Negotiating who gives birth and the influence of fear of childbirth: Lesbians,bisexual women and transgender people in parenting relationships |
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Affiliation: | 1. Department of Behavioural Sciences and Learning, Linköping University, SE-581 83 Linköping, Sweden;2. Department of Clinical and Experimental Medicine, Linköping University, Sweden;1. School of Nursing and Midwifery, La Trobe University, Melbourne, Australia;2. Department of Rural Health, The University of South Australia, Adelaide, Australia;1. Orygen, The National Centre of Excellence in Youth Mental Health, 35 Poplar Road Parkville, Victoria 3052, Australia;2. Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, Victoria 3052, Australia;1. School of Nursing, York University, Canada;2. School of Nursing and Midwifery, Monash University, Australia;3. Department of Obstetrics, Affiliated Hospital of Xuzhou Medical University, PR China;4. Department of Obstetrics, Sir Run Run Hospital of Nanjing Medical University, PR China;5. Department of Nursing, Sir Run Run Hospital of Nanjing Medical University, PR China |
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Abstract: | BackgroundFear of childbirth (FOC) may affect family planning in lesbian, bisexual and transgender (LBT) couples with two potential carriers of a pregnancy. FOC has previously been researched in heterosexual women, while experiences of LBT people have remained unattended. The choice of birth-giving partner in same-sex couples has gained some attention in previous research, but the potential complexities of the decision have not been studied.AimThe aim is to explore how LBT people negotiate the question of who gives birth, in couples with two potential birth parents, and where one or both partners have a pronounced FOC.MethodsSeventeen self-identified LBT people were interviewed about their expectancies and experiences of pregnancy and childbirth. Data were analysed following a six-step thematic analysis.ResultsFOC was negotiated as one of many aspects that contributed to the decision of who would be the birth-giving partner. Several participants decided to become pregnant despite their fears, due to a desire to be the genetic parent. Others negotiated with their partner about who was least vulnerable, which led some of them to become pregnant despite FOC. Still other participants decided to refrain from pregnancy, due to FOC, and were delighted that their partner would give birth. Several participants described their partner's birth-giving as a traumatic experience for them, sometimes also when the birth did not require any obstetric interventions. The partner's experience was in some cases not addressed in postnatal care.ConclusionsIt is important that healthcare staff address both partners’ prenatal expectancies and postnatal experiences. |
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Keywords: | Same-sex parents Transgender parent Fear of childbirth Decision-making process Secondary traumatisation Traumatic birth |
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