BOP Program Statement 6031.06 § 13

Women utilize health services at greater rates than men. In addition to those additional

requirements for female inmates included in the intake, comprehensive medical evaluation, and

CCC sections above:

a. Prescription Birth Control. Refer to the current version of the Bureau National Formulary

for restrictions on the use of prescription birth control medications and delivery systems.

Sterilization, intrauterine devices (IUDs), or other implanted contraceptive devices will not be

made available to female offenders while housed in a Bureau facility, excluding RRCs, when

prescribed for birth control.

6031.06 6/22/2026 PROPERTY OF US GOVERNMENT 25

6031.06 6/22/2026 PROPERTY OF US GOVERNMENT 26

For inmates with IUDs or other implanted contraceptive devices, clinicians will seek history on

the type of device, and date of implantation to appropriately advise inmates with these devices in

place about possible complications associated with continued use past expiration. These devices

should be removed per manufacturer’s directions by a credentialed clinician and upon the

inmate’s request.

b. Pregnancy. When pregnancy is confirmed, the female offender will be referred to a

physician within 14 days for an initial examination and referred to an obstetrician-gynecologist

(OB-GYN) within eight weeks of pregnancy. Psychology Services will also be notified to

provide counseling and other services as appropriate.

The HSA or designee will notify the Captain, as well as the inmate’s Unit Manager and Social

Worker, when pregnancy is confirmed and entered into the applicable Bureau inmate

management system. Refer to the Program Statement Female Offender Manual for coding in

the applicable Bureau inmate management system.

All pregnant inmates will:

 Be screened for HIV, hepatitis, diabetes, and hypertension unless the inmate chooses to

opt out of screening.

 Have MDS restrictions indicating a prohibition from the use of restraints.

 Have MDS restrictions authorizing a lower bunk, housing closer to the medical unit,

work or recreation restrictions, if clinically indicated.

 Have orders for prenatal vitamin supplements, if clinically indicated.

 Be evaluated for nutritional needs to determine if a medical diet or supplementation is

necessary.

Inmates who request abortion will be counseled and managed in accordance with the Program

Statement Female Offender Manual.

c. Childbirth. The CD or designated physician, in consultation with a staff or contract OB-GYN specialist and community-based facility for delivery, will manage the perinatal period for

pregnant offenders. The institutional Social Worker or the Regional Social Worker will contact

the Administrator, Women and Special Populations Branch, regarding expenses for neonatal care

and child placement. Refer to the Program Statement Female Offender Manual for further

guidance.

d. Post Partum Care. Women are referred to the institution or Regional Social Worker for

postpartum care. Female offenders are allowed to pump their breast milk and store it upon

request. The breast pump is considered DME and should be documented on the MDS. Refer to

the Program Statement Female Offender Manual.

e. Documentation of Pregnancy Outcomes. The CD is responsible for ensuring all delivery

and pregnancy outcomes are documented in the EHR and that the pregnancy or post-partum

diagnoses on the health problem list are resolved in appropriate timeframes.

f. Feminine Hygiene Products. Feminine hygiene products are not considered to be medical

supplies or equipment and are not managed by HSUs unless there are specific related

comorbidities that affect an inmate’s use of institution supplied products. Refer to the Program

Statement Female Offender Manual.