Stop Violence Against Women


Abuse of Women in Custody: Sexual Misconduct and Shackling of Pregnant Women


Excessive Use of Restraints on Women in U.S. Prisons:
Shackling of Pregnant Prisoners

Sick and pregnant women prisoners are chained to their hospital beds all over the USA. Jails and prisons commonly use restraints on incarcerated women when they are being transported to and kept in hospital (even when they are in labor or when they are in a coma). Jails and prisons use restraints on women as a matter of course regardless of whether a woman has a history of violence (which only a minority have), regardless of whether she has ever absconded or attempted to escape (which few women have) and regardless of her state of consciousness. Shackling of all prisoners, including pregnant prisoners, is policy in federal prisons and the US Marshall Service and exists in most state prisons.

In September 2005, although still two weeks from her due date, Samantha Luther, incarcerated in Wisconsin, was allegedly taken in handcuffs and leg shackles to the local hospital, and informed that labor was going to be induced. She told a reporter, “I was in shock… I felt like all of my rights had been taken away.” Reportedly, her handcuffs were taken off, while her shackles remained on providing 18 inches between her ankles. The doctor ruptured her amniotic sac, and had her pace the hospital hallway for several hours. “It was so humiliating. My ankles were raw,” Luther said. Luther was given drugs to induce labor, when it did not begin, and reportedly was left in her shackles until just before birth. She reported, “I had shackles on up until the baby was coming out and then they took them off for me to push… It was unbelievable. Like I was going to go anywhere.” She gave birth to a son. Reportedly, it is common to induce inmates before term, however, according to DOC officials, an inmate must sign a consent form.

Reportedly, Desiree Callahan, a detainee at the San Joaquin Valley prison, was rushed to the hospital with one ankle chained to a gurney, with contractions every three minutes. She had an emergency C-section, but her baby girl died. When she awoke from general anesthesia, and for most of the four days she spent in recovery, she was reportedly shackled to the bed and under the watch of an armed guard. Callahan stated, “… it’s humiliating. And it’s just ridiculous. If I had really wanted to, even if I had a ride and everything, I couldn’t make it out the front door.” She noted that the shackles were not just emotionally traumatic; they also made physical recovery more difficult. “You have to be stuck to a bed even though the doctors say you need to get up and walk because your stomach was cut open.”

Following these and other cases, the California legislature passed a law forbidding the shackling of pregnant prisoners during labor, delivery and recovery. The Wisconsin Department of Corrections reported in January 2006, that staff have been directed to end the use of restraints on pregnant inmates during labor, delivery and recovery. AI welcomes this initiative and urges the Department to implement a written policy prohibiting these practices as soon as possible, as well as to provide training for staff on the new policy.

Health dangers

Physician Dr. Patricia Garcia notes that” women in labor need to be mobile so that they can assume various positions as needed and so they can quickly be moved to an operating room. Having the woman in shackles compromises the ability to manipulate her legs into the proper position for treatment. The mother and baby’s health could be compromised if there were complications during delivery such as hemorrhage or decrease in fetal heart beat. If there were a need for a C Section, the mother needs to be moved to an operating room immediately and a delay of even five minutes could result in permanent brain damage for the baby. …” Shackling pregnant women during transport is also dangerous given the possibility that the mother may fall and injure herself and the fetus.

International Law

The UN standard for the Treatment of all Prisoners, Rule 33, states that shackles should not be used on inmates unless they are a danger to themselves, others or property or have a history of absconding. AI considers the routine use of shackles and other restraints on pregnant prisoners is a cruel, inhuman and degrading form of treatment in violation of both the UN Convention against Torture and the International Covenant on Civil and Political Rights, both of which the USA has ratified.

Legislation in U.S. states

Only 2 states have legislation regulating the use of restraints o pregnant women. These are Illinois and California. The other 48 other states, the District of Columbia and the Federal Bureau of Prisoners, no such laws exist. (At the time of writing a bill is pending in NY State).

Depts. of Corrections Policies

Seven Correctional Departments have no written policy government the use of restraints on pregnant women. AZ, HI, IN, IA, ME, NH and NC

Eight Correctional Departments have no formal written policy governing the use of restraints on pregnant women. AZ, HI, IN, IA, ME, NH, NJ and NC
Only five state departments of corrections and the District of Columbia have written policies stipulating that no restraints are to be used on inmates during labor and birth. CT, FL, RI, WA, WY and DC
Twenty-three state departments of corrections and the Federal Bureau of Prisons allow the use of restraints during labor. States vary on details or the type of restraints that may be used and at what stage of the process.
Twenty-four state departments of corrections station an officer in the delivery room while an inmate is in labor.
Forty-one state departments of corrections and the Federal Bureau of Prisons may use restraints on pregnant women during transportation. Three departments do not allow use of restraints on pregnant women during transportation: DC, HI, WY. Two departments stipulated that if it is during transport to labor and delivery, they do not use restraints: CA, IL
Thirty-eight state departments of corrections and the Federal Bureau of Prisons may use restraints on pregnant women in the third trimester.

Louisiana and the Federal Bureau of prisons have no restrictions on the application of restraints, other than specifying that pregnant women should not be restrained face-down in four-point restraints.

Recommendations

Amnesty International recommends that the Federal Bureau of Prisons (FOB) and State Legislatures develop laws to ban shackling of pregnant inmates, and that the FOB and Departments of Corrections, prisons and jails adopt policies on the use of restraints in accordance with the following: