Dutch Healthcare System Deemed “Unprepared” for Pregnant Transgender Men

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Transgender males might want to conceive however frequently deal with an absence of understanding and abilities from care suppliers. Amsterdam UMC carried out qualitative research study on Dutch transgender people’ experiences with maternity care, exposing that the health care system in the Netherlands and globally is insufficient in offering gender-inclusive care. They discovered a requirement for standards and assistance platforms to help transgender and gender-diverse people in accessing proper services.

Transgender males can, and frequently desire to, conceive. However, they do require additional assistance and care suppliers frequently do not have the needed understanding and abilities. Amsterdam University Medical Centers (Amsterdam UMC) is the very first to carry out qualitative research study into the experiences of Dutch transgender individuals with maternity care. This research study is now offered as a pre-print in the journalMidwifery

Transgender males frequently go through medical treatments to change their bodies to their male gender identity. These medical interventions can impact fertility. Some transgender males, for that reason, select not to go through these treatments, delay them or, even, to briefly stop them. Allowing them to maintain the possibility of conceiving.

Lack of Environment Understanding

Registrar Jojanneke van Amesfoort and gynecologist Norah van Mello, together with coworkers from Amsterdam UMC, carried out research study into the experiences of transgender and gender-diverse people. With a concentrate on the whole pregnancy trajectory, from conceiving to being pregnant, delivering and, finally, the postpartum duration. They spoke with 5 Dutch transgender males who have actually been pregnant and have actually brought to life several kids.

This research study reveals that their experiences vary considerably from a female pregnancy. For example, transgender males get little to no understanding of pregnancy from their environment, as pregnancy is viewed as something womanly in society. Finding the best care suppliers can likewise be challenging, often resulting in people keeping the desire to conceive. Fear likewise contributes at the same time. On one hand, the worry that pregnancy will impede their medical shift along with the worry of unfavorable responses from doctor. These findings echo worldwide research studies into the experience of pregnant transgender males.

Missing Knowledge

In addition, for some, pregnancy and giving birth can provoke and even strengthen sensations of gender dysphoria (sensation of pain due to the fact that gender at birth does not represent gender identity) and seclusion. During the postpartum duration, it ended up being especially clear to them that both healthcare and the law still provide inadequate scope for birth moms and dads who do not determine as woman. They likewise experienced that the care suppliers do not have the best understanding and comprehending to sufficiently assist transgender and gender-diverse individuals.

Time for Guidelines

The results stress that the Dutch health care landscape, just like the worldwide circumstance, is still insufficiently geared up to offer gender-inclusive care. There is likewise an absence of standards to assist transgender and gender varied individuals and to allow recommendation to the appropriate services and assistance platforms.

Reference: “The barriers and needs of transgender men in pregnancy and childbirth: a qualitative interview study” by J.E. van Amesfoort, F.B. van Rooij, R.C. Painter, A.W. Valkenburg- van den Berg, B.P.C. Kreukels, T.D. Steensma, J.A.F. Huirne, C.J.M. de Groot and N.M. Van Mello, 16 February 2023, Midwifery
DOI: 10.1016/ j.midw.2023103620