Improving care for incarcerated pregnant women: Policy implications for advancing maternal and child health.

BACKGROUND

Incarcerated pregnant women in the United States face significant barriers to evidence-based, comprehensive prenatal and postpartum care. These systemic challenges contribute to adverse maternal outcomes and exacerbation of health disparities.

PURPOSE: Understanding current practices within correctional facilities is crucial to inform policy and improve care and outcomes for this vulnerable population.

METHODS

A policy focused analysis of recent data, federal reports, legislation, and professional guidelines for care was conducted to synthesize trends and best practices for the care of incarcerated pregnant and postpartum women.

FINDINGS: This review identifies inconsistencies in the provision of perinatal care, pregnancy enhanced services, trauma-informed care, data collection, and missing policies and legislation across correctional facilities.

DISCUSSION: The paper outlines actionable policy recommendations to standardize perinatal care in correctional settings. The findings are relevant to policymakers, public health leaders, and correctional health administrators seeking to reduce maternal morbidity and promote health equity.

CONCLUSION

Addressing gaps in care delivery, data reporting, and trauma-informed approaches, stakeholders can create equitable, evidence-based frameworks that support maternal health during incarceration. Implementing policy changes has the potential to ensure that all women regardless of custody status receive the comprehensive perinatal care they deserve.