As Americans, we have inherited some pretty huge problems with our criminal justice system.
People of color face incarceration at disproportionate rates compared to white people, and many people go to jail or prison when they should be getting mental health treatment instead.
A lot of these problems remain under the radar because for many Americans, prisons are out of sight and out of mind. Lately, thanks to the hard work of activists, filmmakers like Ava Duvernay, and other advocates, criminal justice reform has been in the spotlight.
But there are still plenty of injustices that take place behind the walls of prisons and jails that we don’t talk about enough.
A prime example? The way most pregnant people are treated when they are incarcerated.
Here are five things you may not know about being pregnant and incarcerated.
1. Thousands of incarcerated women are pregnant, and access to prenatal healthcare in prison is abysmal.
There’s no official, comprehensive data on how many people in prison are going through pregnancy. But what we do know is that there are 210,000 women who are currently incarcerated, and the vast majority of them are of reproductive age. The ACLU estimates that around 12,000 of these women are pregnant.
People in prison, pregnant or not, receive inadequate healthcare, but pregnancy exacerbates the need for quality, holistic healthcare and support — especially for people who are facing high-risk pregnancies. Unfortunately, many incarcerated women lack access to healthcare providers who are trained in obstetrics and gynecology, and one report found that almost half of pregnant inmates don’t get any prenatal care at all.
2. There are huge barriers to getting an abortion while incarcerated.
Your right to have an abortion doesn’t disappear when you go to jail, but for many women in prison, there are huge barriers to ending a pregnancy. Often, healthcare providers in jail and prison don’t inform their patients about their termination options. Many incarcerated women have had to go to court to secure access to abortion, but even more have been forced to continue their pregnancies.
3. Pregnant women who are incarcerated often have to deal with dehumanizing, dangerous practices like shackling.
Historically, pregnant inmates have been subjected to degrading practices like being shackled — even during labor. Although many states have now outlawed this practice, six states have no regulations that protect pregnant and birthing women — and their babies — from harmful physical restraints.
If you’ve ever seen anyone in labor, you know how huge of a problem this is. Laboring women need freedom of movement to work through their contractions, and their healthcare professionals need to be able to step in quickly in emergency situations. It’s a matter of safety, and it’s a matter of dignity.
4. Giving birth while incarcerated can be a nightmare.
Feeling supported, safe, and respected during birth can turn a challenging, scary experience into a positive one. Unfortunately, many women who give birth while incarcerated are denied even the most basic accommodations and support. Incarcerated women often aren’t given the opportunity to make decisions about their birth plans. Recently, one Texas woman went into labor prematurely while she was in a jail cell — and guards refused to assist her until her baby was born. These scenarios are unacceptable.
5. Mothers are separated from their newborns almost immediately.
Most prisons only allow mothers to stay with their newborns for 24 hours before the child is removed to be placed with relatives or in foster care. These abrupt separations can cause serious health issues for the baby, and unsurprisingly, can be emotionally devastating for the mom.
The bottom line is that the way we deal with pregnant and laboring mothers in prison is simply not working.
It’s inhumane, unhealthy, and traumatic.
The good news is that there are people who are fighting hard to make real, tangible improvements for incarcerated moms.
One program in Indiana has established a nursery so incarcerated moms can take care of their newborns, bond with them, and avoid the trauma of separation. Studies have found that the kids in these types of programs face fewer mental health problems, and the moms are less likely to return to prison.
Reproductive justice organizations like SisterSong are fighting hard to make sure that shackling pregnant inmates is a horrifying practice that we leave in the past.
The only women’s prison in Minnesota has partnered with a nonprofit that provides incarcerated pregnant people with doulas for their pregnancy and birth. The program has significantly reduced C-section rates among women who participate in the program.
And Black Lives Matter has partnered with organizations across the country for National Black Mamas Bailout Day, which raises money to bail black women out of jail for Mother’s Day. About 200 moms have been bailed out thanks to their efforts.
The root of the problem — the discriminatory, dehumanizing practices that make up our prison system — still exists. But these efforts show that we can make real change if we refuse to accept injustice.



Student smiling in a classroom, working on a laptop.
Students focused and ready to learn in the classroom.
Fish find shelter for spawning in the nooks and crannies of wood.
Many of these streams are now unreachable by road, which is why helicopters are used.
Tribal leaders gathered by the Little Naches River for a ceremony and prayer.

Communications expert shares the perfect way to gracefully shut down rude comments
Taking the high ground never felt so good.
A woman is insulted at her job.
It came out of nowhere. A coworker made a rude comment that caught you off guard. The hair on the back of your neck stands up, and you want to put them in their place, but you have to stay tactful because you're in a professional setting. Plus, you don't want to stoop to their level.
In situations like these, it helps to have a comeback ready so you can stand up for yourself while making making sure they don't disrespect you again.
Vince Xu, who goes by Lawyer Vince on TikTok, is a personal injury attorney based in Torrance, California, where he shares the communication tips he's learned with his followers. Xu says there are three questions you can ask someone who is being rude that will put them in their place and give you the high ground:
Question 1: "Sorry, can you say that again?"
"This will either make them have to awkwardly say the disrespectful remark one more time, or it'll actually help them clarify what they said and retract their statement," Xu shares.
Question 2: "Did you mean that to be hurtful?"
The next step is to determine if they will repeat the disrespectful comment. "This calls out their disrespect and allows you to learn whether they're trying to be disrespectful or if there's a misunderstanding," Xu continues.
Question 3: "Are you okay?"
"What this does, is actually put you on higher ground, and it's showing empathy for the other person," Xu adds. "It's showing that you care about them genuinely, and this is gonna diffuse any type of disrespect or negative energy coming from them."
The interesting thing about Xu's three-step strategy is that by gracefully handling the situation, it puts you in a better position than before the insult. The rude coworker is likely to feel diminished after owning up to what they said, and you get to show them confidence and strength, as well as empathy. This will go a lot further than insulting them back and making the situation even worse.
Xu's technique is similar to that of Amy Gallo, a Harvard University communications expert. She says that you should call out what they just said, but make sure it comes out of their mouth. "You might even ask the person to simply repeat what they said, which may prompt them to think through what they meant and how their words might sound to others," she writes in the Harvard Business Review.
More of Gallo's suggested comebacks:
“Did I hear you correctly? I think you said…”
“What was your intention when you said…?”
“What specifically did you mean by that? I'm not sure I understood.”
“Could you say more about what you mean by that?”
Ultimately, Xu and Gallo's advice is invaluable because it allows you to overcome a negative comment without stooping to the other person's level. Instead, it elevates you above them without having to resort to name-calling or admitting they got on your nerves. That's the mark of someone confident and composed, even when others are trying to take them down.