Section 240-RICR-30-00-1.5 - Transport, Labor and Delivery Restraint ProceduresA. Transport 1. No handcuffs, shackles or other restraints are used on a detainee or inmate known to be pregnant during transport to a medical facility unless there are compelling grounds to believe that the detainee or inmate presents:a. An immediate and serious threat of physical harm to herself, staff or others; orb. A substantial flight risk and cannot be reasonably contained by other means.2. If handcuffs, shackles or other restraints are used on a pregnant detainee or inmate, the type of restraint applied and the application of the restraint is done in the least restrictive manner necessary.3. The RIDOC Medical Program Director/designee will be consulted if circumstances warrant restraints during transport.B. Labor and Delivery1. Under no circumstances can leg or waist restraints be used on any detainee or inmate during labor and delivery.a. Labor is defined as the period of time before birth during which contractions are of sufficient frequency, intensity, and duration to bring about effacement and progressive dilation of the cervix.2. To use handcuffs, compelling grounds to believe that the detainee or inmate presents the following must be met:a. An immediate and serious threat of physical harm to herself, staff or others; orb. A substantial flight risk and cannot be reasonably contained by other meansC. Postpartum 1. For the purposes of this policy "postpartum recovery" means, as determined by her physician, the period immediately following delivery, including the entire period a woman is in the hospital or infirmary after birth.2. Waist restraints are not used under any circumstances during postpartum recovery.3. If handcuffs or leg restraints are used on a pregnant detainee or inmate, the following compelling criteria must be met and the type of restraint applied and the application of the restraint is done in the least restrictive manner necessary:a. An immediate and serious threat of physical harm to herself, staff or others; orb. A substantial flight risk and cannot be reasonably contained by other means4. If the circumstances cited in §§ 1.5(C)(3)(a) through (b) of this Part exist, upon confirmation by RIDOC's Medical Program Director that a detainee or inmate in postpartum recovery may be subject to restraint, the treating health care professional, in consultation with RIDOC's Medical Program Director, determines whether leg or hand restraints shall be used.240 R.I. Code R. 240-RICR-30-00-1.5