The experiences of Australian lesbian couples becoming parents: deciding, searching and birthing

The experiences of Australian lesbian couples becoming parents: deciding, searching and birthing
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DOI:
10.1111/j.1365-2702.2011.04007.x
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发表时间:
2012-07-01
影响因子:
4.2
通讯作者:
Shields, Linda
Shields, Linda
中科院分区:
医学2区
文献类型:
--
作者:
Chapman, Rose;Wardrop, Joan;Shields, Linda

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目的和目标。探讨澳大利亚女同性恋母亲成为父母的经历。背景女同性恋者正在成为父母,自从澳大利亚的立法改革以来,她们的人数正在增加。在立法改革之前,澳大利亚妇女的生育和保健服务完全是为了满足异性恋群体的需要。虽然女同性恋者寻求医疗服务的经验已在其他情况下进行了研究,很少有人做,以了解他们的决定,怀孕和分娩的经验。设计定性描述性研究。法对澳大利亚女同性恋母亲进行了七次采访。结果确定了以下主题:作出决定;探索;坚持不懈;以及孤立问题。结论.尽管澳大利亚大部分地区的立法现在都为女同性恋者提供了获得生殖技术的机会,但她们与卫生专业人员的接触可能导致仇视同性恋的互动。解决女同性恋家庭需求的一种方法是提供一个鼓励披露性别身份的环境。进一步的大规模研究应确定为解决异性恋妇女和女同性恋妇女之间的不平等所需的服务提供方面的变化,并确保提供的保健服务不受歧视。与临床实践相关。大多数卫生服务机构都制定了政策和程序,防止基于包括性取向在内的一切理由的歧视。管理人员和临床医生必须采取措施确保这些指南得到应用。
Aim and objectives. To explore Australian lesbian mothers experiences of becoming parents. Background. Lesbians are becoming parents and, since legislative changes in Australia, their numbers are increasing. Prior to legislative changes, fertility and health services for women in Australia exclusively served the needs of the heterosexual community. Although lesbian experience of seeking health services has been studied in other contexts, little has been done to understand their experience of deciding, conceiving and birthing. Design. Qualitative descriptive study. Method. Seven interviews conducted with lesbian mothers in Australia. Results. The following themes were identified: making the decision; the search; perseverance; and problems of isolation. Conclusions. Although legislation now affords lesbians access to reproductive technologies throughout most of Australia, their involvement with health professionals can result in homophobic interactions. One way to address the needs of lesbian families is to provide an environment where the disclosure of sexual identity is encouraged. Further larger scale research should identify changes to service provision required to address the inequalities between heterosexual and lesbian women and ensure health services are provided that are free from discrimination. Relevance to clinical practice. Most health services have policies and procedures in place to prevent discrimination on all grounds, including sexual orientation. It is imperative that administrators and clinicians take steps to ensure that these guidelines are applied.