RNQualitativeRevista brasileira de enfermagem2025

Maternity behind and beyond bars: analysis from the perspective of protection bioethics.

Denise Santana Silva Dos Santos, Dulcinéia Ghizoni Schneider, Mara Ambrosina de Oliveira Vargas

PMID 39813493

WHAT IT FOUND

In two Brazilian prison units, mothers and staff described mother-child spaces as lacking basic hygiene, supplies and social contact.

These gaps were described as worsening illness, psychological harm and maternal-child vulnerability.

Key findings

01Participants described inadequate prison structures as interfering with care for children.

02Children staying with incarcerated mothers were described as lacking social contact, which was said to predispose them to future psychological damage.

03The prison context was described as marked by tension, fear of rebellion and conflicts between inmates and prison officers.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Only two women's prison units in Bahia were studied, both with nurseries, so the findings may not apply to other prison settings. The study used qualitative interviews and records, so it reports perceptions and described conditions, not whether any care intervention changed health outcomes. Only six mothers were included, and they were selected by inclusion criteria that excluded semi-open regime and cognitive changes, so it may not represent all incarcerated mothers. Many participants were health professionals and prison officers, so some themes reflect staff views rather than direct patient or family experience. Background health statistics in the discussion are from cited studies, not outcomes measured in this study.

The easy way to misread this

Do not read the described gaps as evidence that a specific nursing or prison health intervention will improve maternal or child health. The study reports perceptions from 30 participants in two units and does not test outcomes.

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