Cover Page Title: Vulnerable birth mothers and repeat losses of infants to public care: is targeted reproductive health care ethically defensible? Author names and affiliations Dr Karen ����������� Dr Mike ����� Professor Judith ������� Dr Bachar ������� ��. ���� �������� Ms Sophie �������� Ms Claire ������ a. School of Nursing, Midwifery and Social Work, University of Manchester, Oxford Road, Manchester, England M13 9PL b. Tavistock and Portman NHS Foundation Trust, Tavistock Centre, 120 Belsize Lane, London, England NW3 5BA c. Brunel University, Mary Seacole Building 301A, Uxbridge, England UB8 3PH Corresponding Author: Dr Karen ����������� Senior Lecturer in Socio-Legal Studies, School of Nursing, Midwifery and Social Work, University of Manchester, Oxford Road, Manchester M13 9PL. Tel: 0044 (0)7810313671, 1 Email:
[email protected] Acknowledgements: The Nuffield Foundation 2 Abstract This article aims to advance debate about the ethics of targeted reproductive health care for birth mothers who have experienced recurrent care proceedings. Making reference to new research evidence that reports the scale of the problem of repeat care proceedings in England, the article considers the role that enhanced reproductive health care might play in helping mothers exit a cycle of care proceedings. Emerging practice initiatives are introduced which are all stretching the boundaries of statutory intervention, by working intensively with mothers following removal of children to public care. The central argument of this paper is that a positive interpretation of rights provides a warrant for providing enhanced access to contraception, but this must be part and parcel of a holistic, recovery focused approach to intervention. Caution is also raised in respect of the reasons that may lie behind a pattern of rapid repeat pregnancy for this particular group of women.