Legacies and Futures: Measuring Roles of Resilience and Vulnerability in Pregnancy and Birth Outcomes
This study wants to understand how stress and personal strengths affect pregnancy and birth for LGBTQIA+ parents. Many healthcare services are set up for straight, cisgender women, which can make it harder for other parents to get good care and can cause extra stress. This research will look at 200 LGBTQIA+ pregnant people and compare their experiences with 600 straight, cisgender pregnant people. Researchers will collect information through surveys before and after birth, combine it with medical records, and some participants will keep a short diary. The goal is to find out what causes difficulties and what helps people cope during pregnancy, so that healthcare can be improved for all expectant parents in the UK.
At a glance
What is this study about?
When people get pregnant, the healthcare system often assumes they are straight, married women whose gender matches the sex they were assigned at birth. This can make it difficult for lesbian, gay, bisexual, queer, intersex, asexual, and transgender (LGBTQIA+) parents-to-be to receive the personalised and supportive care they need. This study aims to understand what challenges these parents face and what helps them cope during pregnancy, which is sometimes called 'resilience'.
Facing discrimination or not feeling understood by healthcare services can create extra stress, known as 'minority stress'. This type of stress isn't just unpleasant; it can sometimes lead to preventable health problems during pregnancy, such as babies being born too early or with low birth weight. We know that feeling stressed can affect our health, and this study wants to explore how this extra stress specifically impacts LGBTQIA+ parents during pregnancy and childbirth.
By comparing the experiences of LGBTQIA+ parents with those of straight, cisgender parents, this research hopes to gain a clearer picture. The findings will be used to help improve guidelines for healthcare providers and training programs, making sure they can offer more inclusive and supportive care to all pregnant individuals in the future, ultimately leading to better health outcomes for both parents and babies.
Key takeaways
- This study focuses on improving pregnancy care for LGBTQIA+ parents.
- It examines how stress and personal strengths affect pregnancy outcomes.
- Your experiences can help shape better healthcare guidelines and training.
- Participation involves two online surveys and potentially a short journal.
- Your privacy and right to withdraw are fully protected.
Who may be eligible?
To be part of this study, you need to be an adult between 18 and 49 years old. You should also identify as lesbian, gay, bisexual, queer, nonbinary, intersex, or transgender. If you are cisgender (meaning your gender identity matches the sex you were assigned at birth) and heterosexual, you can also join the study as part of the comparison group.
It's important that you are currently pregnant and receiving your antenatal (pregnancy) care at one of the hospitals or clinics involved in this study. You cannot join if you are under 18, or if you are only using the study sites for emergency care like A&E, rather than for your regular pregnancy appointments.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you between 18 and 49 years old?
- Do you identify as part of the LGBTQIA+ community, or are you cisgender and heterosexual?
- Are you currently pregnant?
- Are you receiving your regular pregnancy care at a study location?
- Are you not just visiting the study site for emergency care?
What does participation involve?
If you decide to take part, you'll be asked to complete two online surveys. The first survey will be done during your pregnancy, and the second one after your baby is born. These surveys will ask about your experiences and feelings. The information you provide will be linked to your existing medical records, but your personal details will be kept private. A small number of participants (about 30 people) will also be asked to keep a short journal between the two surveys. The total duration of your participation will depend on when you complete the surveys, but it will span from during your pregnancy until after birth.
Potential risks and benefits
Locations (14)
- King's College Hospital NHS Foundation TrustVerified postcodeBrixton, United Kingdom
- Kingston Hospital NHS Foundation TrustVerified postcodeKingston upon Thames, United Kingdom
- Barts Health NHS TrustVerified postcodeLondon, United Kingdom
- Homerton University Hospital NHS Foundation TrustVerified postcodeLondon, United Kingdom
- Whittington Health NHS TrustVerified postcodeLondon, United Kingdom
- Royal Free London NHS Foundation TrustVerified postcodeLondon, United Kingdom
- Lewisham and Greenwich NHS TrustVerified postcodeLondon, United Kingdom
- St George's University Hospitals NHS foundation TrustVerified postcodeLondon, United Kingdom
- University College London Hospital NHS Foundation TrustVerified postcodeLondon, United Kingdom
- Imperial College Healthcare NHS TrustVerified postcodeLondon, United Kingdom
- Guy's and St Thomas' NHS Foundation TrustVerified postcodeLondon, United Kingdom
- Epsom and St Helier University Hospitals NHS TrustVerified postcodeSutton, United Kingdom
Common questions
What is 'LGBTQIA+'?
It's a way to describe people who identify as lesbian, gay, bisexual, queer, intersex, asexual, or transgender, along with other diverse gender identities and sexual orientations.
What does 'cisgender and heterosexual' mean?
Cisgender means your gender identity matches the sex you were assigned at birth (e.g., you were assigned female at birth and identify as a woman). Heterosexual means you are attracted to people of the opposite sex.
What is 'minority stress'?
Minority stress is the extra stress that people face due to belonging to a minority group and experiencing prejudice, discrimination, or stigma in society.
Will my answers be kept private?
Yes, all your information will be kept confidential and your privacy will be protected. Your personal details will not be shared.
Do I have to keep a journal?
Only a small number of participants will be asked to keep a journal. You would be told if you were one of these participants and you can decline if you prefer not to.
How to find out more
Always speak to your GP or specialist before deciding to take part in a study.
Discussion
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