Policy: ICE And The Pregnant Women It's Detaining

29 Sep 2026 · 44 min · 18 chapters

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In short

The episode explains how ICE’s record summer arrest surge is being carried out and how it affects pregnant women and new mothers in detention. It cites ICE arrest totals rising to agency highs (about 43,000 in June, 49,000 in July, nearly 51,000 in August) and a shift from high-profile raids to “everyday” arrests nationwide. It highlights 287(g) agreements that let local police and sheriff’s departments help ICE, including through traffic stops. Key claims include that violent-criminal priorities are overstated (violent convictions are said to be under 10%), and that expanded databases and tech make traffic stops a primary pathway to custody and deportation. It also covers pregnant-women detention: Guardian and DHS data are cited (86 pregnant women in custody as of February; nearly 400 pregnant/postpartum/nursing deported Jan 2025–Feb 2026).

Guests

Nick Miroff (Atlantic immigration staff writer); Zane Lakhani (Women’s Refugee Commission Director of Migrant Rights and Justice); Shefali Luthra (The 19th reproductive health reporter); Dr. Ghazale Moyadi (Texas OBGYN, Physicians for Reproductive Health board chair); Jennifer Babae (National Immigrant Justice Center Adult Detention Project associate director, via testimony).

Notable examples

Annabelle’s alleged miscarriage after denied prenatal care; reports of shackling, denied miscarriage care, and missed external medical appointments; fear reducing prenatal visits (BabyCenter poll; Planned Parenthood no-show increases).

Written by AI. May contain mistakes. Listen to the episode to check what was said.

Chapters

Tap a time to open that second in VO

Record High ICE Arrests

0:25 to 2:45

Explore the recent surge in ICE arrests and the implications of new funding and tactics.

“Immigration and customs enforcement arrests reached record highs this summer, and the full scope is just coming into focus.”

Changes in ICE Tactics

2:50 to 4:00

Discussion on the shift in ICE's approach to arrests and the role of local law enforcement.

“We're talking about ICE and the record number of arrests this summer.”

Traffic Stops and Arrests

4:00 to 8:05

Analysis of how traffic stops are increasingly used by ICE to make arrests and the implications.

“to collaborate on immigration enforcement.”

Deportation Priorities and Data Issues

8:05 to 12:30

Examination of ICE's deportation priorities and issues with data transparency.

“But, you know, we know from looking at the statistic that that's, that, you know, the people with, you know, violent criminal convictions amount to fewer than 10 % of the people they're arresting and deporting.”

Detention of Pregnant Women

12:30 to 13:49

Insights into the record number of pregnant women detained by ICE and their experiences.

“Coming up, Immigration and Customs Enforcement arrested a record number of pregnant women last fall and winter.”

Detention of Pregnant Women

13:53 to 14:03

Insights into the record number of pregnant women detained by ICE and their experiences.

“If you're tired of spending hundreds on big wireless bills, bogus fees, and free perks, Mint Mobile is for you.”

Impact of Detention on Pregnant Women

14:38 to 17:32

Exploring the effects of ICE detaining pregnant women and their medical care.

“That's according to the Department of Homeland Security.”

Tracking Pregnant Women in Detention

17:32 to 22:06

Discussing the Women's Refugee Commission's efforts to monitor pregnant detainees.

“However, in practice, this is what we are seeing.”

Oversight and Medical Care Challenges

22:06 to 26:43

Examining the lack of oversight and medical care in detention centers.

“Well, a DHS spokesperson sent us this statement about the level of care pregnant detainees receive.”

Fear of Immigration Enforcement

26:43 to 28:00

Understanding how the fear of ICE affects women's access to reproductive care.

“We got this email from Dennis who says, why would a person at such a vulnerable moment attempt to cross a border, whether through a legal process or without authorization?”
Show all 18 chapters

Impact of Immigration Enforcement on Pregnant Women

28:00 to 30:22

Learn how fears of ICE affect pregnant women's access to care and the consequences of detention.

“violated any of the requirements of their asylum process.”

Impact of Immigration Enforcement on Pregnant Women

30:52 to 31:16

Learn how fears of ICE affect pregnant women's access to care and the consequences of detention.

“Many people are overpaying on car insurance.”

Miscarriages and Medical Oversight in ICE Detention

31:25 to 42:00

Explore the serious health issues faced by pregnant women in ICE custody, including miscarriages and lack of medical care.

“That same investigation showed that ICE does not have data on miscarriages after that, from October 2025 through June 2026, a fact that ICE confirmed to The Guardian.”

The Danger of Detaining Pregnant Women

42:00 to 43:57

Explore the alarming risks faced by pregnant women in ICE detention, illustrated by a tragic case.

“because we know pregnancy is a time of great danger.”

Challenges of Transferring Detainees

43:57 to 45:41

Discuss the complications arising from ICE's practice of moving detainees between facilities.

“We got this question from Don who says, why does ICE continuously move detainees between states?”

Future Work and Advocacy

45:41 to 46:34

Learn about ongoing efforts to improve treatment and care for pregnant women in detention.

“people to exercise their legal rights when they are constantly moved from facility to facility.”

Future Work and Advocacy

47:16 to 47:41

Learn about ongoing efforts to improve treatment and care for pregnant women in detention.

“Many people are overpaying on car insurance.”

Future Work and Advocacy

47:46 to 48:16

Learn about ongoing efforts to improve treatment and care for pregnant women in detention.

“This message comes from IXL, a learning platform for helping kids build confidence and get up to speed fast.”
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Transcript

Automatic transcript. May contain errors.

0:00This fall, there are a lot of movies and TV shows on tap for you to see. And we're as excited for all of it to arrive as you are. On Pop Culture Happy Hour, we've got a guide to what's worth keeping on your radar. Listen via the NPR app or wherever you get your podcasts.

0:25Immigration and customs enforcement arrests reached record highs this summer, and the full scope is just coming into focus. 43 ,000 people were arrested in June, more than 49 ,000 in July, and almost 51 ,000 in August, an agency record. Also in June, the Republican-controlled House of Representatives passed a$70 billion package to fund ICE and Border Patrol through the end of President Donald Trump's term. As ICE became the best-funded law enforcement agency in the country, its tactics changed. Instead of high-profile operations centralized in one location, like operations in Minnesota, Chicago, and Los Angeles last year, they're focusing on quieter, everyday arrests throughout the country.

1:09At his Senate confirmation hearing in March, new Secretary of Homeland Security Mark Wayne Mullen described the approach the department would take under his leadership. My goal in six months is that we're not in the lead story every single day. My goal is for people to understand we're out there, we're protecting them, and we're working with them. I'm Jen White. You're listening to the 1A Podcast. Just ahead, we talk about what has changed in six months and what we know about the surge in ICE arrests. Stay with us.

1:45Power is up for grabs in Wisconsin. Ahead of the November election, Swing State of the Union explores top issues in the state and how they're motivating voters nationwide. Listen to the Swing State of the Union podcast from WUWM, part of the NPR Network, on the NPR app, or wherever you get your podcasts. New episodes drop Wednesdays. This week on Shortwave, the internet is obsessed with inflammation. And yeah, it is true. Inflammation is at the heart of nearly every disease in the body. But it's also The body's natural response to danger. So who really needs to be worried about it? Find out on Shortwave, the science podcast from NPR.

2:32This message comes from Midi Health. Most women never get real answers about their hormonal health. Midi is changing that with virtual care covered by most major insurances. Understand your hormones. Visit JoinMidi.com to book your first visit today. Welcome back to the 1A podcast. We're talking about ICE and the record number of arrests this summer. Joining us is Nick Miroff. He's a staff writer covering immigration at The Atlantic. Nick, welcome back. Hi, Jen. It's good to be with you again. So many of us remember less than a year ago the protests over Operation Metro surge in Minnesota, the images of ICE officers led by Greg Bovino, the former commander-at-large of the Border Patrol, you know, walking city streets.

3:14That isn't happening anymore, but ICE arrests have increased. Where are those arrests taking place now? Well, I mean, they're happening all over the country as, you know, the strategy that was laid out after Minneapolis, you know, has come to fruition for ICE essentially. They now have the resources, the personnel, you know, the means to conduct a deportation campaign of this kind because they have so much more money. And they don't need to make as much noise as they were making when they were last year, when they were in, you know, in these cities. And so they're able to increase their arrest numbers, really, all around the country at the same time.

3:59Now, as of this month, local law enforcement is signing nearly 2 ,600 agreements with ICE to collaborate on immigration enforcement. These are called 287G agreements. What do they allow local law enforcement to do? They essentially enlist local police departments, sheriff's departments in helping ICE boost its arrest numbers. They can be of a more limited kind, focusing on people who are in county jails and so forth. But the most aggressive form of these partnerships essentially deputizes police officers and sheriff's deputies to go out and help ICE kind of run checks on people that they encounter in the course of their patrol duties.

4:49So getting pulled over for a traffic violation can ultimately help ICE make an arrest that would lead to a deportation. Right. ICE traffic stops got a huge amount of attention earlier in the year, especially after several ended in fatal shootings like those we saw in Houston and Bidford, Maine. Those shootings caused ICE to briefly pause traffic stops, and that move was quickly reversed by President Trump. What role are traffic stops playing in this increase in arrests? They're playing a huge role and they've really become, you know, one of the primary ways in which ICE is taking more people into custody and is able to reach these kind of record highs in terms of arrests.

5:31And the way they're able to do that is by, you know, using some of the technology and some of the, you know, the kind of expanded access to different databases that they have gained under this administration. And so they can, you know, run license plates, they can quickly scan, you know, documents, driver's licenses, that type of thing. And they're able to, you know, kind of increase the number of potential targets that they can find. They don't have to go to people's houses as much, you know, where their tactic of, you know, kind of knocking on someone's door was, you know, giving them diminishing returns.

6:14they found that this is the fastest way for their officers to go out and maximize the number of arrests that they can make but i'll say that it's a very um you know these are these are very dangerous uh and fraught encounters because you know people who are are getting pulled over you know this is a potentially life-altering traffic stop for them if they end up getting deported and that's why you're seeing some drivers panic and and and that's that's behind some of the violence that we've seen. What sorts of goals has Secretary Mullen set for the number of arrests they want to make under his leadership?

6:54Well, I think it's important to keep in mind that Secretary Mullen is, you know, even though he's the Secretary of Homeland Security, he isn't the only person driving this train. These priorities are being set by Stephen Miller in the White House with his team there and are being carried out by Mullen as well as the other senior officials at ICE. And they have backed off from the 3 ,000 a day arrest quota that Stephen Miller and Kristi Noem originally set out last spring, started in the spring of 2025. But they are still pushing officers to make as many arrests as possible I think their goal, the goal that they have stated is a million deportations a year.

7:42And they're still not close to that, but they're a lot closer than they were last year. And they have the resources now and the personnel to actually make that kind of a feasible target. And is it clear who they're prioritizing for removal from the country? Well, they play a lot of semantic games with the way they are conducting this operation. And if you see, you know, border czar Tom Homan on television, he'll say that the priority remains people with criminal backgrounds, you know, gang members, that type of thing. But, you know, we know from looking at the statistic that that's, that, you know, the people with, you know, violent criminal convictions amount to fewer than 10 % of the people they're arresting and deporting.

8:25And a lot of the people who they are defining as criminals are people whose criminal backgrounds are mostly immigration violations or moving violations or things that are nonviolent offenses. At the same time, you know, Homan's line is always that people who are, that everyone is on the table and that they're not going to, you know, decline to take someone into custody if they're in the country illegally. So what ICE calls collateral arrests remain a huge part of the percentage of people that they're taking into custody. And those are the people who, if they're traveling in the car with someone that they're targeting, they will take them into custody and so forth.

9:04But that's why we're hearing about so many people who have lived in the United States for many, many years without a criminal record being taken by ICE and deported from the United States. Do the detention facilities we currently have in the U.S. have the capacity to house people as the number of arrests continues to tick up? They're running into detention space issues again. Last year, Kristi Noem and her top aide, Corey Lewandowski, set an aggressive strategy to expand ICE detention capacity by buying, you know, empty warehouses and planning to convert them into ice jails. They spent more than a billion dollars on that, but they've really backed off that strategy.

9:54And while they're opening some new facilities, they're mostly been relying on expanding places where ice already holds people. That continues to be a big, you know, a big part of their strategy, but they are running out of space, particularly in certain regions like the Northeast, the West Coast, where, you know, blue states have made it harder for ICE to expand, you know, its detention infrastructure. But they are finding ways to hold people. They've gotten more efficient about deporting people faster. And so I don't get the sense that this is, you know, really a big limitation on their ability to meet their targets.

10:36I want to briefly talk about how these immigration tactics are being tracked. Arrest data is released by ICE on its public website. But as you recently reported, a top expert at DHS, Mark Rosenblum, retired out of frustration in July. He was the creator of the Office of Homeland Security Statistics. Why did he resign and what does his absence mean for the availability of accurate data shared by DHS? us? Well, for the longest time, I mean, the lawmakers from both parties and the broader public were eager for DHS and immigration enforcement statistics that weren't filtered through political messaging.

11:15And this office was created during the last administration to be a kind of neutral storehouse for this type of information that is in such demand. What is ICE doing? What is the Border Patrol doing? Who are they taking into custody? That type of thing. And so this office was created. It was funded very eagerly by lawmakers of both parties, but essentially muzzled when the Trump administration came in. And Mark Rosenblum, the director, who wasn't able to release any public reports after about a year of that, He resigned. And that office has really been hamstrung and is no longer able to produce timely, regular information the way that it used to.

12:07And so what does that mean for the public's understanding and lawmakers' understanding of what's happening in immigration enforcement? It means a lot of it is coming out in DHS social media posts or in claims by administration officials that are very difficult to verify. Well, that's Nick Muroff. He's a staff writer covering immigration at The Atlantic. Nick, thank you. Thank you, Jen. Coming up, Immigration and Customs Enforcement arrested a record number of pregnant women last fall and winter. What do we know about the conditions they experienced? That's just a hat.

12:47Hey, it's me, Peter Sagal, host of Wait, Wait, Don't Tell Me. It's leaf peeping season, so why not peep our weekly news quiz while you're at it? We got comedians, celebrities, and games to help laugh about the week's news, and you can listen while you're spicing your pumpkins, whatever people do. Listen every week to Wait, Wait, Don't Tell Me on the NPR app or wherever you get your podcasts. This message comes from Jerry. Car insurance gives drivers plenty to be skeptical about. Jerry gives them a way to check. Jerry shops rates from over 100 insurers, so drivers can review their options and switch all in the app.

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14:03Shop plans at MintMobile.com slash switch. Taxes and fees extra. See Mint Mobile for details. Welcome back to the 1A Podcast. More details are being released about a record number of immigration and customs enforcement arrests of pregnant women beginning last fall. A September report by The Guardian revealed that ICE placed more pregnant immigrants in detention last fall and winter than at any time over the previous year. ICE data from February reveals that 86 pregnant women were in ICE custody. More than 10 percent were detained in their third trimester. And nearly 400 women who were pregnant, postpartum, or nursing were deported from January 2025 to February 2026.

14:46That's according to the Department of Homeland Security. Previous reports show that ICE booked 347 pregnant, postpartum, or nursing people in 2023 and 375 in 2022. Most of those people were released or paroled, not deported. ICE and the Department of Homeland Security say pregnant women make up a fraction of detainees. A DHS spokesperson sent us a statement. It says, in part, quote, pregnancy in ICE detention is exceedingly rare, making up 0.15 percent of all illegal aliens currently in custody as of August 31st, end quote. But the latest numbers have raised questions as ICE is already drawing criticism for the medical attention these detainees receive.

15:28Today, we'll get into how pregnant women are being affected by the Trump administration's mass deportation campaign. And for women who haven't been arrested or detained, how is fear of immigration enforcement affecting their medical care? Joining us now in studio is Zane Lakhani. She's the Director of Migrant Rights and Justice at the Women's Refugee Commission. Zane, welcome to the program. Thank you for having me. Shefali Luthra is a reproductive health reporter at The 19th News. She joins us now. Shefali, welcome back to the program. Thanks for having me. And Dr. Ghazale Moyadi is an OBGYN in Texas.

16:00She's also a board chair with Physicians for Reproductive Health. Dr. Moyadi, welcome. Thank you so much. We would also love to hear from you. If concerns of immigration enforcement have kept you from seeking prenatal or postpartum care, share your story. Email us at 1a at wamu.org. Shefali and ICE policy from 2021 says pregnant, postpartum, and nursing women should not be arrested by ICE, quote, unless release is prohibited by law or exceptional circumstances exist. So what reasoning is ICE giving about the pregnant women they have arrested and detained? It's such a good question. And basically what we have heard is what you referenced earlier.

16:42ICE says that pregnant postpartum nursing detainees make up a tiny fraction of the people they are detaining. They say that they are targeting people who are violent criminals, who are threats. And that just simply isn't true. We have spoken to countless women who have been detained while pregnant, postpartum, or nursing who didn't have criminal records. Or if they did, they had traffic violations. Very, very minor. Very different from what has been described. And to the point you made earlier, the numbers really do indicate that we are seeing people detained in these numbers and deported that aren't reflective of what we had in previous administrations.

17:26And so I think this is really important is that technically, formally, the policy that was in place under previous administrations was not technically reversed. However, in practice, this is what we are seeing. And what we know, as you referenced, is detention centers are often not safe for people who are pregnant or postpartum or nursing. They have complex particular medical needs. They are medically vulnerable. They need more health care. And very often what we have heard from these women and their attorneys and medical providers is they simply aren't getting the attention they need. Well, the latest figures from ICE on the number of pregnant women detained are from February of 2026, and those say 86 women in custody.

18:15Do we have updated numbers? We do not. And that's also very important because under previous administrations, there was a policy that twice a year, the Department of Homeland Security would put out a report. And they would say, these are the number of pregnant, postpartum, and nursing people who are detained. This is the justification for why they have been detained. And this allowed at least some transparency into who was being taken into detention facilities, why, what the rationale was. Congress let that requirement lapse. And so as a result, we don't get the regular reporting that we used to have.

18:54The numbers you referenced were only provided in response to a specific request from a Democratic Senator, Patty Murray. Otherwise, we may not even have that level of information. Saying that your organization, the Women's Refugee Commission, you've launched a detention pregnancy tracker. Why do you feel like it's important to track the number of pregnant women in detention? And how are you tracking them? That's an excellent question. And I want to pick up on a little bit of what Shefali said about some of the lack of reporting requirements and how some of those have disappeared. So the Women's Refugee Commission's approach to trying to understand what was happening to pregnant, postpartum, and nursing women in detention was in part in response to both this significant uptick of these women going into detention facilities that we were seeing starting last spring and also the lack of information that was coming out of the administration, including information that was previously available.

19:47So the lack of this reporting requirement, also our inability to get into detention centers to speak with women and understand what was happening to them. So the Detention Pregnancy Tracker, detentionpregnancytracker.com, was one key strategy to try to understand not only how many women were in detention, but also understand their experience, their treatment, their care, what was happening to them behind those detention center doors, that kind of black box that immigration detention has become. We also worked with senators like Senator Patty Murray to write data requests to be able to get some of the information from February that you cited.

20:22We also traveled to reception centers across Central America or Mexico to speak directly with women who have been deported to learn about their experiences in detention. We've also, you know, we're working on other data requests, filed FOIA requests, working with other members of Congress. So it's really a wraparound effort to try to crack this black box and to get the information. What have you learned? So a lot of what we have learned really echoes some of what Shefali was talking about, that many of the women in immigration custody who are pregnant or nursing are not receiving the kind of medical care that they urgently require.

20:56They're not receiving the kind of nutrition that they urgently require to sustain healthy pregnancies. And just as importantly, they are not getting the kind of oversight and monitoring that is necessary to ensure that they can safely carry their pregnancies and be safe. You know, for many women, pregnancy is a time of great joy, but also great danger and great vulnerability. If you have a high-risk pregnancy complication or are vulnerable to pregnancy complication, that can turn dangerous or life-threatening very quickly. And we have many examples of women who either have high-risk pregnancies that are not monitored or experience life-threatening pregnancy complications that are simply ignored.

21:35And really briefly, do you have an updated number of women who are being detained? We have that number from February, but anything between then and now? So we do not have any updated data from ICE. And we are working, you know, sort of on multiple different fronts to try to get that updated data. But no, and I want to say like that number, that 86 number, that was a point in time number. That was the number that they were saying on that day there were that many women, right? But there's going to be more or less at any point in time. So if you imagine 86 people on one given day, the number of people over the course of the 18 months of this administration is going to look significantly higher.

22:10Well, a DHS spokesperson sent us this statement about the level of care pregnant detainees receive. It reads, quote, pregnant women receive regular prenatal visits, mental health services, nutritional support, and accommodations aligned with community standards of care. It goes on to say, quote, this is the best health care many of these individuals have received in their entire lives. Dr. Muglietti, does that align with what you understand is happening within detention centers? Absolutely not. It does not align at all with the reality of what we are seeing across detention centers in this country.

22:43What are you seeing? Give us more detail. You know, what we are seeing and what's being reported is people are being denied surveillance, proper surveillance within their pregnancies. They're being denied proper nutrition. They are being treated inhumanely. They are being placed in solitary confinement. They are being shackled, which even the American College of OBGYN says is medically dangerous. We are seeing people being denied miscarriage care, being left in cells for days bleeding. So it is not the reality that this is the best health care that people have experienced at all. Shefali, Zane referred to the detention centers as a black box.

23:25It's difficult to get information. What kind of oversight is there at this moment into the type of care that is being provided to people who are in detention? It's truly so limited. Everything we have been able to learn personally covering this since the start of this administration has been from speaking directly to women who were detained, to their lawyers, to combing through lawsuits, GoFundMes, whatever resources we can find. because the oversight, the transparency, just it simply isn't there. There isn't a clear way for people to understand what is happening. Access to these detention centers, as Zane mentioned, is very, very limited.

24:09We have spoken with some lawmakers who have been able to have these brief visits where they can go meet someone who was detained and learn a little bit about their experience, but that is also simply a snapshot in time. And I have spoken personally to women who cannot get their medical records, and that also is deeply concerning. They are legally entitled to their medical records of whatever care they receive in pregnancy while they are detained. What complications possibly emerge? I mean, I keep thinking of one woman. She was released after months of detention, transferred from facility to facility.

24:45After she was released, she learned she had preeclampsia and gestational diabetes, medical complications that can make pregnancy more dangerous, but should be caught and taken care of early in pregnancy. And she was never able to get those records from when she was detained to find out what care, if any, she had been given when these conditions might have even developed in her pregnancy. Dr. Molletti, help us understand a bit more about some of the medical risks women who are in detention may face in relationship to a pregnancy. You mentioned being held in shackles and that being an issue. But just more generally, being in those conditions, what issues might that cause?

25:32Yes. So certainly being detained and being in those conditions can increase perinatal mental health conditions. So what we're seeing is people are reporting PTSD, an increase in depression and anxiety when they are released. But this black box is certainly true that my patients disappear and never come back. And so it's a black box not only for what we know, but truly for human disappearance as well. With things like miscarriage, right, someone being left alone bleeding for days, people are being denied the basic human right to an intervention in a miscarriage. All people should be offered pills to manage their miscarriage or an immediate procedure, but rather are being placed alone in rooms with very little nutrition or water and then bleeding on their own.

26:28And, you know, we have seen outside of pregnancy just last week, a man was shot by ICE in Austin in the hospital for very short amount of time and discharged to ICE with a bullet. And so we see that everyone is being treated inhumanely and not to medical standards within ICE detention. We got this email from Dennis who says, why would a person at such a vulnerable moment attempt to cross a border, whether through a legal process or without authorization? What kinds of pressures or circumstances drive that decision? And Zaina, I think it would be helpful here to just maybe explain a little bit about who's being detained, where they may be in an immigration process if they're in the country going through a process?

27:13That's a great question. And I want to respond, you know, specifically to the kinds of women who are subject to enforcement and detention largely. So unlike, you know, many times in the past where the majority of immigration enforcement were people who had recently crossed the border and were being detained by Customs and Border Protection, the overwhelming amount of immigration arrests that we are seeing now are people who are inside the country, living in the interior of the country, who have lived here for years or even decades. And many of the people, you know, that we have worked with and that we are seeing pulled into immigration enforcement do also have lawful reasons to be here.

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27:50They are asylum seekers. They are following a lawful process. They are detained perhaps during an ICE check-in or at a traffic stop or while seeking medical care for themselves or their children or dropping their children to school, not having violated any of the requirements of their asylum process. They're complying with all of their requirements. They're waiting patiently for their hearing. They are contributing to society by working and by raising their families and their communities. And they are pulled into detention, not because of anything that they have done wrong. And so that is one, I think, very critical point that we need to understand about how immigration enforcement is currently happening in this country.

28:27Well, and Dr. Muglietti, for women who haven't been arrested or detained, fears over immigration enforcement are still affecting their level of reproductive care. A poll of 500 pregnant women by the Baby Center found that 20 percent were afraid of ICE encounters when seeking prenatal care. Planned Parenthood clinics in Minnesota saw an 8 percent rise in no-show appointments for abortion, contraception, and STI testing. That was during Operation Metro Surge in Minneapolis. What are you hearing from your patients in Texas right now about accessing prenatal care? people are afraid to come to their visits almost every single week i get a call from a physician or a community member wondering where is a safe place that someone can go for prenatal care and where will there not be ice waiting for them so we are seeing decreases in the number of people showing up for prenatal care increases in no shows for visits for sure and increases in complications when people do show up for care or again being shackled when they show up because of ICE.

29:28So what advice or guidance do you have for families right now who are worried about immigration enforcement but are pregnant or postpartum and need to seek medical care but are afraid to do so? Yeah, it's so hard to give advice for everyone in the country. Every single community is going to be different, but reach out to your networks or community organizations within in each city and see where are the safe places to get care. Unfortunately, what we see in a large part of immigrant health is whisper networks or referrals within community, and that will remain the strongest way to find the safe places to go.

30:13Well, that's Dr. Ghazale Moyetti. She's an OBGYN in Texas and board chair with Physicians for Reproductive Health. Dr. Moyetti, thank you for speaking with us. Thank you so much for having me. We're discussing the experiences of pregnant women and new mothers in immigration detention. We're still here with Zane Lakhani of the Women's Refugee Commission and Shefali Luthra. She's a reproductive health reporter at the 19th News. Still to come, ICE recorded 18 miscarriages in detention during the first nine months of the Trump administration, but the full picture is still murky. We dig into that in just a moment.

30:51This message comes from Jerry. Many people are overpaying on car insurance. Why? Switching providers can be a pain. Jerry helps make the process painless. Jerry is the only app that compares rates from over 50 insurers in minutes and helps you switch fast, with no spam calls or hidden fees. Drivers who save with Jerry could save over$1 ,300 a year. Before you renew your car insurance policy, download the Jerry app or head to jerry.ai.npr. Let's get back into the conversation. A September investigation by The Guardian revealed that at least 18 women miscarried while in ICE custody from January 2025 through September 2025.

31:34That same investigation showed that ICE does not have data on miscarriages after that, from October 2025 through June 2026, a fact that ICE confirmed to The Guardian. We asked DHS about The Guardian investigation and the missing data. A spokesperson told us, quote, ICE tracks miscarriage data and reports the information on a monthly basis. Additionally, ICE continues to track and report miscarriage data according to an ICE directive. That directive is from 2021. But they did not provide an updated figure on how many miscarriages have occurred in ICE custody. Jennifer Babae is the associate director of the Adult Detention Project at the National Immigrant Justice Center.

32:15She testified at the Senate Judiciary Spotlight on ICE detention in July. It was hosted by Senator Dick Durbin. He's a Democrat out of Illinois. And she spoke about her client, Annabelle, who she says was denied prenatal care in ICE custody. Annabelle is an asylum seeker who followed the rules given to her by ICE and attended a routine ICE check-in. That did not stop ICE from arresting her after the completion of the appointment, putting her in a detention center called Campbell County Detention Center in Kentucky, where she learned that she was pregnant. At Campbell, despite this, Annabelle was forced to perform physical labor, denied adequate medical care when she experienced bleeding, and resulted eventually in a devastating miscarriage.

32:56Annabelle is not alone in this experience. Shefali, we hear there Jennifer Baba-E say that Annabelle is not alone. What's one of the stories of miscarrying and iced attention that you've discovered through your reporting? We have spoken to so many women who have miscarried in detention. And often, right, those are miscarriages that are tallied, that are reported. But one thing that I think we've spoken about earlier that is really important to underscore is that when you have these delays, this sporadic prenatal care, it's very possible that things will get lost. And Annabelle's case in particular is actually one that I have spent a lot of time.

33:42We also wrote about it. We spoke with her attorneys. And what's striking there is it's not clear what happened to her, whether she had maybe miscarried much, much earlier. And that hadn't been detected because she hadn't had these regular visits. But when I've spoken to nurse midwife and I've spoken to doctors who know what kind of care people need, especially in detention facilities, The thing they have said over and over again is we simply won't know how many miscarriages might happen when we don't have people getting the regular kind of health care and checkups and responsive care when someone, for instance, starts bleeding or developing symptoms in a timely manner.

34:22It's just not possible to have an accurate count. Well, and Zane, when women are taken into custody by ICE, is there any medical process they go through as a part of that intake process that could help detect a pregnancy that's in its early stages? That's such a great question, and there's a couple of different ways to answer it. So the first is yes. ICE is required to, if somebody is discovered to be pregnant or is known to be pregnant when they go into ICE custody, there are a series of medical tests that need to be performed and they need to be sent to an external medical care provider within 72 hours.

34:59What we often find is that first set of internal tests that can happen inside the detention center does occur, but that that second step where they're taken to a medical provider for external care often does not happen for a wide variety of reasons. So that's one critical step that is missing and was a step that was missing in Annabelle's case as well. A second part that I think is really critical to understand and a part of the policy that is often overlooked when we talk about how it's not supposed to allow for these pregnant postpartum and nursing women to be detained are the monitoring requirements of the policy.

35:32That is a huge part of what the policy does. It requires ICE and ICE's own health services division to have weekly reporting from detention centers about the women in custody and the pregnant women in custody and their health care, their conditions. You know, there needs to be this regular oversight over them. And we are seeing consistently that that is not happening. And so these kind of missed cases of miscarriage or these missed cases of, you know, women who experience catastrophic health crises, you know, that is in itself a violation of what the policy is set up to do. How long has that policy been in place?

36:09Since 2021. So this is a part of the 2021 Pregnancy Directive. And why was it put in place in 2021? To ensure, because, you know, we know. So the idea that we've had a presumption against detention of pregnant postpartum and nursing women goes back to the Obama administration. We've had that presumption against detention for much longer. It was pulled down during the first Trump administration, and we saw an uptick of pregnant women in both ICE and largely Customs and Border Protection custody. And then when the Biden administration came in, they reinstated a stronger version of that policy. Shefali, there's a policy and then there's the actual enforcement and oversight of that policy.

36:49What oversight exists right now to ensure the policy is being followed? That is really what should be coming from organizations such as Congress. That's why having things like these regular reports is so valuable because it helps us get some transparency and some understanding in terms of who is being detained and what health care they could be receiving. And the problem is we just simply aren't getting that in a systematic way. And I think that's why it's so important that we do talk about the fact that Congress abandoned this reporting requirement, let it lapse. And as a result, we aren't really having meaningful conversations about who are being detained and whether that is in fact in violation of the policy that we've been talking about.

37:35One thing that I do think is really important for us to mention, we've been talking to a lot of people about this, trying to get a better sense, not only to how pervasive this is, but how Americans feel about it. And we actually are putting out some polling tomorrow, but I want to just give a little preview of it. And what we found is that Americans don't support this policy. like a very big majority of Americans across demographic groups say that you really shouldn't be holding these immigrants in detention. Either it should be not at all or only in truly exceptional circumstances, which was the Biden administration policy.

38:13And I think that's really important for us to understand is that this is something that has simply been happening, but people don't like it and they don't want it. Zane, when we talk about the lack of congressional oversight of what's happening around the specific 2021 directive, why do you think Congress has stepped back? So there's two other things that I sort of want to add in about this oversight piece. The first is one of the really, I think, most dangerous things that this administration has done is to pull back the Department of Homeland Security's own internal watchdog or oversight agencies.

38:57So the Office of the Immigration Detention Ombudsman, which was first, you know, effectively gutted last spring and has now been completely eliminated, and the Office of Civil Rights and Civil Liberties. And these were organizations, internal agencies that were in detention centers sometimes as much as once a week to monitor what was happening inside them and ensure that immigration enforcement was complying with their civil and human rights laws. And those organizations functionally no longer exist. And that is a very, very dangerous thing because we do not have the kind of internal visibility to these detention centers and the government does not have that kind of internal visibility anymore.

39:37So that's one thing I want to add into this question as well, is who is inside watching and we no longer have those bodies. I think it might be important to just Just remind us, Shefali, what is the legal standard around the type of medical care? People who are being held in detention are owed. People may say, well, if they're being detained for immigration violations, why are they also receiving medical care? But what does the law say? Immigration violations are civil violations. They are not criminal violations. And I think that's important to put out there. Like, these are not crime necessarily in the lexical sense of the word.

40:21However, there is still a legal obligation that people in detention facilities, people who are incarcerated broadly, are supposed to get appropriate health care. That is simply something that we as a society have agreed is important. We require it. And that's why we have Homeland Security saying that people are receiving the health care they are supposed to. The problem is simply that they aren't. They should be. They are not. And the stakes are really important because the number of people who have died in ICE custody has dramatically increased under this administration compared to previous ones.

41:00And a lot of those, from the publicly reported information we have, were the result of inadequate or unavailable medical care of complications from health. None of those are people who were pregnant or who were postpartum. But I think it really underscores the stakes of this. People are supposed to receive medical care for complex conditions. Pregnancy and postpartum periods are complex conditions. They can be life-threatening. and if people don't get it, they are in danger. Zane, your thoughts? I just want to pick up on a little bit of what Shefali said around access to healthcare and the dangers and the rising deaths in ICE custody.

41:40You know, many, as Shefali noted, many of the deaths that we're seeing in ICE custody are from highly preventable things. A man dies of complications from an infected tooth, right? Something that we know how to treat from sepsis caused from that. And I want to go back to a little bit of what I was saying about the monitoring requirements and the need to watch pregnant women very carefully because we know pregnancy is a time of great danger. And I want to talk about just one story that we encountered when we were in Honduras with Physicians for Human Rights last November. And we learned of a woman who had experienced what is called an incomplete miscarriage or a missed miscarriage.

42:16She was given this diagnosis, right? So ICE knew that she had this diagnosis of an incomplete miscarriage, which requires careful oversight. Otherwise, it can turn very dangerous or life-threatening. And that's when you miscarry, but your body retains some of the tissue from the pregnancy. Exactly, exactly. And that can turn septic and it can become, you know, very dangerous if it doesn't resolve on its own. It requires medical intervention, you know, to ensure that that tissue is removed before it turns necrotic. And this woman was taken back to immigration detention and she received no oversight and no medical care for almost two weeks.

42:54And she was deported to Honduras in acute septic shock and near death. And her life was only saved because the reception center workers recognized that she was in an acute medical crisis and sent her straight to the hospital. And I think this is one incident. I think of it as a canary in a coal mine incident because we see so many of these different pressures slamming into each other. The fact that there was not sufficient medical care in the detention center to begin with, but the fact that there was also no oversight for a pregnancy complication that could turn life-threatening very quickly.

43:25And there was no careful oversight to say, this woman is in acute sector shock. We should not be putting her on a deportation flight. We should be taking her to the hospital, right? And so we see how the fact that these women's bodies and what's happening to them are simply not seen. They are not seen as medically vulnerable beings when they are placed inside these detention center conditions. And so even though, as Shefali said, you know, we have not seen a pregnant or a postpartum woman experience death. One of the reported deaths in custody has not been from a pregnancy complication. I think this case serves as a really poignant and disturbing example of what can happen when you put these medically fragile women into these centers and do not watch them.

44:07We got this question from Don who says, why does ICE continuously move detainees between states? Is this to hamper legal assistance? Is it legal for jails to hold people for ICE if there are no other charges or warrants? Shefali, what can you tell us and how does that fit into the story we're talking about now? It's a great question. And I don't have a great answer other than that we know that this does keep happening. People are transferred between facilities, often without a lot of understanding as to why this happens to them. The woman I spoke to or I spoke about earlier who was transferred between several facilities over her months-long detention, she really struggled to figure out what court she could even file suit in to get released.

44:53She needed to find a lawyer who could practice in all of these states. and often you'll find attorneys finding co-counsel in other states as well so that they can, in fact, argue in whichever place their client is ultimately detained. It also is something that can be very taxing on a family because often these women, when they are detained, they have other children. They have partners. They have lives and communities. And when you separate someone, you maybe have a family in Florida, someone detained in Florida, then they're detained in Louisiana, wherever there is space, wherever people decide this is the appropriate place to put someone, it makes it so much harder to have connections to your community, to have the resources you might need to actually be released.

45:37And so what we know in practice is that it makes it a lot harder for people to exercise their legal rights when they are constantly moved from facility to facility. Zane, really briefly, where does your work go from here? So we are going to continue again to try to understand what is happening to pregnant women in ICE custody and to fight for better treatment and care. We're working, as I said, very closely with members of Congress and on multiple other fronts to try to increase the amount of information that we have. And again, continuing to speak with women in detention centers and after they have been removed.

46:08I also really want to say that we're trying to sort of understand how women in the community before they are detained are experiencing medical care, what kind of options they feel they have or not, and really tracking changes to their ability to get care for themselves and their families. That's Zane Lakhani. She's Director of Migrant Rights and Justice at the Women's Refugee Commission. Also with us today, Shefali Luthra, Reproductive Health Reporter at the 19th News. Shefali, Zane, thanks to you both. Thank you very much. Remember, the 1A podcast is a great way to catch up on anything you might have missed.

46:41You'll find our best guests and stories there each day. Today's producer was Arfi Getty. This program comes to you from WAMU, part of American University in Washington, distributed by NPR. I'm Jen White. Thanks for listening. We'll talk again tomorrow. This is 1A.

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From the publisher
Immigration and Customs Enforcement arrests reached record highs this summer. And the full scope is just coming into focus. Some 43,000 people were arrested in June, more than 49,000 in July, and almost 51,000 in August —an agency record.

The Republican-controlled House of Representatives last June passed a $70 billion package tofund ICE and the Border Patrol through the end of President Donald Trump’s second term. As ICE became the best funded law enforcement agency in the country, its tactics changed. Instead of high-profile operations centralized in one location – like the operations in Minnesota, Chicago, and Los Angeles last year – they’re focusing on quieter, everyday arrests throughout the country.

And more details are being released about a record number of Immigration and Customs Enforcement arrests of pregnant women last fall.A September report by The Guardian revealed that ICE placed more pregnant immigrants in detention last fall and winter than at any time over the previous year.

ICE data from February reveals that 86 pregnant women were in ICE custody — more than 10 percent were detained in their third trimester. Nearly 400 women who were pregnant, postpartum, or nursing were deported from January 2025 to February 2026, according to the Department of Homeland Security.

We sit down and get into how pregnant women are being affected by the Trump administration’s mass deportation campaign.

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