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怀孕的囚犯:风险因素与妊娠结局

Pregnant inmates: risk factors and pregnancy outcomes.

作者信息

Fogel C I

机构信息

School of Nursing, University of North Carolina, Chapel Hill 27599-7460.

出版信息

J Obstet Gynecol Neonatal Nurs. 1993 Jan-Feb;22(1):33-9. doi: 10.1111/j.1552-6909.1993.tb01780.x.

DOI:10.1111/j.1552-6909.1993.tb01780.x
PMID:8429412
Abstract

OBJECTIVE

To document the risk factors and outcomes of pregnant women incarcerated in a maximum-security prison.

DESIGN

Descriptive correlational study.

SETTING

Women's correctional facility.

PARTICIPANTS

Eighty-nine pregnant women incarcerated during the third trimester of pregnancy.

MAIN OUTCOME MEASURES

Medical, obstetric, life-style, and psychologic risk factors during pregnancy; birth weight; weeks of gestation at delivery; and presence of congenital anomalies in the newborn.

RESULTS

Numerous risk factors during pregnancy, including chemical dependency, poor nutritional status, poor obstetric histories, high levels of anxiety and depression, and inadequate prenatal care.

CONCLUSIONS

There is a need for intensive prenatal education for incarcerated women and for chemical dependency treatment programs designed specifically for incarcerated pregnant women. Interventions that address psychologic distress also are needed.

摘要

目的

记录被关押在戒备森严监狱中的孕妇的风险因素及结局。

设计

描述性相关性研究。

地点

女子惩教所。

参与者

89名在妊娠晚期被监禁的孕妇。

主要结局指标

孕期的医学、产科、生活方式及心理风险因素;出生体重;分娩时的孕周;以及新生儿先天性异常情况。

结果

孕期存在诸多风险因素,包括药物依赖、营养状况差、不良产科病史、高度焦虑和抑郁以及产前护理不足。

结论

需要为被监禁女性提供强化产前教育,并为被监禁孕妇专门设计药物依赖治疗项目。还需要针对心理困扰的干预措施。

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