A pre-birth assessment is undertaken when children's services have concerns about an unborn child's safety after birth. It is not a punishment, it's a structured opportunity to evidence change and plan for the baby's arrival.
When does it start?
Ideally by 20-24 weeks gestation. Earlier is better when risk factors are clear.
What does the social worker do?
Reviews any previous involvement (especially where other children have been removed), meets with both expectant parents separately and together, liaises with midwifery and mental health teams, and explores the wider family network.
What's the parent's role?
Engagement is everything. Being honest, attending sessions, and showing willingness to change makes a real difference to the recommendations.
What happens after birth?
Most pre-birth assessments include a post-birth observation phase, especially where the plan is for the baby to remain with the parents under a Child in Need or Child Protection plan.