Obstet Gynecol. 2021 Jul 1;138(1):e24-e34. doi: 10.1097/AOG.0000000000004429.
Obstetrician-gynecologists and other women's health care practitioners can support efforts to improve health care for incarcerated pregnant, postpartum, and nonpregnant individuals. The majority of incarcerated women are parents and are of reproductive age, which has important implications for their reproductive health care needs. The legacies of racism and resulting racialized medical outcomes shape inequities in reproductive health for all people, including those who are incarcerated. Reproductive health care for incarcerated individuals should be provided in accordance with the same guidelines and recommendations as for those who are not incarcerated, with attention to the increased risk of infectious diseases and mental health conditions common to incarcerated populations. Ensuring that incarcerated individuals receive respectful, consistent, high-quality reproductive health, pregnancy, and postpartum care is essential for ameliorating inequities and affirming these individuals' dignity. This revision provides comprehensive recommendations for pregnant, postpartum, and nonpregnant individuals and expands upon guidance to advocate for access to safe, quality, and dignified care.
妇产科医生和其他女性医疗保健从业者可以支持为改善被监禁的孕妇、产后妇女和非孕妇的医疗保健所做的努力。大多数被监禁的女性是父母,且处于育龄期,这对她们的生殖健康护理需求具有重要影响。种族主义的遗留问题以及由此产生的种族化医疗结果塑造了包括被监禁者在内的所有人在生殖健康方面的不平等。应为被监禁者提供与非被监禁者相同的生殖健康护理指南和建议,并关注被监禁人群中常见的传染病和心理健康状况风险增加的问题。确保被监禁者获得尊重、一致、高质量的生殖健康、怀孕和产后护理对于改善不平等和维护这些人的尊严至关重要。本次修订为孕妇、产后妇女和非孕妇提供了全面的建议,并扩展了倡导获得安全、优质和有尊严护理的指导意见。