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Individualizing Care and Setting Realistic Expectations: How Clinicians Support Lactation Induction in Transgender,
Caitlin Botkin1, Drew B A Clark1, Helen Brown1
1The University of British Columbia, Vancouver, BC, Canada.
Clinicians support transgender, Two-Spirit, and non-binary (TTNB) people inducing lactation by individualizing care and building support teams. This approach ensures gender-affirming infant feeding and addresses potential healthcare biases for TTNB individuals.
Area of Science:
- Lactation science
- Gender-affirming care
- Health equity
Background:
- Lactation induction is pursued for various reasons, including infant feeding and gender affirmation.
- Existing research primarily focuses on cisgender women, with limited data on transgender, Two-Spirit, and non-binary (TTNB) individuals.
- Understanding clinician support for TTNB lactation induction is crucial for equitable care.
Purpose of the Study:
- To explore how clinicians provide lactation induction support to TTNB individuals.
- To identify best practices for gender-affirming lactation support.
Main Methods:
- An international online qualitative survey was conducted.
- Fourteen clinicians participated, providing insights into their support strategies.
- Data were analyzed using qualitative directed content analysis.
Main Results:
- Clinicians individualize care by tailoring protocols to client goals and gender health.
- Expectations are modified by focusing on achievable goals and the feeding experience.
- Building a support team and addressing anti-trans bias are critical for TTNB clients.
- Recommendations are provided for clinicians supporting TTNB lactation induction.
Conclusions:
- A flexible, holistic approach is essential for gender-affirming lactation induction support.
- Effective support requires addressing individual needs and potential healthcare barriers.
- This study highlights the importance of inclusive practices in lactation support for TTNB populations.
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