Pregnancy Prevalence and Outcomes in US Jails
Pregnancy Prevalence and Outcomes in US Jails
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DOI：
10.1097/aog.0000000000003834
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发表时间：
2020-05-01
影响因子：
7.2
通讯作者：
Beal, Lauren
中科院分区：
文献类型：
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作者：
Sufrin, Carolyn;Jones, Rachel K.;Beal, Lauren
目的：描述美国监狱接收孕妇的数量以及在拘留期间终止妊娠的结果。方法：我们前瞻性地收集了美国六所监狱的怀孕数据，包括五所最大的监狱，每月一次，为期12个月。监狱报告的去身份化数据、入院孕妇总数、分娩、早产、剖腹产、流产、人工流产、异位妊娠以及孕产妇和新生儿死亡。结果：在选定的监狱中，12个月内有1，622名孕妇入院。在一所监狱中，怀孕一天的最高人数是65人。其中大多数是孕妇被释放。在224例在监狱中结束的怀孕中，144例（64%）是活产，41例（18%）是流产，33例（15%）是人工流产，4例是异位妊娠（1.8%）。三分之一的分娩是剖腹产，8%是早产。有两个死产，一个新生儿死亡，没有产妇死亡。结论：美国监狱中大约3%的女性是怀孕的;将研究结果外推到全国女性监狱的录取率表明，一年内有近55，000名怀孕的人。跟踪这一被忽视群体的怀孕统计数据是可行的。
OBJECTIVE: To describe the number of admissions of pregnant people to U.S. jails and the outcomes of pregnancies that end in custody. METHODS: We prospectively collected pregnancy data from six U.S. jails, including the five largest jails, on a monthly basis for 12 months. Jails reported de-identified, aggregate numbers of pregnant people admitted, births, preterm births, cesarean deliveries, miscarriages, induced abortions, ectopic pregnancies, and maternal and newborn deaths. RESULTS: There were 1,622 admissions of pregnant people in 12 months in the selected jails. The highest 1-day count of pregnant people at a single jail was 65. The majority of these admissions involved the release of a pregnant person. Of the 224 pregnancies that ended in jail, 144 (64%) were live births, 41 (18%) were miscarriages, 33 (15%) were induced abortions, and four were ectopic (1.8%). One third of the births were cesarean deliveries and 8% were preterm. There were two stillbirths, one newborn death, and no maternal deaths. CONCLUSION: About 3% of admissions of females to U.S. jails are of pregnant people; extrapolating study results to national female jail admission rates suggests nearly 55,000 pregnancy admissions in 1 year. It is feasible to track pregnancy statistics about this overlooked group.