Men, trans/masculine, and non-binary people's experiences of pregnancy loss: an international qualitative study
Men, trans/masculine, and non-binary people's experiences of pregnancy loss: an international qualitative study
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DOI：
10.1186/s12884-020-03166-6
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发表时间：
2020-08-24
影响因子：
3.1
通讯作者：
Ruspini, Elisabetta
中科院分区：
文献类型：
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作者：
Riggs, Damien W.;Pearce, Ruth;Ruspini, Elisabetta
越来越多的男性、跨性别/男性化和非二元人群成为妊娠父母，但对这一多样化人群中的妊娠丢失经历知之甚少。方法采用横断面设计。访谈进行了方便的样本51跨/男性和非二元的人谁进行了至少一次怀孕，生活在澳大利亚，美国，加拿大，或欧盟（包括英国）。参与者通过Facebook和Twitter上的帖子，通过研究人员网络和社区成员招募。16例（31.2%）参与者经历过妊娠丢失，是本文的重点。主题分析被用来分析这16名参与者对一个具体问题的回答，询问怀孕和一个后续的调查问题，怀孕损失。结果对16名参与者的访谈回答进行主题分析，得出10个主题：（1）妊娠损失算作儿童，（2）尽量减少妊娠损失，（3）解释妊娠损失的原因，（4）妊娠损失是毁灭性的，（5）妊娠损失具有积极意义，（6）因妊娠损失而产生的恐惧，（7）医院实施包容的经验，（8）缺乏正式的支持，（9）缺乏家庭的理解，（10）朋友的重要性。结论本文最后概述了临床实践的具体建议。其中包括重视与流产有关的情绪的重要性，需要为怀孕的男性、变性人/阳性人和非二元人（包括其伴侣）提供有针对性的支助服务，以及需要对医院工作人员进行持续培训，以确保提供变性人确认医疗服务。
Background Growing numbers of men, trans/masculine, and non-binary people are becoming gestational parents, yet very little is known about experiences of pregnancy loss among this diverse population. Methods The study employed a cross sectional design. Interviews were undertaken with a convenience sample of 51 trans/masculine and non-binary people who had undertaken at least one pregnancy, living in either Australia, the United States, Canada, or the European Union (including the United Kingdom). Participants were recruited by posts on Facebook and Twitter, via researcher networks, and by community members. 16 (31.2%) of the participants had experienced a pregnancy loss and are the focus of this paper. Thematic analysis was used to analyse interview responses given by these 16 participants to a specific question asking about becoming pregnant and a follow up probe question about pregnancy loss. Results Thematic analysis of interview responses given by the 16 participants led to the development of 10 themes: (1) pregnancy losses count as children, (2) minimizing pregnancy loss, (3) accounting for causes of pregnancy loss, (4) pregnancy loss as devastating, (5) pregnancy loss as having positive meaning, (6) fears arising from a pregnancy loss, (7) experiences of hospitals enacting inclusion, (8) lack of formal support offered, (9) lack of understanding from family, and (10) importance of friends. Conclusions The paper concludes by outlining specific recommendations for clinical practice. These include the importance of focusing on the emotions attached to pregnancy loss, the need for targeted support services for men, trans/masculine, and non-binary people who undertake a pregnancy (including for their partners), and the need for ongoing training for hospital staff so as to ensure the provision of trans-affirming medical care.