Section 118 of chapter 127 of the General Laws, as appearing in the 2010 Official Edition, is hereby amended by inserting at the end thereof the following:—

Pregnant and postpartum inmates shall be transported to and from visits to medical providers and court proceedings in a car with seatbelts.  Except in extraordinary circumstances, no restraints of any kind may be used on any pregnant inmates during transportation to and from visits to medical providers and court proceedings beyond the first trimester of her pregnancy, or during postpartum recovery.  For purposes of this section, “extraordinary circumstances” exist where a corrections officer makes an individualized determination that restraints are necessary to prevent a pregnant inmate from escaping, or from injuring herself, medical or correctional personnel, or others.  In the event the corrections officer determines that extraordinary circumstances exist and restraints are used, the corrections officer must fully document in writing the reasons that he or she determined such extraordinary circumstances existed such that restraints were used.  As part of this documentation, the corrections officer must also include the kind of restraints used and the reasons those restraints were considered the least restrictive available and the most reasonable under the circumstances.

While the pregnant inmate is in labor or in childbirth, no restraints of any kind may be used.  Nothing in this section affects the use of hospital restraints requested for the medical safety of a patient by treating physicians.             

Any time restraints are permitted to be used on a pregnant inmate, the restraints must be the least restrictive available and the most reasonable under the circumstances, but in no case shall leg or waist restraints be used on any pregnant or postpartum inmate.

If the doctor, nurse, or other health professional treating the pregnant inmate requests that restraints not be used, the corrections officer accompanying the pregnant inmate shall immediately remove all restraints.