Klittmark Sofia, Malmquist Anna, Karlsson Gabriella, Ulfsdotter Aniara, Grundström Hanna, Nieminen Katri
Department of Behavioural Sciences and Learning, Linköping University, Sweden.
Department of Behavioural Sciences and Learning, Linköping University, Sweden.
Midwifery. 2023 Jun;121:103649. doi: 10.1016/j.midw.2023.103649. Epub 2023 Feb 28.
To explore the care experiences of lesbian, bisexual, transgender, and queer (LBTQ) people during births where complications have arisen.
Data were collected through semi-structured interviews with self-identified LBTQ people who had experienced obstetrical and/or neonatal complications.
Interviews were conducted in Sweden.
A total of 22 self-identified LBTQ people participated. 12 had experienced birth complications as the birth parent and ten as the non-birth parent.
Most participants had felt invalidated as an LBTQ family. Separation of the family due to complications elevated the number of hetero/cisnormative assumptions, as new encounters with healthcare professionals increased. Dealing with normative assumptions was particularly difficult in stressful and vulnerable situations. A majority of the birth parents experienced disrespectful treatment from healthcare professionals that violated their bodily integrity. Most participants experienced lack of vital information and emotional support, and expressed that the LBTQ identity made it harder to ask for help.
Disrespectful treatment and deficiencies in care contributed to negative experiences when complications arose during birth. Trusting care relationships are important to protect the birth experience in case of complications. Validation of the LBTQ identity and access to emotional support for both birth and non-birth parents are crucial for preventing negative birth experiences.
To reduce minority stress and create conditions for a trusting relationship, healthcare professionals should specifically validate the LBTQ identity, strive for continuity of carer and zero separation of the LBTQ family. Healthcare professionals should make extensive efforts to transfer LBTQ related information between wards.
探讨女同性恋、双性恋、跨性别者和酷儿（LBTQ）群体在分娩出现并发症时的护理经历。
通过对自我认定的有产科和/或新生儿并发症经历的LBTQ群体进行半结构化访谈收集数据。
在瑞典进行访谈。
共有22名自我认定的LBTQ群体参与。12人作为生育父母经历过分娩并发症，10人作为非生育父母经历过分娩并发症。
大多数参与者感觉作为LBTQ家庭被忽视。由于并发症导致家庭分离，随着与医护人员新接触的增加，异性恋/顺性别规范假设的数量也增加了。在压力大且脆弱的情况下应对规范假设尤其困难。大多数生育父母经历了医护人员不尊重的对待，这侵犯了他们的身体完整性。大多数参与者经历了重要信息和情感支持的缺失，并表示LBTQ身份使他们更难寻求帮助。
不尊重的对待和护理缺陷导致分娩出现并发症时产生负面经历。在出现并发症时，信任的护理关系对于保护分娩体验很重要。对LBTQ身份的认可以及为生育和非生育父母提供情感支持对于防止负面分娩经历至关重要。
为了减少少数群体压力并创造信任关系的条件，医护人员应特别认可LBTQ身份，努力实现护理人员的连续性并确保LBTQ家庭不分离。医护人员应大力在各病房之间传递与LBTQ相关的信息。
