Pregnancy and Postpartum Support Programs for Women in Prison: Maternal and Neonatal Outcomes

监狱妇女怀孕和产后支持计划：孕产妇和新生儿结局

• 批准号: 10578693
• 负责人: Rebecca J. Shlafer
• 金额: $ 44.68万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-01 至 2026-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10578693
• 关键词: Address; Admission activity; Age; Behavioral; Birth; Birth Weight; Breast Feeding; Caregivers; Cesarean section; Child; Childbirth; Communities; Companions; Complex; Data; Effectiveness; Evaluation; Exploration, Preparation, Implementation, and Sustainment; Family; Geography; Gestational Age; Goals; Health; Health Professional; Health Services; Hospital Records; Imprisonment; Infant; Infant Care; Intervention; Interview; Justice; Lactation; Length; Low income; Maternal Health; Measurement; Methods; Minnesota; Mission; Modeling; National Institute of Child Health and Human Development; Neonatal Intensive Care Units; Outcome; Participant; Patient Self-Report; Persons; Pilot Projects; Population; Postpartum Depression; Postpartum Period; Postpartum Women; Pregnancy; Pregnancy Rate; Pregnant Women; Premature Birth; Prenatal care; Prisons; Process; Program Description; Public Health; Reduce health disparities; Reporting; Reproductive Health; Reproductive Process; Research; Research Personnel; Risk; Sampling; Services; Site; Skin; Societies; Structure; System; United States; Woman; Women' s Group; Women' s Health; Work; contextual factors; cost effectiveness; efficacy evaluation; experience; health equity promotion; implementation barriers; implementation context; improved; maternal outcome; neonatal health; neonatal outcome; obstetrical complication; postpartum care; postpartum outcome; pregnant; process evaluation; programs; reproductive; satisfaction; sociodemographics

PROJECT ABSTRACT The number of women incarcerated in the United States has increased more than 600% over the past three decades. At last count, more than 225,000 women – a majority of whom were of reproductive age – were behind bars. As the number of incarcerated women has risen, so too has the need for prisons to address women’s health needs, including pregnancy, childbirth, and postpartum care. Providing incarcerated pregnant women with enhanced pregnancy and postpartum supports may improve both maternal and neonatal outcomes. One promising approach is to use doulas to provide this comprehensive support. As non-medical companions, doulas provide an array of supports and have been shown to reduce labor length and obstetric complications, improve maternal satisfaction, and promote breastfeeding initiation among low-income women. Several state prisons are now partnering with local organizations to offer enhanced pregnancy and postpartum support; yet, key questions that are critical to successful program expansion remain. The overall objective of this project is to conduct a multi-state study of enhanced pregnancy and postpartum support programs for women incarcerated in six geographically-diverse prisons, with the overall goal to provide valuable, practical, and actionable information to prisons about how to implement pregnancy and postpartum support programs to promote maternal and neonatal health. We will accomplish this goal by pursuing the three specific aims: 1) identify facilitators and barriers to implementation of pregnancy, childbirth, and postpartum support programs for women in prison, 2) evaluate the pregnancy and birth outcomes of program participants, and 3) evaluate the postpartum outcomes of program participants. Results from this study will fundamentally advance our understanding of pregnancy and postpartum support programs and the maternal and neonatal outcomes among program participants. Identifying key modifiable factors across prisons that facilitate program implementation and sustainability and documenting the outcomes of participants across sites will directly inform ongoing program expansion. Ultimately, this work will yield critical information to address the complex health needs of pregnant women in prison, reduce health disparities, and promote health equity among justice- involved women and their infants.

项目摘要 美国被监禁女性人数较过去增加了600%以上 根据最新统计，超过 225,000 名女性（其中大多数处于育龄期）受到影响。 随着被监禁妇女人数的增加，监狱也需要解决这一问题。 妇女的健康需求，包括怀孕、分娩和产后护理。 加强怀孕和产后支持的妇女可能会改善孕产妇和新生儿的状况 一种有希望的方法是使用导乐来提供这种全面的支持。 陪产士提供一系列支持，并已被证明可以缩短产程时间和产科 并发症，提高产妇满意度，并促进低收入妇女开始母乳喂养。 一些州监狱现在正在与当地组织合作，提供增强的怀孕和产后服务 支持；然而，对计划成功扩展至关重要的关键问题仍然存在。 该项目旨在对加强怀孕和产后支持计划进行多州研究 被关押在六个不同地理位置的监狱中的妇女，总体目标是为被监禁的妇女提供有价值、实用、 并向监狱提供有关如何实施怀孕和产后支持计划的可行信息，以 我们将通过实现以下三个具体目标来实现这一目标：1) 确定实施怀孕、分娩和产后支持计划的促进因素和障碍 对于监狱中的女性，2) 评估计划参与者的怀孕和分娩结果，以及 3) 评估 这项研究的结果将从根本上推进我们的研究。 了解怀孕和产后支持计划以及孕产妇和新生儿结局 确定整个监狱中促进该计划的关键可修改因素。 实施和可持续性以及记录跨站点的结果将直接 最终，这项工作将产生解决复杂问题的关键信息。 监狱中孕妇的健康需求，减少健康差距，促进司法人员的健康公平- 涉及妇女及其婴儿。