Who's left holding the woman?: Practice issues facing hospital social workers working with women who have infants removed at birth by NSW Department of Community Services

Over the past three years, there has been a significant change in the focus of hospital social work intervention with pregnant women–from supportive counselling relating to motherhood, to systems advocacy within the child protection context.

Hospital social workers in this field have frequently been faced with the inevitable conflicting interests of supporting parents and protecting infants. However, the recent changes have thrown up various ethical questions, and issues of integrity and advocacy, in what is a complex area of practice.

This paper seeks to examine some of the current practice issues for social workers in this area. By examining the current context and literature, several practice themes will be considered and explored. In examining this issue at both the micro level of current hospital social work practice and the macro level of legislative and systemic issues, several best practice suggestions are considered within the context of the author's current workplace.