Alirezaei Somayeh, Roudsari Robab Latifnejad
PhD Student in Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Iran J Nurs Midwifery Res. 2020 Feb 24;25(2):91-101. doi: 10.4103/ijnmr.IJNMR_169_19. eCollection 2020 Mar-Apr.
There are standard guidelines for the provision of health care for pregnant women in prisons. There is no single guide to meet all the specific needs of imprisoned women. In this study, the related international guidelines were reviewed to reveal the existing gaps.
In this narrative review, studies published from May 2010 to January 2019 were reviewed through investigating databases including PubMed, Scopus, the Cochrane Library database as well as Science Direct Google Scholar using keywords: Guideline AND Prison AND Pregnancy AND Prenatal Care. The contents of the guidelines were subjected to analogy comparison.
13 guidelines were included in the study. Of these, 10 guidelines were related to the organizations deployed in the USA, two guidelines to the United Nations and the World Health Organization, and one guideline to the United Kingdom. The most comprehensive care coverage of pregnant women was suggested, at the first level, by Birth Champion and in the second level by the Federal Bureau of Prisons. The care recommended in the guidelines was classified into four general categories of health care, safety and security, education and counseling, as well as miscellaneous issues. Most of the care items mentioned in the guidelines were related to the issue of safety and security of pregnant women.
There are currently gaps in the guidelines in many aspects including maternal and fetal health assessments, mental health care, and also ethical and communication issues. It is essential to upgrade the guidelines provided for imprisoned women to promote their health.
对于监狱中孕妇的医疗保健有标准指南。但没有单一指南能满足被监禁女性的所有特殊需求。在本研究中，对相关国际指南进行了审查以揭示现存差距。
在本叙述性综述中，通过调查包括PubMed、Scopus、Cochrane图书馆数据库以及使用关键词“指南”“监狱”“怀孕”“产前护理”的Science Direct谷歌学术等数据库，对2010年5月至2019年1月发表的研究进行了审查。对指南内容进行了类比比较。
该研究纳入了13项指南。其中，10项指南与美国部署的组织相关，2项指南与联合国和世界卫生组织相关，1项指南与英国相关。在第一层面，“生育冠军”建议对孕妇提供最全面的护理覆盖，在第二层面，联邦监狱管理局提出了相关建议。指南中推荐的护理分为医疗保健、安全保障、教育与咨询以及杂项问题四大类。指南中提及的大多数护理项目与孕妇的安全保障问题相关。
目前指南在许多方面存在差距，包括母婴健康评估、心理健康护理以及伦理和沟通问题等。升级为被监禁女性提供的指南以促进她们的健康至关重要。
