Pregnancy and Postpartum Support Programs for Women in Prison: Maternal and Neonatal Outcomes

监狱妇女怀孕和产后支持计划：孕产妇和新生儿结局

• 批准号: 10578693
• 负责人: Rebecca J. Shlafer
• 金额: $ 44.68万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-01 至 2026-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10578693
• 关键词: Address; Admission activity; Age; Behavioral; Birth; Birth Weight; Breast Feeding; Caregivers; Cesarean section; Child; Childbirth; Communities; Companions; Complex; Data; Effectiveness; Evaluation; Exploration, Preparation, Implementation, and Sustainment; Family; Geography; Gestational Age; Goals; Health; Health Professional; Health Services; Hospital Records; Imprisonment; Infant; Infant Care; Intervention; Interview; Justice; Lactation; Length; Low income; Maternal Health; Measurement; Methods; Minnesota; Mission; Modeling; National Institute of Child Health and Human Development; Neonatal Intensive Care Units; Outcome; Participant; Patient Self-Report; Persons; Pilot Projects; Population; Postpartum Depression; Postpartum Period; Postpartum Women; Pregnancy; Pregnancy Rate; Pregnant Women; Premature Birth; Prenatal care; Prisons; Process; Program Description; Public Health; Reduce health disparities; Reporting; Reproductive Health; Reproductive Process; Research; Research Personnel; Risk; Sampling; Services; Site; Skin; Societies; Structure; System; United States; Woman; Women' s Group; Women' s Health; Work; contextual factors; cost effectiveness; efficacy evaluation; experience; health equity promotion; implementation barriers; implementation context; improved; maternal outcome; neonatal health; neonatal outcome; obstetrical complication; postpartum care; postpartum outcome; pregnant; process evaluation; programs; reproductive; satisfaction; sociodemographics

PROJECT ABSTRACT The number of women incarcerated in the United States has increased more than 600% over the past three decades. At last count, more than 225,000 women – a majority of whom were of reproductive age – were behind bars. As the number of incarcerated women has risen, so too has the need for prisons to address women’s health needs, including pregnancy, childbirth, and postpartum care. Providing incarcerated pregnant women with enhanced pregnancy and postpartum supports may improve both maternal and neonatal outcomes. One promising approach is to use doulas to provide this comprehensive support. As non-medical companions, doulas provide an array of supports and have been shown to reduce labor length and obstetric complications, improve maternal satisfaction, and promote breastfeeding initiation among low-income women. Several state prisons are now partnering with local organizations to offer enhanced pregnancy and postpartum support; yet, key questions that are critical to successful program expansion remain. The overall objective of this project is to conduct a multi-state study of enhanced pregnancy and postpartum support programs for women incarcerated in six geographically-diverse prisons, with the overall goal to provide valuable, practical, and actionable information to prisons about how to implement pregnancy and postpartum support programs to promote maternal and neonatal health. We will accomplish this goal by pursuing the three specific aims: 1) identify facilitators and barriers to implementation of pregnancy, childbirth, and postpartum support programs for women in prison, 2) evaluate the pregnancy and birth outcomes of program participants, and 3) evaluate the postpartum outcomes of program participants. Results from this study will fundamentally advance our understanding of pregnancy and postpartum support programs and the maternal and neonatal outcomes among program participants. Identifying key modifiable factors across prisons that facilitate program implementation and sustainability and documenting the outcomes of participants across sites will directly inform ongoing program expansion. Ultimately, this work will yield critical information to address the complex health needs of pregnant women in prison, reduce health disparities, and promote health equity among justice- involved women and their infants.

项目摘要 过去，美国继承的妇女人数增加了600％以上 三十年。最后，有225,000多名妇女（其中大多数是生殖年龄）是 在酒吧后面。随着继承妇女数量的增加，监狱也需要解决 妇女的健康需求，包括怀孕，分娩和产后护理。提供了被监禁的怀孕 怀孕和产后支持增强的妇女可能会改善母亲和新生儿 结果。一种承诺的方法是使用doulas提供这种全面的支持。作为非医学 伴侣，杜拉斯提供了一系列的支持，并已被证明可以减少人工长度和产科 并发症，提高产妇满意度并促进低收入妇女的母乳喂养倡议。 现在，一些州监狱正在与当地组织合作，以提供增强的怀孕和产后 支持;然而，对于成功的计划扩展至关重要的关键问题仍然存在。总体目标 该项目是针对增强妊娠和产后支持计划的多州研究 妇女在六个地理多样性监狱中继承，其总体目标是提供宝贵，实用， 以及向监狱的可行信息，以了解如何实施怀孕和产后支持计划 促进母校和新生儿健康。我们将通过追求三个特定目标来实现这一目标：1） 确定实施怀孕，分娩和产后支持计划的促进者和障碍 对于监狱中的妇女，2）评估计划参与者的怀孕和出生结果，3）评估 计划参与者的产后结果。这项研究的结果将从根本上促进我们的 了解怀孕和产后支持计划以及孕产妇和新生儿结果 在计划参与者中。确定促进计划的监狱中的关键修改因素 实施和可持续性，并记录跨站点参与者的结果 告知正在进行的计划扩展。最终，这项工作将产生关键信息以解决综合体 监狱中孕妇的健康需求，减少健康差异并促进司法之间的健康公平 - 涉及妇女及其婴儿。