An Examination of Care Practices of Pregnant Women Incarcerated in Jail Facilities in the United States
An Examination of Care Practices of Pregnant Women Incarcerated in Jail Facilities in the United States
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DOI：
10.1007/s10995-016-2224-5
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发表时间：
2017-06-01
影响因子：
2.3
通讯作者：
Forestell, Catherine
中科院分区：
文献类型：
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作者：
Kelsey, C. M.;Medel, Nickole;Forestell, Catherine
在过去的30年里，美国被监禁的妇女人数一直在稳步增加。据估计，这些妇女中有6-10%在摄入时怀孕。以前关于怀孕的被监禁妇女的健康需要和护理的研究主要集中在监狱环境。因此，我们研究了怀孕相关的住宿和卫生保健提供区域监狱population.The本研究是一个定量调查（通过电话或电子邮件管理的员工主要是监狱医疗设施）的共同做法和政策，在美国53监狱设施作为地理区域的功能（北与南;西与中与东）。我们检查了怀孕检查、特殊饮食、戒毒和禁止戴镣铐的规定，令人惊讶的是，在对怀孕的被监禁妇女的护理的各个方面都有需要改进的地方。值得注意的是，只有37.7%的设施在进入时对所有妇女进行怀孕测试，45.7%的设施将阿片类药物成瘾的妇女通过戒断协议，56.7%的设施在分娩后数小时对妇女使用限制措施。由美国妇产科医师学会等机构制定的标准，在许多机构都没有得到遵守。由于不遵守这些准则可能会对母亲和发育中的胎儿造成重大健康风险，因此需要更好的政策，更好的政策执行和更好的共同做法来改善怀孕监禁妇女的健康和福利。
The number of incarcerated women in the United States has been steadily increasing over the last 30 years. An estimated 6-10% of these women are pregnant at intake. Previous studies on the health needs and care of pregnant incarcerated women have focused mainly on prison settings. Therefore, we examined the pregnancy-related accommodations and health care provided for regional jail populations.The present study is a quantitative survey (administered through phone or email to employees of predominately jail medical facilities) of common practices and policies employed across 53 jail facilities in the United States as a function of geographic region (North vs. South; West vs. Central vs. East). We examined provision of pregnancy screening, special diets, and drug rehabilitation and prohibition of shackling.Strikingly, across all aspects of the care of pregnant incarcerated women there are areas to be improved upon. Notably, only 37.7% of facilities pregnancy test all women upon entry, 45.7% put opioid addicted women through withdrawal protocol, and 56.7% of facilities use restraints on women hours after having a baby.In this first study to examine practices in regional jails nationwide, we found evidence that standards of care guidelines to improve health and well-being of pregnant incarcerated women, set by agencies such as American College of Obstetricians and Gynecologists, are not being followed in many facilities. Because not following these guidelines could pose major health risks to the mother and developing fetus, better policies, better enforcement of policies, and better common practices are needed to improve the health and welfare of pregnant incarcerated women.