 weeks multi –agency meeting follow pro-forma for minutes. Please file in case
weeks
notes and distribute to all relevant agencies. Consider need for CAF
29
30
31
32
33
34
EDD:
Support
Smoking Cessation Torbay: Tel 01803
299160
Smoking Cessation Devon: Tel: 01626
357010
9
10
11
12
13
14
15
16
DOB:
Midwife to arrange early pre birth at around 32 weeks
Maternity care assistant arrange to visit at home
Midwife 31 weeks
Midwife 34 weeks
34 week multi-agency meeting follow pro-forma for minutes. Ensure clear plan of
support.
Midwife 36 weeks
Midwife 38 weeks
Midwife 40 weeks
Self admission and delivery
Postnatal
Information correct as at September 2010
On discharge from John Macpherson ward young parent packs are administered
and appointment made with Sexual Outreach Team for teenagers who are 18 and
under. Follow up meeting 1 month post delivery organised by Health Visiting
Team and ensure a clear plan of support in place.
Contacts
Children Centres (CC)
Torbay
Echo Centre: 01803 329666
Watcombe CC: 01803 210200
Paignton and Brixham CC: 01803 556081
Connexions
Checkpoint
Housing
01803 200202
01803 200100
Young Parents Project Steepway: 01803
526793
Matlock House/Coverdale: 01803 299413
Torbay Council Housing Needs: 01803
208723
Family Health Partnership 01803 540249
Public Health Midwife
01803 654644
Team Leader of Sexual
01803 656500
Medicine Outreach Service Mobile: 07917088019
- Torbay
Children Services
01803 208100
CAMHS For Under 18’s
School Nurses (Team
Leaders)
Outreach WorkerExpectant Fathers
Education Other Than At
School
Domestic Abuse (DA)
Support
Drug and Alcohol Service
Benefits
Teignbridge/ South Hams
Teignmouth/ Dawlish CC: 01626 879776
Newton Abbot CC: 01626 354657
Bovey Tracey/Heathfields CC: 01626 835612
Ashburton/Buckfastleigh CC: 01364 644200
Totnes CC: 01803 864737
Dartmouth CC: 01803 833164
01626 367579
Young Persons Housing Officer 01626 361101
YES - Housing Support 01626 202530
-
Mob: 07771806870
Teignbridge: 01392 386000
Totnes: 01803 869300
01626 357024
Newton Abbot/Teignbridge 01626 357260
Totnes 01548 852349
-
01803 208906
01392 383940
DA Support: 01803 217614
Police DA Unit: 01803 841469
Torbay for Under 18’s: 01803 500555 or
200100
Torbay Open Access: Over 18’s
07825027845
Under 18’s 01803 356026
Over 18’s: 01803 356148
DA Support Service: 01364 644088
Police DA Unit: 01626 336552
Devon for Under 18’s: 01271 388162
EDP: 01626 351144
01803 655692
01803 696776
Routine Antenatal Support For Teenage Pregnancy
Pregnancy Confirmed - Advised regarding antenatal care, care pathway handed out to client and flow chart to be followed.
ICF completed and forwarded to relevant agencies following Inter-agency flow chart. If under 16 please refer to Children and
Young People Services and forward to safeguarding lead. Follow Unborn baby protocol from South West Child
Protection Procedures throughout pregnancy and refer to Children Services as appropriate. If under 16, or medical or
obstetric problem please book for consultant led care under Mr Narayanan. Public Health Midwife (01803 654644) to
forward to FHP.
20 Week Dating Scan - For review by Consultant in specialist clinic if under 16, medical or obstetric problem
28 Week Review (called by midwife) - All professionals engaged with the client’s meet with client and family. Date, time
and venue to be co-ordinated by midwife. To include midwifery, health visitor, connexions, family health partnership and
children services if involved at this time. Please use Pro-forma for minutes. Discuss any concerns and distribute as
appropriate. Consider a need for a CAF to ensure support is in place or referral to Children and Young people Services
following the Unborn baby protocol. Set date for 34 weeks meeting. N.B invite client to this meeting. If the case is
already Child Protection please do not duplicate meetings. Please send copy of minutes to parents, public health
midwife and all attendees. Maternity Care Assistant (MCA) to make contact with the Young Person.
34 Week Review Meeting - To include all professionals involved. If concerns were raised at 24 weeks social worker to be
invited. A client focused meeting to agree support plan for prior to, during and after the birth. Any concerns to be discussed
openly with the client. Follow the Pro-forma for minutes and distribute as point 3 states.
33-34 Week Pre Birth Planning Meeting - Midwife and client to discuss birth plan i.e. pain control, PN care, breast feeding
please ensure the MCA has visited
Admission to Hospital and Delivery - See flowchart. Any safeguarding concerns please liaise with Safeguarding Named
Midwife 01803 654606
One Month Follow Up meeting (called by Health Visitor) - Date, time and venue of meeting co-ordinated by health visitor.
For Multi- agency meeting with the family and all professionals involved to review and ensure enough support is in place.