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NYT Editorial Urges Gov. Paterson To Sign Bill Prohibiting Shackling Of Female Prisoners During Labor
New York Gov. David Paterson (D) should sign a bill prohibiting the "barbaric and medically hazardous practice of shackling female prisoners during labor," a New York Times editorial states. Along with "further frightening these vulnerable women, the practice of chaining their legs, wrists and even their abdomens" during labor "makes treatment and delivery more difficult and places mother and child at greater risk of harm," according to the Times. It adds that five states have similar policies in place. The American College of Obstetricians and Gynecologists several years ago called for an end to shackling during labor, and the Federal Bureau of Prisons last fall "ended the routine use of restraints for women in labor and limited shackling to cases in which a woman presents a danger to herself, the baby or the staff," the editorial states.The New York measure, which is "[m]odeled on federal prison policy and laws in other states, … would prohibit women from being shackled while being taken to the hospital for a delivery," although an inmate "could be cuffed by one wrist in cases in which she presented a danger to herself, hospital staff or corrections workers," the editorial states. However, "it seems highly unlikely that a woman doubled over in labor pains would be able to attempt an escape or overcome corrections officers," it notes.The bill "has caused a debate about how many pregnant women are actually shackled in New York," but "recent interviews of female inmates by the Correctional Association of New York … sugges[t] that the practice may be more common than corrections officials know," the editorial continues. "In any case, the bill would put an end to it, by establishing clear guidelines that carry the authority of law," according to the editorial. It adds that Paterson "should make it clear whether he thinks the measure needs minor changes or clarifications." The editorial concludes, "Otherwise, he should sign the bill into law" and "bring New York into line" with the federal government and other states "that have wisely acted to protect pregnant inmates and their children during labor" (New York Times, 7/21).
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Transplant Drug Stimulates Immune Memory
Rapamycin, a drug given to transplant recipients to suppress their immune systems, has a paradoxical effect on cells responsible for immune memory, scientists at the Emory Vaccine Center have discovered.
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State Regulation Of Massage Therapy Will Improve Public Health, Safety
At its initial meeting today, the State Board of Massage Therapy began drafting preliminary regulations that will protect the health and safety of residents, said Secretary of the Commonwealth Pedro A. Cortes.
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Health Care Providers Need Res And Support To Help Female Victims Of Abuse, According To Pitt Study

Health professionals are required to provide help for victims of intimate partner violence (IPV), yet many do not even discuss the issue with their patients, according to a University of Pittsburgh study in the current issue of Violence and Victims. Led by Judy C. Chang, M.D., M.P.H., assistant professor in the Department of Obstetrics, Gynecology and Reproductive Sciences at the University of Pittsburgh and gynecologist at Magee-Womens Hospital of UPMC, the study found that when health care professionals are supported by their clinical institution, they feel competent and are more willing to help women experiencing IPV. "Health administration"s recognition of IPV as a health care priority creates a supportive clinical environment that allows health care providers to feel comfortable and confident in their ability to help abused women," said Dr. Chang. "Without such support, health care providers are less comfortable in their ability to address this issue with their patients." The study included focus groups and individual interviews with health care providers from two hospitals in western Pennsylvania. Participants were from an ob-gyn clinic serving a low-income population and a general medicine clinic serving patients from a variety of socioeconomic backgrounds. Interviews were conducted with clinicians and focus groups were conducted with clinical support staff. All participants said they felt a responsibility to help female victims of abuse but felt they needed more res, time, IPV-focused training and system support. "The findings of this study indicate that even when health care professionals recognize a responsibility and a role in dealing with abused women, support, res and information are necessary to respond appropriately. The varying confidence levels between the groups also may be related to the different specialties," noted Dr. Chang. "An ob-gyn clinic provides care to women only, while a general medicine facility - even one with a women"s health focus - is responsible for both women and men." "Time limitations are a major barrier to treating patients experiencing IPV," said Dr. Chang. "Hectic schedules and the need to perform multiple tasks do not allow health care workers adequate time to counsel and educate patients about this topic." IPV-focused training is considered valuable to health care providers. Those interviewed said that this specialized training contributes to their comfort, willingness and ability to help victims of abuse. Study participants agreed that after identifying a patient experiencing IPV, it would be helpful to work as a team to provide appropriate information, res, referrals and/or counseling. They consider good working relationships and communication among health care professionals essential. Study co-authors include Raquel Buranosky, M.D., M.P.H., Patricia Cluss, Ph.D., and Melissa McNeil, M.D., M.P.H., University of Pittsburgh School of Medicine; Diane Dado, M.S.W., Magee-Womens Hospital of UPMC; Lynn Hawker, Ph.D., Women"s Center and Shelter of Greater Pittsburgh; Elizabeth Rothe, M.D., Maine Medical Center, Portland; and Sarah H. Scholle, Dr.PH, National Center for Quality Assurance, Washington, D.C. University of Pittsburgh School of Medicine


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