Baker Brenda
1 Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
J Correct Health Care. 2019 Apr;25(2):92-104. doi: 10.1177/1078345819832366. Epub 2019 Mar 10.
Incarcerated pregnant women experience psychosocial conditions that put them at risk of adverse perinatal outcomes. To examine perinatal outcomes including maternal mental health well-being, birth weight, and preterm birth, an integrated search of the literature was conducted. Findings indicate that time in prison, especially during the first trimester, results in improved birth weight and longer gestation. Findings related to maternal mental health well-being were inconclusive but suggest significant risk to maternal role development when mother and infant are separated. Limited findings demonstrate that prenatal care, a safe environment, and food stability, along with reduced or eliminated substance abuse and violence, can positively influence perinatal outcomes. Rigorous, systematic research is vital for developing policies related to incarcerated women and perinatal outcomes.
被监禁的孕妇会经历一些心理社会状况，使她们面临不良围产期结局的风险。为了研究包括孕产妇心理健康状况、出生体重和早产在内的围产期结局，我们对文献进行了综合检索。研究结果表明，在监狱中的时间，尤其是在孕早期，会使出生体重增加，孕期延长。与孕产妇心理健康状况相关的研究结果尚无定论，但表明母婴分离时母亲角色发展存在重大风险。有限的研究结果表明，产前护理、安全的环境和食物稳定，以及减少或消除药物滥用和暴力，可对围产期结局产生积极影响。严谨、系统的研究对于制定与被监禁妇女和围产期结局相关的政策至关重要。
