Subjective Experiences of Pregnancy, Delivery, and Nursing in Transgender Men and Non-Binary Individuals: A Qualitative Analysis of Gender and Mental Health Concerns
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Published:2024-01-16
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Volume:
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ISSN:0004-0002
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Container-title:Archives of Sexual Behavior
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language:en
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Short-container-title:Arch Sex Behav
Author:
Falck Felicitas A. O. K.ORCID, Dhejne Cecilia M. U., Frisén Louise M. M., Armuand Gabriela M.
Abstract
AbstractStudies of how gender-diverse individuals experience pregnancy, childbirth, and nursing remain few, mainly focus on the US and contain scarce information about mental health concerns peri-partum. This hinders informed reproductive health decisions and counseling. We used in-depth interviews to examine how gestational gender-diverse individuals in Sweden experience the process of planning and undergoing pregnancy, delivery, and nursing. In total, 12 participants, identifying on the masculine side of the gender spectrum or as non-binary, who had attended Swedish antenatal care and delivered a live birth, were included in the study. Data were analyzed using qualitative thematic content analysis. The analysis resulted in one overarching theme: sustaining gender congruence during pregnancy and three main categories: (1) considering pregnancy; (2) undergoing pregnancy and childbirth; and (3) postnatal reflections. The association between childbearing and being regarded as female permeated narratives. Participants renegotiated the feminine connotations of pregnancy, accessed gender-affirming treatment, and concealed their pregnancy to safeguard their gender congruence. Mis-gendering and breast enlargement triggered gender dysphoria. Social judgment, loneliness, information shortages, hormonal influence and cessation of testosterone increased gender dysphoria and strained their mental health. Depression exacerbated gender dysphoria and made it harder to claim one’s gender identity. Dissociation was used to handle a feminized body, vaginal delivery, and nursing. Pregnancy was easier to envision and handle after masculinizing gender-affirming treatments. The results deepen the understanding of gender dysphoria and may be used to inform reproductive counseling and healthcare development. Research outcomes on mental health concerns provide a basis for further research.
Funder
Vetenskapsrådet Karolinska Institute
Publisher
Springer Science and Business Media LLC
Subject
General Psychology,Arts and Humanities (miscellaneous)
Reference132 articles.
1. Adeleye, A. J., Cedars, M. I., Smith, J., & Mok-Lin, E. (2019). Ovarian stimulation for fertility preservation or family building in a cohort of transgender men. Journal of Assisted Reproduction and Genetics, 36(10), 2155–2161. https://doi.org/10.1007/s10815-019-01558-y 2. Åhs, J. W., Dhejne, C., Magnusson, C., Dal, H., Lundin, A., Arver, S., Dalman, C., & Kosidou, K. (2018). Proportion of adults in the general population of Stockholm County who want gender-affirming medical treatment. PLoS ONE, 13(10), e0204606. https://doi.org/10.1371/journal.pone.0204606 3. Aksoy, A. N., Aydin, F., Kucur, S. K., & Gözükara, I. (2016). Maternal and fetal Doppler velocimetry in women diagnosed with fear of childbirth. Nigerian Journal of Clinical Practice, 19(5), 632–635. https://doi.org/10.4103/1119-3077.183238 4. Alder, J., Breitinger, G., Granado, C., Fornaro, I., Bitzer, J., Hösli, I., & Urech, C. (2011). Antenatal psychobiological predictors of psychological response to childbirth. Journal of the American Psychiatric Nurses Association, 17(6), 417–425. https://doi.org/10.1177/1078390311426454 5. Armand, C., Fitzgerald, K. M., Pardo, S. T., & Babcock, J. (2011). The effects of hormonal gender affirmation treatment on mental health in female-to-male transsexuals. Journal of Gay & Lesbian Mental Health, 15(3), 281–299. https://doi.org/10.1080/19359705.2011.581195
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