Nurs Womens Health. 2021 Apr;25(2):129-138. doi: 10.1016/j.nwh.2021.01.006. Epub 2021 Feb 27.
Planned and unplanned pregnancies are occurring among transgender men. Although the literature highlights the fact that many transgender men retain their reproductive pelvic organs and desire pregnancy, there is a dearth of information on best practices and standards of care guiding perinatal care for this population. A literature review was conducted to explore the reproductive health needs of transgender men related to reproductive desires, contraception, family planning, fertility preservation, pregnancy, birth, and lactation. Findings show that pregnant and birthing transgender men are reporting feelings of invisibility, isolation, and loneliness in highly gendered perinatal care environments. A lack of gender-affirming perinatal environments and experienced providers is contributing to the avoidance of care by transgender men and further discrimination in an already marginalized population. More research attention is needed to understand the reproductive health needs of pregnant and birthing transgender men and to optimize the care they receive.
跨性别男性中存在计划内和计划外怀孕的情况。尽管文献强调了许多跨性别男性保留其生殖器官并渴望怀孕的事实，但关于指导该人群围产期护理的最佳实践和护理标准的信息却很少。进行了文献回顾，以探讨与生殖欲望、避孕、计划生育、生育力保存、怀孕、分娩和哺乳相关的跨性别男性的生殖健康需求。研究结果表明，怀孕和分娩的跨性别男性在高度性别化的围产期护理环境中报告感到被忽视、孤立和孤独。缺乏性别肯定的围产期环境和经验丰富的提供者，导致跨性别男性回避护理，并在已经边缘化的人群中进一步受到歧视。需要更多的研究关注来了解怀孕和分娩的跨性别男性的生殖健康需求，并优化他们所接受的护理。
