在怀孕期间被监禁的个体的出生结果
Emma Rose Miller-Bedell1, Lillian Sie1, Suzan L Carmichael1,2
1Department of Pediatrics, Stanford School of Medicine, Stanford, CA, USA.
概括
被监禁的孕妇面临更高的出生不良结果的风险,包括早产和NICU入院. 这项研究强调了改善母亲和婴儿健康的干预措施的必要性,在这个脆弱的人群中.
科学领域:
- 生殖健康 生殖健康
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
背景情况:
- 被监禁的孕妇代表了一个具有独特健康需求的弱势群体.
- 有限的数据存在于加利福尼亚州这个群体的出生结果.
研究的目的:
- 描述2011年至2015年加利福尼亚州监禁孕妇的患病率,健康状况和分娩结果.
- 检查监禁和不良分娩结果之间的关联.
主要方法:
- 基于人口的队列研究,使用相关的出生证明和医院出院数据.
- 分析包括多变量逻辑回归来估计赔率比率和95%置信区间.
主要成果:
- 在1401名被监禁和551029名非被监禁的孕妇中,33%的被监禁人已晚期开始产前护理.
- 被监禁的个体有更高的调整过早产生的可能性 (OR 1.42),对于妊娠年龄来说很小 (OR 1.31) 和NICU入院 (OR 1.64).
- 在2.4%的被监禁人群中观察到严重的孕产妇发病率,而对照组中则为1.6% (p<0.05).
结论:
- 被监禁的孕妇更有可能经历负面的分娩结果.
- 迫切需要确定减轻这些不利结果的策略.
- 这项研究强调了需要改善医疗保健的准入和支持在惩戒设施怀孕的个人.
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