Page 1786 - Week 06 - Thursday, 3 June 2021

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-ACT residents under the age of 18 who gave birth

-Childbirth episodes with DRGs: O01A, O01B, O01C, O02A, O02B, O60A, O60B, O60C

(2) The Centenary Hospital for Women and Children (CHWC) delivers the Step Ahead Program (the Program). This Program runs an antenatal clinic (the Step Ahead Clinic) as part of Maternity and Gynaecology Outpatients at CHWC which provides continuity of antenatal care for women under the age of 21 years.

The Canberra College Cares (CC Cares) program provides education and health services for pregnant and parenting women and their partners who are under the age of 26 years and who have not completed a Year 12 education. Health services are provided through this program as an in-reach service and include maternal and child health nurses two days a week for parenting enquiries, developmental checks and child immunisations, dental care once a month, sexual health once a month, and midwifery care as needed.

The Perinatal and Infant Mental Health Consultation Service for mental health assessment and referral is available for all women in the ACT including those under the age of 18, during pregnancy and following the birth of a baby up to 12 months of age.

(3) In addition to the above services, the Parenting Enhancement Program (PEP) and the IMPACT program are multidisciplinary services providing continuity of care by maternal and child health nurses for families experiencing vulnerability, from birth until approximately 12 months.

The Early Parenting Support Service provides a counselling service available for all women following the birth of their child.

The Women’s Health Service for trauma informed counselling, postnatal support including contraception and other medical supports is available for all women experiencing vulnerability in the ACT.

(4) Women are referred by their General Practitioner to the Canberra Maternity Options Service where a midwife will triage the referral and offer antenatal support through the Step Ahead Clinic at CHWC. Midwives through the Step Ahead Clinic will make referrals to appropriate services as necessary including social workers, drug and alcohol counselling, and mental health support through the Perinatal and Infant Mental Health Consultation Service or the Early Parenting Support service.

Meetings are held fortnightly to discuss women birthing through these programs. This ensures services are aware of young women who are birthing and who potentially need extra antenatal and postnatal support.

A referral is sent to the PEP where a specialist maternal and child health nurse is allocated to a client to provide continuity of care until the child is between 12 months and two years. These nurses also work at CC Cares to provide support for parents around development needs for children, parenting advice and immunisations. PEP nurses refer and liaise with other supports in the community as needed.

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