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- Title
LGBTQ+ individuals and pregnancy outcomes: A commentary.
- Authors
Croll, Julie; Sanapo, Laura; Bourjeily, Ghada
- Abstract
Legally, barriers to pregnancy and fertility treatments still exist throughout the world, and must be addressed to give LGBTQ+ patients equal rights and access to reproductive care.32 Regarding clinical care, efforts should be made to create an inclusive environment, with the presence of multidisciplinary clinical teams at least at larger medical centres to provide appropriate patient care before, during and after pregnancy. PREGNANCY OUTCOMES FOR LESBIAN AND BISEXUAL GESTATIONAL PARENTS LGBTQ+ individuals comprise a vast range of sexual orientations and gender identities that contribute to their specific reproductive needs.9 Worse outcomes have been reported in lesbian and bisexual women in both their ability to achieve a successful pregnancy, and in perinatal outcomes. Lesbian, gay, bisexual, transgender, queer, "plus" (LGBTQ+) individuals who are pregnant or want to become pregnant face worse pregnancy outcomes than heterosexual patients.1,2 This is especially relevant because in the USA and elsewhere, sexually diverse and gender-expansive populations have steadily risen, pushing LGBTQ+ pregnancy from niche into the mainstream.3,4 The American College of Obstetricians and Gynecologists (ACOG) endorses quality care to all people regardless of sexual orientation or gender identity.5,6 This includes providing gender-affirming care throughout a patient's pregnancy, acknowledging risk factors for LGBTQ+ populations that affect reproductive outcomes, and using appropriate evidence-based clinical recommendations to tailor care.5,6 Despite these criteria, these patients still encounter many barriers to health care and have limited access to obstetric care and fertility clinics.5,7 As clinicians and scientists, it is crucial that we continue to promote equitable care to pregnant individuals of any background.
- Subjects
LGBTQ+ people; PREGNANCY outcomes; SEXUAL health; REPRODUCTIVE health services; RECURRENT miscarriage; SEXUAL minority women; MENTAL health services; GENDER-nonconforming people
- Publication
BJOG: An International Journal of Obstetrics & Gynaecology, 2022, Vol 129, Issue 10, p1625
- ISSN
1470-0328
- Publication type
Article
- DOI
10.1111/1471-0528.17131