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Providing Patient-Centered Perinatal Care for Transgender Men and Gender-Diverse Individuals: A Collaborative Multidisciplinary Team Approach.

Authors
  • Hahn, Monica1
  • Sheran, Neal
  • Weber, Shannon
  • Cohan, Deborah
  • Obedin-Maliver, Juno
  • 1 Departments of Family and Community Medicine and Obstetrics and Gynecology, University of California, San Francisco, and the Mission Neighborhood Health Center, San Francisco, California.
Type
Published Article
Journal
Obstetrics and gynecology
Publication Date
Nov 01, 2019
Volume
134
Issue
5
Pages
959–963
Identifiers
DOI: 10.1097/AOG.0000000000003506
PMID: 31599839
Source
Medline
Language
English
License
Unknown

Abstract

Little is documented about the experiences of pregnancy for transgender and gender-diverse individuals. There is scant clinical guidance for providing prepregnancy, prenatal, intrapartum, and postpartum care to transgender and gender-diverse people who desire pregnancy. Our team provided perinatal care to a 20-year-old transgender man, which prompted collaborative advocacy for health care systems change to create gender-affirming patient experiences in the perinatal health care setting. Systems-level and interpersonal-level interventions were adopted to create gender-affirming and inclusive care in and around pregnancy. Basic practices to mitigate stigma and promote gender-affirming care include staff trainings and query and use of appropriate name and pronouns in patient interactions and medical documentation. Various factors are important to consider regarding testosterone therapy for transgender individuals desiring pregnancy.

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