Pathway for Pregnant Teenagers Pregnant teenager referred to teenage pregnancy midwife 8/40 booking visit Risky sexual behaviour • Safeguarding assessment • Chlamydia screening offered (both parents) Refer to sexual health targeted outreach team - 28/40 booking visit referral criteria detailed in • Discuss post-partum contraceptive options on-line referral form • Offer referral to sexual health team Complex medical North, West or Weymouth STI risk or genitourinary problems or coil wanted East Dorset and Portland symptoms Refer to CASH specialist Refer to The Park Centre, Weymouth 1 hour appt at sexual health clinic • Introduction Teenager DNAs Teenage pregnancy • CSE risk assessment midwife can • Post-partum contraceptive options transport if needed • Chlamydia screening if not done Contact teenage • Book appt at 2 weeks post-partum pregnancy midwife • E-mail teenage pregnancy midwife to rearrange and with plan /concerns / if DNA transport to appt Delivery Able to provide contraception Not able to provide contraception immediately immediately SDI or Depo-Provera asap, IUS or IUCD within 48 hours Inform sexual health team of delivery, confirm appt time Inform sexual health team 1 hour appt at sexual health clinic Book follow-up appt if needed • If less than 21 days post-partum: Teenage pregnancy • Repeat Depo-Provera (12 weeks) quick start contraception midwife can • Coil check (6 weeks) • If 21 days or more post-partum transport if needed • Nuisance bleeding with SDI and pregnancy risk: emergency contraception +/- quick start Version: PA007\v3\Apr-21 Pathway for teenage pregnancies: contacts and resources Teenage pregnancy midwife contacts • Group e-mail address for teenage pregnancy midwives (preferred contact): [email protected] • Weymouth and Portland, Blandford and North Dorset: [email protected] 07747 634 145 • Weymouth and Portland, Dorchester and East Dorset: [email protected] 07795 318 270 • Weymouth and Portland: [email protected] 07795 307 863 • Bridport and West Dorset: [email protected] • Team leader and lead midwife for safeguarding: [email protected] 01305 253 384 NB to start with this service is being piloted in Weymouth and Portland only CASH specialist contacts • Link nurses: [email protected], [email protected] • Locum consultant: [email protected] • Clinics are held at Blandford, Bridport, Wareham and Weymouth: https://sexualhealthdorset.org/clinics • Telephone: 0300 303 1948 GUM specialist contacts • Link nurses: [email protected], [email protected] • Safeguarding /young person’s lead consultant: [email protected] • Clinics are held at Blandford, Bridport and Weymouth; contraception is only available at Weymouth: https://sexualhealthdorset.org/clinics • Telephone: 0300 303 1948 Targeted Outreach Service contacts • Clinical lead: [email protected] • https://sexualhealthdorset.org/about-us/targeted-outreach-service • Telephone: 0300 303 1948 / 07887 831 553 Resources • FSRH clinical guidance: contraception after pregnancy 2017 • FSRH clinical guidance: contraceptive choices for young people 2010 • FSRH clinical guidance on contraception: method-specific • Sexual Health Dorset website https://sexualhealthdorset.org • Sexual Health Dorset pathways https://sexualhealthdorset.org/professionals/pathways Version: PA007\v3\Apr-21 .