J Health Care Poor Underserved. 2024;35(4):1053-1067. doi: 10.1353/hpu.2024.a943977.
Women who are incarcerated give birth in community hospitals, but under conditions that differ dramatically from women who present from community settings. However, systematic examinations of the full breadth of possible restrictions imposed upon incarcerated women hospitalized for childbirth and recovery are lacking, limiting knowledge on how carceral status affects hospital practices for this population. To bridge this gap, we identified the electronic medical records of 180 women who gave birth in a community-based hospital while in custody of a state prison between June 2014 and July 2022 and extracted textual data related to care restrictions imposed during hospitalization for childbirth and recovery. We found that 45 records contained documentation of one or more atypical restrictions. Specific restrictions documented related to mother-infant contact (n=14), shackling (n=12), breastfeeding (n=10), infant-caregiver visitation (n=8), infant pictures (n=6), and health service access/involvement (n=3). Implications of restrictions are discussed.
被监禁的妇女在社区医院分娩，但分娩条件与从社区环境前来的妇女有很大的不同。然而，对于监禁妇女在分娩和康复期间可能受到的全面限制的系统检查却缺乏，这限制了我们对被监禁身份如何影响这一人群的医院实践的了解。为了弥补这一差距，我们确定了 180 名在 2014 年 6 月至 2022 年 7 月期间因州监狱服刑而在社区医院分娩的妇女的电子病历，并提取了与分娩和康复住院期间实施的护理限制相关的文本数据。我们发现，45 份记录中记录了一种或多种非典型限制。记录的具体限制与母婴接触（n=14）、束缚（n=12）、母乳喂养（n=10）、婴儿-照顾者探视（n=8）、婴儿照片（n=6）和卫生服务的获取/参与（n=3）有关。讨论了限制的影响。
