That title is not a metaphor for anything. Despite regulations requiring prison guards to undo any restraints on pregnant prison inmates during labor, many women were shackled and strapped down up to and, sometimes, during the delivery of a baby. Guards apparently ignored not only the law, but also medical personnel pleading for them to unlock the handcuffs to prevent pain, discomfort, or other complications. The law banning such restraint has been in the books since 1999, but apparently has not been followed by the employees of Cook County Jail. Some 80 women stepped forward in this class action lawsuit, all to make claims of poor treatment during labor.