Early in her second trimester, Linda Acoff was taken into custody for failing to complete court-ordered mental health treatment. After three weeks in the Cuyahoga County Jail in Columbus, Ohio, she began experiencing intensifying pressure, cramping, and bleeding. But despite her pleas for help, the nurse on duty offered only sanitary napkins and Tylenol. After banging on her cell door for hours, Acoff was eventually taken out of the jail's pregnancy pod on a stretcher—leaving behind the remains of her 17-week-old fetus.
A recent exposé from The Marshall Project revealed that Acoff had contracted chorioamnionitis, an infection of the fluid and tissues inside the uterus. Although considered a serious pregnancy complication that can threaten both the fetus and the mother, there was hope that Acoff's 17-week pregnancy could have been saved. "If there's early appropriate diagnosis and intervention, that baby can absolutely survive if the patient is treated promptly," Michael Baldonieri, an OB-GYN and assistant professor of reproductive biology at the Case Western Reserve University School of Medicine, told The Marshall Project.
In the end, Acoff lost her baby, and while the nurse on duty was ultimately fired, the tragedy has not inspired change in the way that Ohio handles incarcerated pregnancies or collects data on them. Unfortunately for Acoff, and the estimated 55,000 pregnant women who enter the nation's jails every year, little data exists on the impact incarceration has on pregnancy outcomes.
