Carolyn Sufrin and Lauren Beal are with the Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD. Carolyn Sufrin is also with the Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health. Jennifer Clarke is with the Rhode Island Department of Corrections, Cranston. Rachel Jones is with the Guttmacher Institute, New York, NY. William D. Mosher is with the Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health.
Am J Public Health. 2019 May;109(5):799-805. doi: 10.2105/AJPH.2019.305006. Epub 2019 Mar 21.
To collect national data on pregnancy frequencies and outcomes among women in US state and federal prisons.
From 2016 to 2017, we prospectively collected 12 months of pregnancy statistics from a geographically diverse sample of 22 state prison systems and the Federal Bureau of Prisons. Prisons reported numbers of pregnant women, births, miscarriages, abortions, and other outcomes.
Overall, 1396 pregnant women were admitted to prisons; 3.8% of newly admitted women and 0.6% of all women were pregnant in December 2016. There were 753 live births (92% of outcomes), 46 miscarriages (6%), 11 abortions (1%), 4 stillbirths (0.5%), 3 newborn deaths, and no maternal deaths. Six percent of live births were preterm and 30% were cesarean deliveries. Distributions of outcomes varied by state.
Our study showed that the majority of prison pregnancies ended in live births or miscarriages. Our findings can enable policymakers, researchers, and public health practitioners to optimize health outcomes for incarcerated pregnant women and their newborns, whose health has broad sociopolitical implications.
收集美国州立和联邦监狱中女性妊娠频率和结局的全国性数据。
2016 年至 2017 年，我们从 22 个州立监狱系统和联邦监狱局的地理分布多样的样本中前瞻性地收集了 12 个月的妊娠统计数据。各监狱报告了孕妇人数、分娩、流产、堕胎和其他结局。
共有 1396 名孕妇入狱；2016 年 12 月，新入狱的女性中有 3.8%和所有女性中有 0.6%怀孕。共有 753 例活产（92%的结局）、46 例流产（6%）、11 例堕胎（1%）、4 例死胎（0.5%）、3 例新生儿死亡，无产妇死亡。6%的活产早产，30%为剖宫产。结局分布因州而异。
我们的研究表明，大多数监狱妊娠以活产或流产告终。我们的发现可以使政策制定者、研究人员和公共卫生从业者能够优化被监禁孕妇及其新生儿的健康结局，因为他们的健康具有广泛的社会政治影响。
