Pregnancy Outcomes in US Prisons, 2016-2017
Pregnancy Outcomes in US Prisons, 2016-2017
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DOI：
10.2105/ajph.2019.305006
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发表时间：
2019-05-01
影响因子：
12.7
通讯作者：
Mosher, William D.
中科院分区：
文献类型：
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作者：
Sufrin, Carolyn;Beal, Lauren;Mosher, William D.
目标.收集美国各州和联邦监狱妇女怀孕频率和结局的全国数据。从2016年到2017年，我们从22个州监狱系统和联邦监狱局的地理分布样本中前瞻性地收集了12个月的怀孕统计数据。监狱报告了孕妇、分娩、流产、堕胎和其他结果的数量。2016年12月，共有1396名孕妇被收监; 3.8%的新收监妇女和0.6%的所有妇女怀孕。有753例活产（占结局的92%），46例流产（6%），11例流产（1%），4例死产（0.5%），3例新生儿死亡，无孕产妇死亡。6%的活产是早产，30%是剖腹产。结果的分布因州而异。我们的研究表明，大多数监狱怀孕都以活产或流产告终。我们的研究结果可以使政策制定者，研究人员和公共卫生从业人员优化被监禁的孕妇及其新生儿的健康结果，他们的健康具有广泛的社会政治影响。
Objectives. To collect national data on pregnancy frequencies and outcomes among women in US state and federal prisons.Methods. From 2016 to 2017, we prospectively collected 12 months of pregnancy statistics from a geographically diverse sample of 22 state prison systems and the Federal Bureau of Prisons. Prisons reported numbers of pregnant women, births, miscarriages, abortions, and other outcomes.Results. Overall, 1396 pregnant women were admitted to prisons; 3.8% of newly admitted women and 0.6% of all women were pregnant in December 2016. There were 753 live births (92% of outcomes), 46 miscarriages (6%), 11 abortions (1%), 4 stillbirths (0.5%), 3 newborn deaths, and no maternal deaths. Six percent of live births were preterm and 30% were cesarean deliveries. Distributions of outcomes varied by state.Conclusions. Our study showed that the majority of prison pregnancies ended in live births or miscarriages. Our findings can enable policymakers, researchers, and public health practitioners to optimize health outcomes for incarcerated pregnant women and their newborns, whose health has broad sociopolitical implications.