AI Article Synopsis
- The study explores the unique barriers faced by transgender, nonbinary, and gender-expansive (TGE) individuals when seeking abortion care, which is often focused on cisgender women's experiences.
- Qualitative interviews with clinicians revealed issues such as provider knowledge gaps, stigma in clinics, and varying resources based on the political climate surrounding abortion access.
- The findings aim to create a clinical recommendations document to help healthcare providers build more inclusive abortion services for TGE patients, emphasizing the need for understanding and improving access to gender-affirming care.
Article Abstract
Objectives: Transgender, nonbinary, and gender expansive (TGE) persons experience pregnancies and have abortions, yet abortion care remains rooted in a gender binary, often centering the needs, experiences, and challenges of cisgender women. Despite guidance supporting gender-affirming sexual and reproductive healthcare (SRH), barriers for TGE people seeking abortions persist. We conducted an exploratory case study with key informants to understand their perception of TGE abortion seekers' needs with specific considerations for those in restrictive abortion settings.
Methods: Qualitative interviews focused on gender-affirming care and abortion provision were conducted with U.S.-based key informant clinicians (n = 4) who could provide powerful insights into gaps and experiences faced by TGE individuals. Participants were eligible if they currently or previously provided abortions and had experience practicing gender-affirming care. Interviews focused on informants' perceptions of TGE patients' needs when seeking abortions.
Results: Findings highlight the unique barriers TGE patients face when seeking abortions, including lack of provider knowledge, in-clinic stigmatization, and gender marginalization. It is notable that key informants who practiced in abortion-protective political environments have greater access to resources to implement gender-affirming care than those in restrictive contexts. Results are summarized in a clinical recommendations document which provides an accessible starting point for clinicians to begin building gender-inclusive abortion spaces.
Conclusions: It is necessary to further understand barriers facing TGE abortion seekers and integrate recommendations and emerging evidence into abortion practice. This study contributes to a growing knowledge base which emphasizes the need for inclusive abortion spaces and highlights key considerations for improving access and quality for TGE abortions seekers.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11437809 | PMC |
| http://dx.doi.org/10.1186/s12978-024-01863-5 | DOI Listing |
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