Brief background to the research: Removal of a baby from his or her mother at the time of birth, when child protection issues are suspected, is know as an Assumption of Care (AoC). For mothers the experience and effects of an AoC are devastating and traumatic. Although there is considerable research on the experiences of children in Out of Home Care there is little research encompassing the experience of an AoC from the perspective of birthing women.
Purpose and objective of the research: This research explored childbearing women's experiences of an AoC at birth. It sought to understand individual women's stories, how they made sense of of the experiences and how these experiences framed their lives.
Aim, method/s and key findings: A narrative inquiry framework guided interviews with three women and formed the basis for reading, interpreting and analysing their stories. The themes of power, concealment and disenfranchised grief identified in the narratives will be explored.
Implications for midwifery education, practice and/or policy: Understanding the issues from the perspective of birthing women can inform future practice and policy. A twofold change to maternity care is advocated. First, instead of the current statutory process a collaborative approach to care linked to strengthening partnerships with midwives and other health professionals involved in the process should be adopted. Second, women at risk of AoC should be allocated to a continuity of care midwifery model (with the backup of a strong support team) for the duration of their pregnancy, labour, birth and postnatal period.
Relevance and how it applies to this area of work and this audience: This study provides insights into the potential impact of an AoC on childbearing women with complex psychosocial needs. Changes to midwifery practice have the potential to support both the women and the midwives involved in their care.