Peart Mishka S, Knittel Andrea K
1Clinical Fellow in Complex Contraception and Family Planning, Division of Family Planning, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina USA.
2Division of General Obstetrics and Gynecology, University of North Carolina at Chapel Hill, 3027 Old Clinic Building, CB#7570, Chapel Hill, NC 27599-7570 USA.
Contracept Reprod Med. 2020 Mar 17;5:2. doi: 10.1186/s40834-020-00105-w. eCollection 2020.
Seventy-five percent of incarcerated women are of reproductive age, most of whom are at-risk for unintended pregnancy. Women who are incarcerated come disproportionately from socioeconomically disadvantaged backgrounds and often lack access to desired reproductive health care. While the carceral system provides a unique opportunity to fill this gap, a better understanding of the contraceptive needs, desires, and plans of incarcerated women is needed to optimize health care provision within the carceral system. A review of current contraceptive services available to women inmates may both identify model care programs and shed light on areas for improvement.
PubMed electronic database used to identify relevant articles published between January 1975 and September 2019 using a systematic review method.
Twenty-five articles met the inclusion criteria and answered four key questions surrounding contraception in the carceral system. Most articles (48%) represented scientific research. Other publications identified by this review were expert commentaries, policy briefings, guidance and recommendations reports, and law and bioethics reviews.
Incarcerated women desire access to standard and emergency contraception from carceral health care systems. Knowledgeable family planning practitioners providing patient-centered and trauma-informed care and public health interventions linking newly released inmates to community clinics can help alleviate inmates' concerns regarding initiating desired contraception while incarcerated.
75%被监禁的女性处于育龄期，其中大多数有意外怀孕的风险。被监禁的女性不成比例地来自社会经济弱势背景，往往无法获得她们想要的生殖健康护理。虽然监禁系统提供了填补这一空白的独特机会，但需要更好地了解被监禁女性的避孕需求、愿望和计划，以优化监禁系统内的医疗保健服务。对目前女性囚犯可获得的避孕服务进行审查，既可以确定模范护理方案，也可以揭示需要改进的领域。
使用系统综述方法，通过PubMed电子数据库识别1975年1月至2019年9月期间发表的相关文章。
25篇文章符合纳入标准，并回答了围绕监禁系统中避孕的四个关键问题。大多数文章（48%）代表科学研究。本次综述确定的其他出版物包括专家评论、政策简报、指导和建议报告以及法律和生物伦理评论。
被监禁的女性希望从监禁医疗保健系统获得标准和紧急避孕措施。知识渊博的计划生育从业者提供以患者为中心和考虑到创伤的护理，以及将新获释的囚犯与社区诊所联系起来的公共卫生干预措施，可以帮助减轻囚犯在被监禁期间开始使用所需避孕措施的担忧。
