Discussion of the Knowns and Unknowns of Child Protection During Pregnancy in Australia

Abstract

ABSTRACT Legislative provisions for accepting unborn child reports into the child protection system in Australia have coincided with a noticeable rise in the number of infants entering care. This article collates information on the child protection process during pregnancy based on a desk review of relevant public primary sources. The effectiveness of child protection during pregnancy in reducing statutory intervention at or following birth and avoiding unintended consequences is also explored through an examination of relevant child protection data, reviews, and research. The summary revealed some differences in the process of making, accepting, and responding to an unborn child report across Australia. The knowns about child protection during pregnancy include a high rate of unborn child reporting, a high proportion of children involved in unborn child reports who are subsequently admitted to care, and a disproportionate representation of Indigenous children in these statistics. The knowledge gaps include the circumstances of parents involved in unborn child reports who are approached by child protection and when; parents who refuse to engage; parents who are provided advice and support; and the outcome of these cases. Some aspects of child protection practice during pregnancy, including information sharing, risk assessment and case planning, and parental engagement and partnership throughout the process represent further knowledge gaps. IMPLICATIONS Attention to the high rate of unborn child reporting to child protection in Australia and to the differences in procedures for responding across the states and territories is needed. The high proportion of children involved in unborn child reports who are subsequently admitted to care, and the disproportionate number of Indigenous children who are represented in unborn child reports, substantiations, and care entries during infancy need to be addressed. There is a need for further research on child protection practices during pregnancy and case outcomes to maximise safe pregnancy journeys.