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We need more evidence to inform community-based health services for women, and transgender and nonbinary people who experience incarceration

Por: McLeod · K. · Kouyoumdjian · F. G.

Commentary on: Paynter M, Heggie C, Low C, McKibbon S, Martin-Misener R. Community-based models of health care for women, trans and nonbinary people released from prisons: An international scoping review with implications for Canada. J Clin Nurs. 2023 Jul;32(13-14):3277-3294. doi: 10.1111/jocn.16464. Epub 2022 Aug 8.

Implications for practice and research

  • Women, transgender and non-binary people who experience incarceration often have complex healthcare needs and require dynamic, trauma-informed care in the community.

  • Research is needed to understand how to address the diverse health needs of women, transgender and non-binary people leaving prison.

    •  Context

    On any given day, approximately 740 000 women and girls1 and an unknown number of transgender, non-binary and gender diverse people are incarcerated globally. Intersecting social and structural factors impact incarceration and healthcare experiences, requiring community-based interventions that address the specific needs of women, transgender and non-binary people leaving prison.

    ...

    Effectiveness of photobiomodulation therapy on pain intensity in postpartum women with nipple or perineal trauma: protocol for a multicentre, double-blinded, parallel-group, randomised controlled trial

    Por: Gondim · E. J. L. · Nascimento · S. L. · Gaitero · M. V. C. · Mira · T. A. A. d. · Goncalves · A. d. V. · Surita · F. G.
    Introduction

    Photobiomodulation (PBM) using low-level laser can affect tissue repair mechanisms and seems promising in reducing pain intensity. However, few studies support the effectiveness of PBM on postpartum period complications, such as nipple and/or perineal trauma and pain, probably due to the low doses used. The primary objective of this study is to analyse the effectiveness of PBM on pain intensity in the nipple and perineal trauma in women in the immediate postpartum period. Secondary objectives are to evaluate the effect on tissue healing and the women’s satisfaction.

     Methods and analysis

    A double-blind, multicentre, parallel-group, randomised controlled trial will be performed in two public referral maternity hospitals in Brazil with 120 participants, divided into two arms: 60 participants in the nipple trauma arm and 60 participants in the perineal trauma arm. Participants will be women in the immediate postpartum period, who present with nipple trauma or perineal trauma and report pain intensity greater than or equal to 4 points on the Numerical Rating Scale for Pain. Block randomisation will be performed, followed by blinding allocation. In the experimental group, one application of PBM will be performed between 6 hours and 36 hours after birth. For the sham group, the simulation will be carried out without triggering energy. Both participants and the research evaluator will be blinded to the allocation group. Intention-to-treat method and the between-group and within-group outcome measures analysis will be performed.

     Ethics and dissemination

    This research protocol was approved by the Research Ethics Committees of the University of Campinas, Brazil, and of the School Maternity Assis Chateaubriand, Brazil (numbers CAAE: 59400922.1.1001.5404; 59400922.1.3001.5050). Participants will be required to sign the informed consent form to participate. Results will be disseminated to the health science community.

     Trial registration number

    Brazilian Registry of Clinical Trials (RBR-2qm8jrp).
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