Legacies and Futures: Gestational Parents' Experiences with Vulnerability and Resilience as it Influences Parent and Neonatal Health

生殖保健中的结构性顺性别主义和异性恋主义假定怀孕父母是妇女和/或异性恋者，这使得耻辱和歧视的压力源在胎儿发育的关键窗口期“潜伏在皮肤下”。这些压力因素影响了英国超过525，000名女同性恋、男同性恋、双性恋、酷儿和/或跨性别（LGBTQ+）的潜在妊娠父母，这导致了可预防的产前并发症的高风险，如巨大儿、早产和低出生体重。脆弱性作为衡量少数群体压力和系统性排斥的一个尺度，将与多层次的复原力因素（即，社会联系、自我效能等）。来自内伦敦三个产科病房和布莱顿一个病房的孕妇父母样本（N=1,100），以大学学院医院为中心，将通过与患者电子健康记录相关联的在线调查参与，以形成定量数据集。招募将集中在LGBTQ+孕父母与cisheterosexual受访者的情况下匹配的样本。该数据集将研究弹性和脆弱性是否影响出生结果和新生儿健康，并可能在此过程中相互作用。定性子样本（N=30）完善了调查数据，评估产前和产后护理的需求和经验。研究结果可以改善父母和婴儿的健康，提高预期寿命和质量，同时降低个人和社会成本。

Structural cisgenderism and heterosexism in reproductive healthcare, which assume gestational parents'to be women and/or heterosexual, enable the stressors of stigma and discrimination to "burrow underthe skin" during critical windows of foetal development. These stressors affect more than 525,000lesbian, gay, bisexual, queer, and/or transgender (LGBTQ+) potential gestational parents in the UK, thisresults in preventable higher risk for prenatal complications, such as macrosomia, pre-term birth, andlow-birth weight. Vulnerability as a measure of minority stress and systemic exclusion will be assessed forimpact alongside multi-level resilience factors (i.e., social connectedness, self-efficacy, etc.). A sample ofgestational parents (N=1,100) from three Inner London maternity wards and one ward in Brighton, withUniversity College Hospital as the central site, will participate through an online survey linked to patientelectronic health records to form the quantitative dataset. Recruitment will focus on LGBTQ+ gestationalparents with a case-matched sample of cisheterosexual respondents. This dataset will examine ifresilience and vulnerability influence birth outcomes and neonatal health, potentially interacting in theprocess. A qualitative subsample (N=30) rounds out survey data assessing needs and experiencenavigating antenatal and postpartum care. Study findings could improve parent and infant health,improving life expectancy and quality while lowering personal and social costs.