Department of Obstetrics and Gynecology in Norrköping, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
J Psychosom Obstet Gynaecol. 2022 Dec;43(4):526-531. doi: 10.1080/0167482X.2022.2089555. Epub 2022 Jun 24.
Most studies of fear of childbirth (FOC) are conducted on heterosexual cisgender pregnant populations of birth-giving parents. Among lesbian and bisexual women, as well as transgender and queer people (LBTQ), minority stress can add an extra layer to FOC. Gender binary and cisnormative assumptions leave it to the patient to educate and navigate healthcare providers, which can increase mental health problems. The aim of this study is to compare FOC and mental illness among expecting birth-giving parents and their partners in an LBTQ population. This cross-sectional study recruited 80 self-identified pregnant LBTQ persons and their 54 non-pregnant partners at a LBTQ specialized antenatal clinic in a large Swedish city of over one million inhabitants. The survey included socio-demographic characteristics, sexual and gender orientation, obstetric history, previous mental health, previous trauma exposure and measures of FOC and mental health. Levels of FOC were significantly higher for the pregnant participants (median W-DEQ 67.5) than for partners (median W-DEQ 60.0). The proportion of severe FOC was higher for pregnant participants (20.3%) than for partners (9.4%), although this difference was not statistically significant. Mental illness was significantly associated with FOC. The results add valuable information to our understanding of the specific needs of pregnant LBTQ people and their partners and may help us to develop healthcare in the future.
大多数关于分娩恐惧（FOC）的研究都是在异性恋顺性别孕妇人群中进行的。对于女同性恋、双性恋和跨性别者或酷儿（LBTQ）群体来说，少数群体压力会给 FOC 增加额外的一层。性别二元论和顺性别规范假设让患者负责教育和引导医疗保健提供者，这可能会增加心理健康问题。本研究旨在比较 LBTQ 人群中预期生育的父母及其伴侣的 FOC 和精神疾病。这项横断面研究在瑞典一个拥有超过一百万居民的大城市的 LBTQ 专门产前诊所招募了 80 名自我认同的怀孕 LBTQ 人员及其 54 名未怀孕的伴侣。调查包括社会人口特征、性取向和性别认同、产科史、以前的心理健康状况、以前的创伤暴露以及 FOC 和心理健康的测量。怀孕参与者的 FOC 水平（W-DEQ 中位数为 67.5）明显高于伴侣（W-DEQ 中位数为 60.0）。怀孕参与者出现严重 FOC 的比例（20.3%）明显高于伴侣（9.4%），尽管这一差异没有统计学意义。精神疾病与 FOC 显著相关。研究结果为我们了解怀孕 LBTQ 人群及其伴侣的特殊需求提供了有价值的信息，并可能有助于我们在未来发展医疗保健。
