School of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada.
Faculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada.
J Clin Nurs. 2019 Jun;28(11-12):2046-2060. doi: 10.1111/jocn.14837. Epub 2019 Mar 12.
To inform a systematic synthesis of what is known about the maternal health outcomes of incarcerated women, this scoping review uses a theoretical framework of intersectional feminism.
Despite rising imprisonment of women, there is a lack of research, from a feminist perspective, on perinatal health outcomes among incarcerated women.
Systematic scoping review using the Joanna Briggs Institute scoping review methodology.
In consultation with a medical research librarian, key databases and journals were searched for English and French-language articles published up to February 2018. Two authors independently screened titles and abstracts to identify articles for full-text review. Study quality was appraised using the McGill Mixed Methods Appraisal Tool. The study adheres to PRISMA-EQUATOR guidelines.
Forty-five studies met the preset criteria and were reviewed in full text. In addition, 13 studies met consensus for inclusion. Method, setting, participants, sample, relevant outcomes and relevant findings were extracted from each study for synthesis. Included studies had varied methods and were published from 1989-2014. Participants included women imprisoned during the perinatal period up to six months postpartum. All studies were conducted in carceral contexts, with 12 based in the USA and one in Australia. Outcomes of interest included breastfeeding, operative deliveries, gestational complications, depression, stress, experiences, bonding and sterilisation.
The research on maternal health outcomes pertaining to incarcerated women is limited. There is a need for in-depth examination of breastfeeding with this population. Researchers need to examine the prevalence and impact of carceral force, such as shackling, solitary confinement, strip-searching and restraints in pregnancy. There is a need for research that asks what health outcomes matter to the women themselves.
Providers must be conscious of intersecting layers of discrimination and trauma incarcerated women experience and its impact on maternal health in the perinatal period and advocate for women.
本范围综述使用交叉女权主义理论框架，旨在告知关于被监禁妇女的产妇健康结果的系统综合。
尽管女性被监禁的人数不断增加，但从女权主义的角度来看，关于被监禁妇女围产期健康结果的研究却很少。
使用 Joanna Briggs 研究所范围综述方法进行系统范围综述。
与医学研究图书馆员协商，在截至 2018 年 2 月的时间范围内，检索了英文和法文的数据库和期刊，以寻找发表的文章。两位作者独立筛选标题和摘要，以确定全文审查的文章。使用 McGill 混合方法评估工具评估研究质量。该研究符合 PRISMA-EQUATOR 指南。
有 45 项研究符合预设标准，并进行了全文审查。此外，有 13 项研究达成共识纳入。从每项研究中提取方法、设置、参与者、样本、相关结果和相关发现进行综合。纳入的研究方法各异，发表时间为 1989 年至 2014 年。参与者包括在围产期内直至产后六个月被监禁的妇女。所有研究均在监禁环境中进行，其中 12 项研究在美国进行，1 项在澳大利亚进行。感兴趣的结果包括母乳喂养、手术分娩、妊娠并发症、抑郁、压力、经历、联系和绝育。
关于被监禁妇女的产妇健康结果的研究有限。需要深入研究该人群的母乳喂养情况。研究人员需要研究监禁环境中，如束缚、单独监禁、脱衣搜查和怀孕期间的约束等强制手段的流行程度和影响。需要研究哪些健康结果对妇女本身重要。
提供者必须意识到被监禁妇女所经历的交叉歧视和创伤的多层级性及其对围产期产妇健康的影响，并为妇女辩护。
