Birth outcomes of individuals who have experienced incarceration during pregnancy.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY Journal of Perinatology Pub Date : 2024-11-13 DOI:10.1038/s41372-024-02170-4

Emma Rose Miller-Bedell, Lillian Sie, Suzan L Carmichael, Nana Matoba, Ya'el Weiner, Joseph J Kim, Arash Anoshiravani, Dominika Seidman, Deirdre J Lyell, Henry C Lee

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Abstract

Objectives: Describe the prevalence, health, and birth outcomes of incarcerated pregnant individuals in California between 2011 and 2015.

Study design: A population-based cohort study was performed using linked birth certificate and hospital discharge data. Associations between incarceration and birth outcomes were examined, including multivariable logistic regression to estimate odds ratios and 95% confidence intervals.

Results: Amongst 1401 incarcerated and 551,029 nonincarcerated pregnant people across 112 delivery hospitals, 33% of incarcerated individuals had late initiation of prenatal care; 2.4% experienced severe maternal morbidity, compared to 18.9% and 1.6% of controls, respectively (p < 0.05). Births to incarcerated individuals had higher adjusted likelihoods of prematurity (OR 1.42, 95% CI 1.21, 1.67), small for gestational age (OR 1.31, 95% CI 1.11, 1.56), and NICU admission (OR 1.64, 95% CI, 1.40, 1.93) relative to controls.

Conclusion: Incarcerated individuals have greater likelihood of negative birth outcomes. Identification of approaches to reduce these harms is warranted.

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在怀孕期间经历过监禁的人的分娩结果。

目标：描述 2011 年至 2015 年间加利福尼亚州被监禁孕妇的患病率、健康状况和分娩结果：研究设计：研究设计：使用出生证明和医院出院数据进行基于人群的队列研究。通过多变量逻辑回归估算几率比和 95% 的置信区间，研究了监禁与分娩结果之间的关联：结果：在 112 家分娩医院的 1401 名被监禁和 551029 名未被监禁的孕妇中，33% 的被监禁者很晚才开始接受产前护理；2.4% 的孕妇出现了严重的孕产妇发病率，而对照组的这一比例分别为 18.9% 和 1.6%（P 结论：被监禁者更有可能出现严重的孕产妇发病率：被监禁者更有可能出现不良的分娩结果。有必要确定减少这些危害的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.