Pregnancy outcomes for transgender and non-binary parents
Much less is known about pregnancy outcomes for transgender and
non-binary parents, and many other sex and gender minority populations
are left out of the literature entirely.5 Studies show
that transgender men face many obstacles to pregnancy. Barriers include
hormone therapy, fertility preservation, birth trauma, gender dysphoria,
difficulties in post-partum care, as well as underutilization of
contraception, lack of abortion access, and care from healthcare
professionals who are equipped to manage their complex hormonal and
psychosocial needs prior to, and after birth.10, 11There is less known about non-binary individuals. ACOG has recently
recognized how marginalization of transgender and gender diverse
communities leads to poor health outcomes, and acknowledged the need to
improve training amongst healthcare providers regarding specific
reproductive needs of these diverse populations in order to reduce
inequities that have traditionally limited access to inclusive
healthcare.4