Knight Marian, Plugge Emma
National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK.
BMC Public Health. 2005 Oct 17;5:111. doi: 10.1186/1471-2458-5-111.
Imprisoned pregnant women constitute an important obstetric group about whom relatively little is known. This systematic review was conducted to identify the risk factors associated with adverse pregnancy outcome present in this group of women.
The review was conducted according to a prespecified protocol. Studies of any design were included if they described information on any of the pre-specified risk factors. We calculated the results as summary percentages or odds ratios where data was available on both cases and population controls.
The search strategy identified 27 relevant papers of which 13 met the inclusion criteria, involving 1504 imprisoned pregnant women and 4571 population control women. Imprisoned women are more likely to be single, from an ethnic minority, and not to have completed high school. They are more likely to have a medical problem which could affect the pregnancy outcome and yet less likely to receive adequate antenatal care. They are also more likely to smoke, drink alcohol to excess and take illegal drugs.
Imprisoned women are clearly a high risk obstetric group. These findings have important implications for the provision of care to this important group of women.
被监禁的孕妇是一个重要的产科群体，但人们对她们的了解相对较少。本系统评价旨在确定该群体中与不良妊娠结局相关的风险因素。
本评价按照预先设定的方案进行。如果任何设计的研究描述了任何预先设定的风险因素的信息，则纳入该研究。在病例和人群对照数据均可用的情况下，我们将结果计算为汇总百分比或比值比。
检索策略确定了27篇相关论文，其中13篇符合纳入标准，涉及1504名被监禁的孕妇和4571名对照人群。被监禁的女性更可能单身、来自少数族裔且未完成高中学业。她们更可能存在可能影响妊娠结局的健康问题，但接受充分产前护理的可能性较小。她们也更可能吸烟、酗酒和使用非法药物。
被监禁的女性显然是一个高危产科群体。这些发现对为这一重要女性群体提供护理具有重要意义。
