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our percent of incarcerated women―more than three thousand―who are pregnant in US prisons each year. Draws on in-depth interviews with these women to provide a rare, intimate portrait into the intersection of motherhood and incarceration. Shows how the prison system works alongside other carceral systems, such as the medical system and the child welfare system, to regulate and control women. Reveals how their incarceration goes beyond the function of criminal punishment, threatening both maternal and fetal health and the well-being of families. Offers an account of how these systems collectively disrupt entire families and communities during pregnancy, birth, and the postpartum period, including long after women are released from prison.