Evidence map›Paper›PMID 38177975›Full record

ArticleMaternal and child health journal2024

Characteristics and Outcomes of Women and Infants Who Received Prenatal Care While Incarcerated in Arkansas State Prison System, 2014-2019.

Mollee K Steely Smith, Kendra E Hinton-Froese, Brooke Scarbrough Kamath, Misty Virmani, Ashton Walters, Melissa J Zielinski

Abstract read
In one paragraph

Article in Maternal and child health journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
4.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Hospital Restrictions Experienced by Women who Give Birth While Incarcerated.Journal of health care for the poor and underserved · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Mollee K Steely SmithUniversity of Arkansas for Medical Sciences, 4301 W Markham Slot 568, Little Rock, AR, 72205, USA.
Kendra E Hinton-FroeseIndiana University School of Medicine, Indianapolis, USA.
Brooke Scarbrough KamathUniversity of Arkansas for Medical Sciences, 4301 W Markham Slot 568, Little Rock, AR, 72205, USA.
Misty VirmaniUniversity of Arkansas for Medical Sciences, 4301 W Markham Slot 568, Little Rock, AR, 72205, USA.
Ashton WaltersUniversity of Arkansas for Medical Sciences, 4301 W Markham Slot 568, Little Rock, AR, 72205, USA.
Melissa J ZielinskiUniversity of Arkansas for Medical Sciences, 4301 W Markham Slot 568, Little Rock, AR, 72205, USA. MJZielinski@uams.edu.ORCID http://orcid.org/0000-0002-1125-110X
University of Arkansas for Medical Sciences · USIndiana University School of MedicineUniversity of Arkansas at Fayetteville · US

Funding

Translational Training in AddictionT32DA022981 · NIDA · UNIV OF ARKANSAS FOR MED SCIS · PI Melissa Jean Zielinski · 2009 to 2026
$6.1M
Leveraging Implementation Science to Increase Access to Trauma Treatment for Incarcerated Drug UsersK23DA048162 · NIDA · UNIV OF ARKANSAS FOR MED SCIS · PI ZIELINSKI, MELISSA JEAN · 2019 to 2023
$811k
NCATS NIH HHS PTC2020-02NIDA NIH HHS K23 DA048162NIDA NIH HHS K23DA048162NIDA NIH HHS T32 DA022981NIDA NIH HHS T32DA022981
6 · The paper itself

Abstract

backgroundPrisons face challenges in meeting the unique health care needs of women, especially those who are pregnant. This retrospective chart review sought to describe the maternal and infant health outcomes of incarcerated women who received prenatal care while in an Arkansas prison.

methodsUsing a hospital-based electronic medical records (EMR) system, we examined the maternal health history and current pregnancy characteristics of 219 pregnant women who received prenatal care while incarcerated from June 2014 to May 2019. We also examined labor and delivery characteristics and postpartum and infant birth outcomes for the 146 women from this cohort who delivered a living child while still incarcerated.

resultsMost records indicated complex health histories with several chronic illnesses, mental health diagnoses, history of substance use, and lifetime medical complications. Despite comorbid illness, substance use disorder (SUD), trauma-history, and post-traumatic stress disorder (PTSD) prevalence was lower than expected. Previous and current obstetrical complications were common. Although the Neonatal Intensive Care Unit (NICU) admission rate (41%) was high, few infants required extensive treatment intervention. Postpartum complications were rare; however, a small portion of women who gave birth in custody experienced severe complications and were re-admitted to the hospital post-discharge.

conclusionsIncarcerated pregnant women and their infants are a marginalized population in great need of health care advocacy. To optimize maternal-infant outcomes, carceral agencies must recognize the health needs of incarcerated pregnant women and provide appropriate prenatal care. Expansion of carceral perinatal care to include screening for SUD and psychiatric symptoms (e.g., PTSD) and referral to appropriate care is highly encouraged. Policies related to NICU admission for non-medical reasons should be further examined.

Indexed as

PrisonersSubstance-Related DisordersAftercareArkansasChildFemaleHumansInfantInfant, NewbornPatient DischargePregnancyPrenatal CarePrisonsRetrospective StudiesIncarcerationInfant healthPerinatal health

Identifiers

PMID38177975
PMCPMC13095139
OpenAlexW4390591123

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.