Scientific Evidence on Experiences of Pregnant Transsexual Men

Abstract

Objective: to analyze the scientific evidence about the experiences of pregnant transsexual men. Method: a descriptive, integrative literature review study without a defined time cut, carried out in January 2021 in the following Databases: Medline, CINAHL, LILACS, CUIDEN, SCOPUS, WoS, EMBASE, PSYCINFO and BDENF, in Portuguese, English and Spanish; using the DECs and MeSH descriptors: “Transgender People”, “Pregnancy”, “Reproduction”, “Fertilization”, “Insemination”, “Prenatal Care”, “Postpartum Period”, “Lactation”, “Mispontaneous Abortion” , “Habitual abortion”, “Reproductive health” and “Health Care” and their respective synonyms. The elaboration of the guiding question was conducted by the PICo Strategy: (Population): transgender men; I (Interest): experiences during the puerperal pregnancy cycle; Co (Context): reproductive health and health services. The final sample was submitted to the Thematic Analysis Technique. Results: a total of 1,011 studies were identified, 10 of which composed this review after the selection process and peer review. The analysis resulted in two thematic categories: “Pregnancy-puerperal cycle: challenges and experiences” and “Pregnant bodies: perceptions and social relationships”. Conclusion: the experiences of pregnant transsexual men are marked by concerns related to pregnancy, childbirth, birth and the puerperium, causing unexpected psychological and/or emotional impacts, evidencing cisheteronormativity and transphobia as structuring aspects which add an additional part to fear of childbirth and violations of rights.

Internal Structure of the Brazilian Online Version of the Childbirth Fear Prior to Pregnancy Scale

“…However, the instrument may not be suitable for the trans population. Therefore, it needs to be tested in this group, or another scale should be proposed, bearing in mind that this population also experiences childbirth fear and several other difficulties during the pregnancy-puerperium period, such as the risk of transphobic violence in healthcare [35].…”

Desafios para o suporte à amamentação em homens transgêneros sob à luz da interseccionalidade

“…Outra revisão integrativa acerca das experiências de homens trans gestantes tecem considerações sobre a amamentação, apenas com artigos internacionais 22 . Um artigo refletiu sobre o uso da linguagem neutra no campo do aleitamento, a partir da perspectiva da interseccionalidade.…”

Intersectionality and challenges in support for chest-feeding transgender men

“…Another integrative review about the experiences of pregnant trans men considers chestfeeding, but only in international articles 22 . One article reflected, from the perspective of intersectionality, on the use of neutral language in the field of lactation.…”