The purpose and effect of the proposed rule is to prohibit the use of restraints on a prisoner who is known to be pregnant during labor, delivery, or postpartum recovery unless a corrections official makes an individualized determination that extraordinary circumstances exist requiring their use; defines extraordinary circumstances; regulates the use of restraints during the third trimester; provides that any restraint of a prisoner who is known to be pregnant must be done in the least restrictive manner necessary in order to mitigate the possibility of adverse medical consequences; prohibits the use of leg, ankle, or waist restraints during labor or delivery; and requires documentation if restraints are used due to an extraordinary circumstance.