J Obstet Gynecol Neonatal Nurs. 2024 Jan;53(1):79-91. doi: 10.1016/j.jogn.2023.09.005. Epub 2023 Oct 16.
The United States has the largest population of prisoners worldwide, and profound racial and structural inequities exist within this population. Qualitative and quantitative data suggest that shackling incarcerated pregnant women occurs in the United States despite anti-shackling legislation and recommendations from professional organizations against shackling. Incarcerated women are vulnerable to adverse health outcomes when shackled during labor, birth, and the postpartum period. Because anti-shackling legislation is often nonexistent or not comprehensive, nurses play a critical patient advocacy role. The purpose of this article is to increase awareness of state anti-shackling legislation and deficiencies. We also aim to promote effective state advocacy and meaningful change in clinical practice to improve patient safety and health care quality for incarcerated pregnant women.
美国拥有全球最大的囚犯人口，而在这个群体中存在着深刻的种族和结构性不平等。定性和定量数据表明，尽管存在反束缚立法和专业组织反对束缚的建议，但美国仍存在在押孕妇被束缚的情况。在分娩、产后期间被束缚的监禁女性容易出现不良健康后果。由于反束缚立法往往不存在或不全面，护士在患者倡导方面发挥着至关重要的作用。本文旨在提高对州反束缚立法和缺陷的认识。我们还旨在促进在州一级进行有效的宣传，并在临床实践中进行有意义的变革，以提高被监禁孕妇的患者安全性和医疗质量。
