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Pregnant inmates: risk factors and pregnancy outcomes
1School of Nursing, University of North Carolina, Chapel Hill 27599-7460.
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.
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