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Policy 705Santa Ana Police Department Custody Manual Copyright Lexipol, LLC 2025/04/15, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Health Care for Pregnant Incarcerated Persons - 1Health Care for Pregnant Incarcerated Persons 705.1 PURPOSE AND SCOPE This policy establishes prenatal and postpartum health care services for incarcerated persons who are pregnant. Services may include assistance recovering from the effects of potentially unhealthy lifestyles, which could include tobacco use, alcohol and drug abuse or addiction, and a lack of previous adequate medical care. Because of unhealthy lifestyle choices prior to incarceration, many incarcerated person pregnancies are classified as high-risk. This policy is intended to protect the health of the pregnant person and the fetus. _ 705.2 POLICY It is the policy of this department that a qualified health care professional should provide comprehensive prenatal and postpartum care for all pregnant persons during their incarceration. All pregnant and postpartum incarcerated persons shall receive appropriate timely, culturally responsive, and medically accurate and comprehensive care, evaluation, and treatment of existing or newly diagnosed chronic conditions, including mental health disorders and infectious diseases (Penal Code § 4023.8). 705.3 ADVISEMENT AND COUNSELING Incarcerated persons who are pregnant shall be advised of the provisions of this policy manual, the Penal Code, and the standards established by the Board of State and Community Corrections related to pregnant incarcerated persons (Penal Code § 3407(e); 15 CCR 1058.5). A qualified health care professional or counselor shall provide comprehensive and unbiased counseling and information to pregnant incarcerated persons regarding their options, including but not limited to prenatal health care, adoption, and abortion. Staff shall not urge, force, or otherwise influence a pregnant incarcerated person's decision (15 CCR 1206(f); Penal Code § 4023.5; Penal Code § 4023.8(b)). Pregnant incarcerated persons shall also be referred to a social worker regarding options for feeding, placement, and care of the child after birth, including the benefits of lactation (Penal Code § 4023.8(k)). 705.4 BOOKING - PREGNANCY SCREENING When booking an incarcerated person who is identified as possibly pregnant or capable of becoming pregnant, the following steps shall be taken: (a)All incarcerated persons shall be asked if they are pregnant. They shall be offered a voluntary pregnancy test upon intake or by request, within 72 hours of arrival at the jail and administered by medical personnel (Penal Code § 4023.8(a)). (b)Incarcerated persons confirmed to be pregnant shall, within seven days of arriving at the jail, be scheduled for a pregnancy examination with a physician, nurse practitioner, Santa Ana Police Department Custody Manual Health Care for Pregnant Incarcerated Persons Copyright Lexipol, LLC 2025/04/15, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Health Care for Pregnant Incarcerated Persons - 2certified nurse midwife, or physician assistant and examined as provided by Penal Code § 4023.8(d). (c)Pregnant incarcerated persons who appear to be under the influence of or withdrawing from alcohol or other substances shall be referred to a qualified health care professional. (d)The Responsible Physician, in collaboration with facility staff, shall ensure the proper clinic visits are scheduled in accordance with appropriate medical standards as provided in Penal Code § 4023.8(e). (e)A medical record should be opened with a notation indicating pregnancy. (f)The incarcerated person should be interviewed by a qualified health care professional for necessary medical information, which should be written in the medical record. (g)Each pregnant incarcerated person should have: 1.Orders establishing a prenatal diet during incarceration. 2.An appointment with an obstetrician if the person is 10 or more weeks gestation. (h)Each pregnant incarcerated person shall (Penal Code § 4023.8): 1.Have access to daily prenatal vitamins in accordance with medical standards of care. 2.Be assigned to the lower bunk and lower-tier housing for those housed in a multitier housing unit. 705.5 HOUSING EXCEPTIONS Incarcerated persons who are known to be pregnant may be housed in any unit appropriate for their classification, with the following exceptions: (a)The agency responsible for the incarceration of the incarcerated person will be advised to arrange for the transfer of all pregnant incarcerated persons identified at intake or the obstetric clinic to be high-risk to another facility. (b)Continued housing of any pregnant incarcerated person shall be at the discretion of the Responsible Physician. 705.6 COUNSELING AND TREATMENT REGARDING PROPER CARE The Department will provide all necessary counseling and treatment to pregnant incarcerated persons to ensure they are receiving the proper care. To accomplish this, the following shall occur: (a)The directions of the obstetric specialist shall be followed throughout the pregnancy and postnatal period. No non-medical staff has the unilateral authority to change or overrule an order or care recommendation made by the Responsible Physician. The Jail Administrator and Responsible Physician shall develop a process by which perceived conflicts between medical orders/recommendations and safety and security interests of the jail can be discussed and resolved. Ultimately, the jail must provide adequate treatment for an incarcerated person's medical needs. Santa Ana Police Department Custody Manual Health Care for Pregnant Incarcerated Persons Copyright Lexipol, LLC 2025/04/15, All Rights