An Examination of Care Practices of Pregnant Women Incarcerated in Jail Facilities in the United States
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The number of incarcerated women in the United States has been steadily increasing over the last 30 years. An estimated 6–10% of these women are pregnant at intake. Previous studies on the health needs and care of pregnant incarcerated women have focused mainly on prison settings. Therefore, we examined the pregnancy-related accommodations and health care provided for regional jail populations.
The present study is a quantitative survey (administered through phone or email to employees of predominately jail medical facilities) of common practices and policies employed across 53 jail facilities in the United States as a function of geographic region (North vs. South; West vs. Central vs. East). We examined provision of pregnancy screening, special diets, and drug rehabilitation and prohibition of shackling.
Strikingly, across all aspects of the care of pregnant incarcerated women there are areas to be improved upon. Notably, only 37.7% of facilities pregnancy test all women upon entry, 45.7% put opioid addicted women through withdrawal protocol, and 56.7% of facilities use restraints on women hours after having a baby.
In this first study to examine practices in regional jails nationwide, we found evidence that standards of care guidelines to improve health and well-being of pregnant incarcerated women, set by agencies such as American College of Obstetricians and Gynecologists, are not being followed in many facilities. Because not following these guidelines could pose major health risks to the mother and developing fetus, better policies, better enforcement of policies, and better common practices are needed to improve the health and welfare of pregnant incarcerated women.
KeywordsIncarcerated pregnant women Health care Restraints Shackles And withdrawal
This article was funded by W.K. Kellogg Foundation (Grant No. P3020450).
- APHA Task Force on Correctional Health Care Standards (2003). Standards for health services in correctional institutions. Washington DC: American Public Health Association.Google Scholar
- Benning, S. (2015) Working with incarcerated individuals: Balancing security, safety, and health care. Healthy Generations, 29–31.Google Scholar
- Guerino, P. M., Harrison, P. M., & Sabol, W. J. (2010). Prisoners in 2010. Washington, DC: US Department of Justice, Bureau of Justice StatisticsGoogle Scholar
- Lamb, H. R., & Weinberger, L. E. (2001). Persons with severe mental illness in jails and prisons: A review. New Directions for Mental Health Services, 2001(90), 29–49. doi: 10.1002/yd.23320019005.
- Minton, T. D. (2013). Jail inmates at Midyear 2012-statistical tables. Washington, DC: US Department of Justice, Bureau of Justice StatisticsGoogle Scholar
- National Commission on Correctional Health Care (2010). Position Statement: Restraint of pregnant inmates. Chicago: NCCHC.Google Scholar
- Quinn, A. (2014). In labor, in chains: The outrageous shackling of pregnant inmates. New York: The New York Times.Google Scholar
- The Rebecca Project (2010). Mothers behind bars: A state-by-state report card and analysis of federal policies on conditions of confinement for pregnant and parenting women and the effect on their children. Washington DC: National Womens Law Center.Google Scholar