Healthcare Providers’ Pregnancy Prevention Counseling of Trans and Non-Binary Assigned Female at Birth (TNB/AFAB) Patients

Forsberg, Hannah; Eliason, Michèle J.

doi:10.1080/00918369.2020.1819713

Cited by 9 publications

(6 citation statements)

References 39 publications

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“…Of course, it should be remembered that not just heterosexual people, or people whose psychological gender is the same as their biological sex, can plan to be and be pregnant. People who do not identify as women, or who are trans, nonbinary or otherwise gender diverse can also be pregnant [ 24 , 25 , 26 ].…”

Section: Introductionmentioning

confidence: 99%

Changes in the Sexual Behavior of Partners in Each Trimester of Pregnancy in Otwock in Polish Couples

Kulhawik¹,

Krupa

Grabarek³

et al. 2022

IJERPH

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The aim of this study was to improve knowledge regarding pregnant couples by assessing changes in their sexual behavior, the reasons for the frequency and forms of intercourse, and the self-sexuality of partners in each trimester of pregnancy. As a result, 100 couples were qualified to take part in the final study, with 100 men and 100 women examined at intervals equivalent to the trimesters of pregnancy. These women (n = 100) and men (n = 100) were partners. Each of the studied couples was assessed in the trimesters of pregnancy. A prospective examination was conducted based on the observation of the same people, which were heterosexual couples, throughout pregnancy. The data used in the study was obtained using Davies’ Sexual Satisfaction Scale (DSSS), as well as an original survey on the sexuality of people during pregnancy (SARSS). The survey allowed us to obtain sociodemographic (metrics) information along with information regarding the sexual activity, satisfaction, and sexual attraction of the partners. All questionnaire questions were answered in paper form. There was a statistically significant drop in sexual intercourse from the first trimester in the second and third trimesters. The frequency of masturbation increased in men and decreased in women. The most common cause of sexual abstinence during the pregnancy was cited as fear for the fetus by all genders. A statistical analysis indicated that the average overall scores of the DSSS for the examined women in the first trimester of pregnancy were statistically significantly higher than in the two subsequent trimesters (p < 0.05). Sexual satisfaction, measured through both DSSS and SARSS, was also strongly correlated with the level of satisfaction in the assessment of the partner relationship and with the sense of one’s own attractiveness (p < 0.05). Changes in sexual behavior and sexual problems are often exposed or worsened during a first pregnancy and can have negative impacts on a person and the future of relationships. Medical staff should be trained in the assessment of sexual difficulties in people during pregnancy, in order to conduct reliable education and increase the awareness of couples regarding sexual and reproductive health.

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Section: Introductionmentioning

confidence: 99%

Changes in the Sexual Behavior of Partners in Each Trimester of Pregnancy in Otwock in Polish Couples

Kulhawik¹,

Krupa

Grabarek³

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…These study results cannot be generalized to all people seeking contraception in the United States. In particular, while these results reflect the experiences of self-identified women, they cannot speak to the experiences or specific needs of trans and nonbinary people although other scholars have recently begun to do so (Gomez et al, 2020; Forsberg & Eliason, 2020). The patient experiences we do highlight provide important and nuanced insights into the contexts in which decisions are made and the effects of health care structures.…”

Section: Discussionmentioning

confidence: 67%

“…All participants self-identified as women and their ages ranged from 16 to 44 years, with an average age of 30 years. Although not specifically captured in the study sample, the findings have relevance for some transgender and nonbinary people as well (Gomez et al, 2020; Forsberg & Eliason, 2020).…”

Section: Methodsmentioning

confidence: 96%

“Did I Choose a Birth Control Method Yet?”: Health Care and Women’s Contraceptive Decision-Making

Manzer

Bell

2021

Qual Health Res

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In the United States, unintended pregnancy is medicalized, having been labeled a health problem and “treated” with contraception. Scholars find women’s access to contraception is simultaneously facilitated and constrained by health care system actors and its structure. Yet, beyond naming these barriers, less research centers women’s experiences making contraceptive decisions as they encounter such barriers. Through in-depth, semi-structured interviews with 86 diverse, self-identified women, this study explores how the medicalization of unintended pregnancy has influenced women’s contraceptive access and decision-making. We highlight the breadth of such influence across multiple contraceptive types and health care contexts; namely, we find the two most salient forces shaping women’s contraceptive decisions to be their insurance coverage and providers’ contraceptive counseling. Within these two categories, we offer crucial nuance to demonstrate how these oft-cited barriers implicitly and explicitly influence women’s decisions. Paradoxically, it is the health care system, itself, that both offers yet constrains women’s contraceptive decisions.

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“…Recent papers have outlined guidance on the provision of reproductive health care and pregnancy-prevention counselling for TNB patients. 4,9,[14][15][16][17] We hope these findings help dispel the notion that TNB people are not at risk of unintended pregnancy. TNB students are as likely as their cisgender peers to experience an unin tended pregnancy.…”

mentioning

confidence: 73%

Pregnancy prevention and unintended pregnancy across gender identity: a cross-sectional study of college students

Reynolds

Charlton²

2021

Sex. Health

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Using data from the Fall 2015 through Spring 2018 National College Health Assessment, we examined receipt of pregnancy prevention information and unintended pregnancy by gender identity among participants aged 18–25years who were assigned female at birth (n=185658). Non-binary students were more likely than cisgender students to report wanting (adjusted risk ratio [ARR]: 1.12; 95% CI: 1.08–1.16), receiving (ARR: 1.09; 95% CI: 1.04–1.13), and having an unmet need for (ARR: 1.10; 95% CI: 1.02–1.19) pregnancy prevention information from their school. Transmasculine students did not significantly differ from cisgender students for these outcomes. Non-binary and transmasculine students were as likely as cisgender students to have a past-year unintended pregnancy. Non-binary and transmasculine young people are at risk for unintended pregnancy and need access to comprehensive sexual education, reproductive health counseling, and care.

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Healthcare Providers’ Pregnancy Prevention Counseling of Trans and Non-Binary Assigned Female at Birth (TNB/AFAB) Patients

Cited by 9 publications

References 39 publications

Changes in the Sexual Behavior of Partners in Each Trimester of Pregnancy in Otwock in Polish Couples

Changes in the Sexual Behavior of Partners in Each Trimester of Pregnancy in Otwock in Polish Couples

“Did I Choose a Birth Control Method Yet?”: Health Care and Women’s Contraceptive Decision-Making

Pregnancy prevention and unintended pregnancy across gender identity: a cross-sectional study of college students

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