Prenatal and Infant Reports and Child Protection Involvement: A Longitudinal Cohort Study

Miriam J Maclean1,2, Fernando Lima1, Stephanie Taplin3

  • 1Australian Centre for Child Protection, University of South Australia, Adelaide, SA, Australia.

Child Maltreatment
|September 19, 2025
PubMed

Insights

Prenatal child protection reports in Australia increase infant removal likelihood. Early intervention strategies need examination to improve child safety and family support outcomes.

Area of Science:

  • Child welfare research
  • Public health policy
  • Paediatric social work

Background:

  • Infants in Australia face the highest rates of child protection involvement.
  • Limited understanding exists regarding the outcomes for infants reported prenatally to child protection services.
  • Existing policies for prenatal planning and support show varying impacts.

Purpose of the Study:

  • To investigate child protection pathways for infants with prenatal and birth reports.
  • To analyze factors influencing out-of-home care removal and reunification for these infants.
  • To identify jurisdictional variations in child protection interventions for prenatal reports.

Main Methods:

  • Utilized cross-jurisdictional, individual-record data from the Australian Institute of Health and Welfare (2012-2018).
  • Employed Cox regression analyses to examine predictors of removal and reunification.
  • Focused on infants with prenatal and infant-related child protection reports.

Main Results:

  • Infants with prenatal reports were significantly more likely to be removed into out-of-home care (Hazard Ratio = 2.29).
  • Earlier pregnancy reports did not correlate with decreased removal rates.
  • Significant jurisdictional disparities were observed in removal and reunification rates.
  • Aboriginal infants experienced higher rates of prenatal reports, removals, and lower reunification rates.

Conclusions:

  • Prenatal reporting is a significant risk factor for infant removal from families.
  • Current prenatal interventions may require re-evaluation for effectiveness.
  • Addressing jurisdictional and Indigenous-specific disparities is crucial for equitable child protection.
  • Improving prenatal support services could enhance the likelihood of children remaining safely at home.

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