Previous severe PND will SS take a new baby.

tariawen
Posts: 1
Joined: Mon Jan 16, 2017 9:54 pm

Previous severe PND will SS take a new baby.

Postby tariawen » Tue Jan 17, 2017 2:17 pm

Dear All,

Just looking for advice. I had very severe PND and psychotic episodes triggered by the birth of my first child. My partner left mid way through my pregnancy and my toxic parents caused a family rift that will never be repaired. I was forced to sign a section 20???? and my baby was in foster care for 8 months. My child unfortunately has severe developmental delay cause under investigation. i was accused of emotional abuse by carrying her too much, not allowing her to do this and that etc. It is now clear through paediatrician reviews my child at 1 year old was around the age of a 5 month old and would never had been able to do these things i was accused of preventing.
My child is now 3, developmentally 14 months old and at home with me full time. Social services closed the case 6 months ago. We do have extensive therapy and lots of contact with professionals due to my childs developmental delay which will be long term. I have a distant relationship with my parents where they have my child once a week but i do not enter their home.

I now would love to consider a second child but being a single parent, over 40 with poor fertility i am thinking regarding the IVF route. A friend is willing to donate to be a father with once - twice a month visits but i will be the main carer. I feel far more prepared this time around and believe i would be able to recognise and prevent the symptoms of PND should it occur again. At the last Review child protection conference 2 years ago i was told any future children would be removed immediately if i was on my own due to risk of emotional abuse or if my parents are heavily involved due to a dysfunctional relationship. I have requested all my notes and the report from that conference says mother is told there will be social service involvement should another child be born but it doesn't specify what that would be.

As i am in my early 40s i feel i am running out of time and would love to try for another child but i can not cope with a child being removed because i "might" suffer PND.

Am i stupid to think about another baby?

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Suzie, FRG Adviser
Posts: 2081
Joined: Mon Jul 04, 2011 2:57 pm

Re: Previous severe PND will SS take a new baby.

Postby Suzie, FRG Adviser » Fri Jan 27, 2017 1:48 pm

Dear Tariawen

Welcome to the Parents Forum. Sorry for the delay in responding to your questions.

I can see that you have a difficult decision ahead about whether you should try for another child.

Understandably you are worried that if you suffered severe post-natal depression again, your baby might be removed from you.

First, have you discussed with your GP or mental health services, what support would be available to you, if you decided to have a further child? Is there a specialist mother and baby unit in your area, for example?
No doubt a referral to perinataI mental health services will need to take place, if you become pregnant. This is to assess how you can be supported.

However, some perinatal teams will accept a referral pre- conception to discuss the risks and how you might be supported.

You could seek counselling via IVF support groups as well.

In respect of children services involvement.

The midwife or GP are likely to make a referral to children services, when you are pregnant. This is due to children services substantial involvement with your older child.

If children services decide to open a case they will carry out an assessment of your situation, to decide whether you might need support or intervention.
At the end of the assessment these could be outcomes:
Close the case and you can access support via universal services-such as the perinatal services; offer you support via a children in need plan; child protection plan or if children services thought your baby was at risk of serious harm consider removal of him either with your consent or via court proceedings only if nothing else was safe enough.

The assessment, will look back at the history of their past involvement, including the fact that your child lives at home with no current children services involvement.
In respect of your first child, you had no idea, that you were going to suffer such a severe episode of post- natal depression. So there would have been crisis management at the time. If you decide to a have a further child, at least this can be planned for.

Here is information about assessments
As you can see, the support you have in the community and family and friend’s network will be assessed.

Like you say, the fact you are may be a single mum will be seen as a potential worry given your mental health and history of psychosis, so they will want to know what support you have around you. The assessment will also look at your 3 year old child, how his needs will be managed, if you were admitted to a mother and baby unit. Who in your network will care for him for example? Or will he need to go into foster care?

Could there be a child protection conference?
If at any point during the assessment, children’s services thought your unborn baby might be at risk of suffering significant harm, the assessment would become a section 47 investigation and a decision may be made to hold a pre-birth child protection conference to decide whether a pre- birth child protection plan would be needed.
(However, children services may just be involved with your consent on a child in need basis).

If a child protection conference was held, any perinatal mental health worker, health visitor and midwife would be invited to the conference.

If a child protection pan was made, perinatal services and the midwife and health visitor would also be involved in planning what would happen once your baby was born. So you would be monitored and supported for signs of post- natal depression and a place in a mother and baby unit considered.

If there are no mother and baby units where you live, other options would be considered. So how could you and baby be kept together safely within the community? A lot would depend on whether you would need to go onto an adult mental health ward, if you suffered a depressive episode, or whether you could be treated in the community.

How could father or your family and friends be involved in supporting you? A family group conference could be considered. Here the family would be invited to come up with a plan of support. Here is a film .

Only in the worse- case scenario would removal of baby from you be considered. This would be if baby was in imminent danger or at risk of suffering serious harm and not enough support could be put in place to protect baby. If this was to happen-who could baby be placed with? Is there anyone in your network?
Children services should consider placing with other parents. So your friend who wishes to be a father will also need to consider his options and whether he will formally consent to being a father to the IVF licenced treatment provider so he can get parental responsibility like other birth fathers.
What about any family or friends who could put themselves forward to care for your baby, if you became too unwell?

I have given an outline of what might happen if you were to become seriously unwell but also a danger to your baby. However, you managed to come through the illness before, and your child remains living with you. You seem to work very well with professionals and this is viewed positively.

If you have any questions, please post again.

Best wishes,

Suzie


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