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Minority stress adds an additional layer to fear of childbirth in lesbian and bisexual women, and transgender people
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences.
Linköping University, Department of Behavioural Sciences and Learning. Linköping University, Faculty of Arts and Sciences.
Linköping University, Department of Behavioural Sciences and Learning. Linköping University, Faculty of Arts and Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Division of Children's and Women's health. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Norrköping.
2019 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 79, article id UNSP 102551Article in journal (Refereed) Published
Abstract [en]

Objective: To explore and describe thoughts about and experiences of pregnancy, childbirth and reproductive healthcare in lesbian and bisexual women and transgender people (LBT) with an expressed fear of childbirth (FOC). Design: Data were collected through semi-structured interviews with self-identified LBTs with an expressed FOC. Participants: 17 self-identified LBTs participated. 15 had an expressed FOC, and two were non-afraid partners. Findings: Participants fears were similar to those previously described in research on FOC, e.g., fear of pain, injury, blood, death of the child or of the parent. However, minority stress, including fear and experiences of prejudicial treatment, in maternity care and at delivery wards add an additional layer to the fear of childbirth. Key conclusions: LBTs with FOC are a particularly vulnerable group of patients, whose needs must be addressed in healthcare. Implication for practice: The findings call attention to the need for LBT-competent treatment prior to, and throughout pregnancy and childbirth. In the most vulnerable patients, caregivers must work extensively to build trust, in order to explore and reduce FOC. (C) 2019 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
ELSEVIER SCI LTD , 2019. Vol. 79, article id UNSP 102551
Keywords [en]
Fear of childbirth; Lesbian women; Bisexual women; Transgender people; Minority stress
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-162310DOI: 10.1016/j.midw.2019.102551ISI: 000494751800024PubMedID: 31610365OAI: oai:DiVA.org:liu-162310DiVA, id: diva2:1374079
Note

Funding Agencies|Royal Swedish Academy of Sciences [AM2017-0005]

Available from: 2019-11-28 Created: 2019-11-28 Last updated: 2020-03-11

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The full text will be freely available from 2020-10-01 12:46
Available from 2020-10-01 12:46

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Malmquist, AnnaJonsson, LouiseWikstrom, JohannaNieminen, Katri
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PsychologyFaculty of Arts and SciencesDepartment of Behavioural Sciences and LearningDivision of Children's and Women's healthFaculty of Medicine and Health SciencesDepartment of Gynaecology and Obstetrics in Norrköping
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