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"Let All Identities Bloom, Just Let Them Bloom": Advancing Trans-Inclusive Perinatal Care Through Intersectional
George Parker1, Suzanne Miller2, Alex Ker2
1School of Health, Victoria University of Wellington, Wellington, New Zealand.
Qualitative Health Research
|April 2, 2025
Summary
Intersectionality is crucial for trans healthcare equity. This study found that cisnormativity and other biases amplify exclusion in perinatal care for transgender individuals, highlighting the need for inclusive practices.
Area of Science:
- Sociology
- Public Health
- Gender Studies
Background:
- Intersectionality is underutilized in transgender healthcare research.
- Failure to apply intersectionality can perpetuate structural inequities.
- Transgender individuals face significant barriers in accessing equitable healthcare.
Purpose of the Study:
- To re-analyze interview data focusing on intersectionality in transgender perinatal care experiences.
- To understand how intersecting marginalizations amplify exclusion from perinatal services for transgender individuals.
- To identify norms within perinatal care that lead to exclusion and undermine care quality.
Main Methods:
- Re-analysis of interview data from 20 participants in the Trans Pregnancy Care Project in Aotearoa New Zealand.
- Qualitative thematic analysis to identify experiences of exclusion and discrimination.
- Application of the Intersectionality Research for Transgender Health Justice framework.
Main Results:
- Three themes emerged describing how participants perceived and were affected by norms privileging dominant social positionings.
- Cisnormativity and other power relations compounded exclusion for multiply marginalized transgender individuals.
- Participants employed strategies to navigate or challenge exclusionary care, including compliance and envisioning inclusive care.
Conclusions:
- Intersectionality is essential for advancing trans-inclusive practices and achieving health equity.
- Perinatal care settings often reinforce structural inequities through cisnormative and exclusionary norms.
- Addressing intersecting marginalizations is critical for improving healthcare experiences for transgender people.
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