First-time mothers in family court care proceedings face 21 times higher mortality risk within 10 years, study finds
Summary
This cohort study using linked administrative hospital, mortality, and family court records in England found that first-time mothers involved in family court care proceedings (to remove children at risk of harm) had 21 times the risk of dying within 10 years compared to similar-aged mothers without proceedings. Of 2,775,835 first-time mothers, 1.0% had proceedings, and 1.1% of those died within 10 years vs 0.2% without proceedings. Among mothers who died after proceedings, 73% of deaths were potentially preventable (suicide, homicide, drugs/alcohol, or injury) compared to 28% among mothers without proceedings. Factors associated with death included older maternal age at proceedings, health conditions, and court orders related to child removal. The study highlights extreme health vulnerability of mothers involved in care proceedings and calls for cross-sector intervention.
Source
Twitter / XFirst-time mothers in family court care proceedings face 21 times higher mortality risk within 10 years, study findsjech.bmj.comKey quotes
· 5 pulledFirst-time mothers with care proceedings had 21 times the risk of dying within 10 years than similar-aged mothers.
Among mothers who died after proceedings, 73% of deaths were potentially preventable compared with 28% among mothers without proceedings.
Healthcare, social care and family courts must address the extreme health vulnerability of mothers before, during and after proceedings.
Mortality ratios were lowest among first-time mothers aged <20 years (4.5, 95% CI 3.5 to 5.9) and highest for those aged 30–34 years (28.3, 95% CI 21.3 to 37.5).
Of 2,775,835 first-time mothers contributing 21,856,503 person-years of observation, 28,405 (1.0%) had proceedings.
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