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Applying a Maternal Standards of Care Audit Tool and Quality Improvement Process to Improve Healthcare for Pregnant Women in Prison

Bibliographic Data

ID21513697
AuthorsJoy Usigbe (Indiana University Indianapolis), Erin Macey (Indiana University Indianapolis), Paige Klemme (Indiana University Indianapolis), Maranda Williams (Indiana Department of Corrections, Indianapolis, USA), Jack E Turman (0000-0003-4721-9213, Indiana University Indianapolis, corresponding author)
Year2025
Volume69
Issue15
Pages2050-2066
Publication date2025-11-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Offender Therapy and Comparative Criminology (JOURNAL)
Journal identifiersISSN: 0306-624X • E-ISSN: 1552-6933
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/0306624x231206518
PMID37902383
OpenAlexW4388014634
LanguageEN
References cited12

Women are the fastest growing prison population, but little is known about the quality of maternal care for pregnant women in prison. In partnership with the Indiana Department of Correction (IDOC) Transitional Healthcare Team (THT), we developed a maternal standard of care (MSOC) audit tool to identify existing strengths and weaknesses and recommend evidence-based strategies for improvement. After creating the MSOC audit tool, we used it to audit 52 charts and conducted interviews of IDOC staff regarding maternal health care processes. Identified strengths include prenatal care, screening/treatment for sexually transmitted diseases and substance use disorders, contraception use, and health education. Mental and nutritional health care are areas of weakness. Staff motivation and community partnerships facilitate positive change, but a “punitive” culture, lack of resources, and communication challenges are barriers to change. Developing accountability tools and processes to promote maternal standards of care holds the potential to increase the health and wellbeing of mothers and their babies and improve re-integration into society

Accountability · Audit · Business · Environmental health · General partnership · Health care · Political science · Population · Prison · Quality management · Criminal Justice and Corrections Analysis · Homelessness and Social Issues · Medicine · Nursing · Prenatal Substance Exposure Effects · Psychology

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Citation velocityhistorical
Highly citedNo

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