The Case for Investigating Postpartum Depression in Lesbians and Bisexual Women

Maccio, Elaine M.; Pangburn, Jaimee A.

doi:10.1016/j.whi.2011.02.007

Cited by 10 publications

(13 citation statements)

References 34 publications

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“…Overall, these studies suggest that sexual minority women may experience greater stress and more barriers to care during pregnancy, which may translate to adverse health outcomes for the mother and the child. Indeed, early studies using convenience samples found that sexual minority women may be more likely to have perinatal depression compared with heterosexual women (Maccio & Pangburn, 2011;Ross, Steele, Goldfinger, & Strike, 2007;Ross, Siegel, Dobinson, Epstein, & Steele, 2012;Trettin, Moses-Kolko, & Wisner, 2006). One recent study using nationally representative data from the National Survey of Family Growth found that sexual minority women were more likely to have miscarriages, pregnancies ending in stillbirth, and low birthweight infantsdpossibly as a result of psychosocial stressors before and during pregnancy (Everett, Kominiarek, Mollborn, Adkins, & Hughes, 2018).…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Health and Access to Care among Reproductive-Age Women by Sexual Orientation and Pregnancy Status

Gonzales

Quinones

Attanasio

2019

Women's Health Issues

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Background: A large body of research has documented disparities in health and access to care among sexual minority populations, but very little population-based research has focused on the health care needs among pregnant sexual minority women. Methods: Data for this study came from 3,901 reproductive-age (18-44 years) women who identified as lesbian or bisexual and 63,827 reproductive-age women who identified as heterosexual in the 2014-2016 Behavioral Risk Factor Surveillance System. Logistic regression models were used to compare health care access, health outcomes, and health behaviors by sexual orientation and pregnancy status while controlling for demographic characteristics and socioeconomic status. Results: Approximately 3% of reproductive-age sexual minority women were pregnant. Pregnant sexual minority women were more likely to have unmet medical care needs owing to cost, frequent mental distress, depression, poor/ fair health, activity limitations, chronic conditions, and risky health behaviors compared with pregnant heterosexual women. Nonpregnant sexual minority women were more likely to report barriers to care, activity limitations, chronic conditions, smoking, and binge drinking compared with nonpregnant heterosexual women. Health outcomes were similar between pregnant and nonpregnant sexual minority women, but pregnant sexual minority women were more likely to smoke cigarettes every day compared with other women. Conclusions: This study adds new population-based research to the limited body of evidence on health and access to care for pregnant sexual minority women who may face stressors, discrimination, and stigma before and during pregnancy. More research and programs should focus on perinatal care that is inclusive of diverse families and sexual orientations.

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Section: Conceptual Frameworkmentioning

confidence: 99%

Health and Access to Care among Reproductive-Age Women by Sexual Orientation and Pregnancy Status

Gonzales

Quinones

Attanasio

2019

Women's Health Issues

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“…A much smaller percentage of women, 0.1-.2%, experiences postpartum psychosis (Nydegger, 2006). Postnatal mood disturbances have been documented across countries and cultures (Oates et al, 2004) and among lesbian and bisexual women (Maccio & Pangburn, 2011). In spite of the prevalence of postpartum mood disorders, some researchers have expressed concern that they remain underdiagnosed, undertreated, and stigmatized (Nydegger, 2006;Wood, Middleton, & Leonard, 2010).…”

Section: Physical and Psychological Risks And Financial Costsmentioning

confidence: 99%

Reproductive Rights and Informed Consent: Toward a More Inclusive Discourse

Mollen

2013

Anal Soc Iss & Public Policy

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In the past 2 years, a record number of abortion restrictions have been proposed and enacted in the United States. Such restrictions include parental notification and consent laws, mandatory waiting periods, preabortion counseling, sonogram requirements, and restrictions on late-term abortions. These restrictions are often positioned in the language of informed consent with legislators and policymakers asserting that women regret abortions, are physically and psychologically harmed by them, and are advantaged by continuing their pregnancies to term. In this paper, I position these restrictions, as well as ideas about parenting, within a framework of pronatalism, an ideology that venerates parenting as normative and desirable, and generally disparages other choices surrounding reproductive choices, particularly for women. Research about the incidence and impact of abortion on women's lives, as well as the physiological, psychological, financial, and other effects of pregnancy, childbirth, and parenting on adults' well-being, is presented. Myths pertaining to abortion and parenting are explored. Recommendations for psychologists conclude the article.

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“…Although more than two-thirds of bisexual women without children intend to become parents (Riskind & Tornello, 2017), little is known about how plurisexual women (i.e., women with attractions to more than one gender) experience the transition to parenthood (Flanders, Gibson, Goldberg, & Ross, 2015; Maccio & Pangburn, 2011). In particular, unknown is whether lesbian, gay, bisexual, transgender, and queer (LGBTQ) communities serve as an important source of support for plurisexual women during the transition to parenthood.…”

mentioning

confidence: 99%

Invisibility and involvement: LGBTQ community connections among plurisexual women during pregnancy and postpartum.

Manley¹,

Goldberg²,

Ross³

2018

Psychology of Sexual Orientation and Gender Diversity

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Little research has examined the experiences of plurisexual women (i.e., those with attractions to more than one gender) during the transition to parenthood, despite the fact that many plurisexual women intend to become parents. Further, no research has specifically explored plurisexual mothers' LGBTQ community connections, although many studies highlight the importance of social support for (a) sexual minority individuals and (b) mothers. The current study investigated LGBTQ community connection among 29 plurisexual women with different-gender partners during the perinatal period. Participants completed interviews once during late pregnancy, and three times in the year after giving birth. Thematic analysis of the interview data explored how participants conceptualized community, finding that women varied in their level of and desire for engagement in both LGBTQ and parenting communities. Participants' accounts suggested that various barriers restricted their involvement (e.g., practical barriers such as time constraints, community-level barriers such as perceived rejection from LGBTQ communities, and psychological factors such as internalized stigma). At the same time, several women identified LGBTQ others as sources of support during the transition to parenthood, and many expressed a desire for their children to be connected to LGBTQ communities. Findings have implications for how researchers conceptualize community, provide insight into the disconnection between plurisexual women and LGBTQ communities, and suggest possibilities to increase LGBTQ community accessibility during this period.

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The Case for Investigating Postpartum Depression in Lesbians and Bisexual Women

Cited by 10 publications

References 34 publications

Health and Access to Care among Reproductive-Age Women by Sexual Orientation and Pregnancy Status

Health and Access to Care among Reproductive-Age Women by Sexual Orientation and Pregnancy Status

Reproductive Rights and Informed Consent: Toward a More Inclusive Discourse

Invisibility and involvement: LGBTQ community connections among plurisexual women during pregnancy and postpartum.

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