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> short of a small locked ward that's attached to a real hospital where they can spend every day after 38 weeks. But that gets expensive fast.

Yeah, I'd guess if they're too far from a hospital to be safe it'd be best to keep them at a hospital until the baby is born. They might not need an entire ward for that though. Just handcuffing them to a bed and posting a guard outside their room should be fine for most inmates. Even that won't be cheap, but it shouldn't be too often someone pregnant ends up behind bars.