qwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopThe changing faces of Labor and Delivery: Obstetrical Nursing Care of Transmen Chinazo Echezona-Johnson, Ed.D, LL.B, MSN, RNC-MNNFaculty, Helenefuld College of Nursing Assistant Director of Maternal-Child Educator, Health and Hospital Corporation, Metropolitan Hospital Center
Obstetrical Care of Nursing Care of Transmen Labor and delivery nurses are used to women delivering babies. What happens when men get pregnant and deliver babies? How can the obstetrical nurse care for this pregnant man? Biologically, it is impossible. Men do not have the anatomy and physiology to gestate. However, with the increasing acceptance of LGBT community in the society, the faces of obstetric patients are beginning to change. Studies document about how different transgender men have given birth to children. In 1999, Matt Rice gave birth to a son. In 2011, another Transman, Yuval Topper, an Israeli gave birth to a child. A married transgender man, Thomas Beatie, gave birth to a daughter and two sons between 2008, 2009 and 2011 1,2,3. A Transman is a person who is assigned a female at birth but chooses the gender identity of a male. The Transman may accept medical help to become a man. The sexual orientation of a Transman maybe asexual, bisexual, heterosexual, homosexual, or not sexually identify with any orientation 6, 9, 11. Healthcare and Transmen Pregnant Transmen may not have the support, resources, and adequate healthcare assistance. This lack of services and awareness may lead to the lack of sufficient and safe pregnancy for these men. Due to internalized stigma, these patients may be unwilling to attend to their health-care needs and view themselves as undeserving of competent care, resulting in their compliance with discriminatory policies and practice 9, 11. Earlier studies within Canada and the United States have identified unreasonable discrimination against the LGBT population within health-care systems 13. Surveys of LGBT patients have revealed adverse communication from health-care providers such as verbal and emotional abuse, refusal of medical treatment, rude behavior, and inadequate treatment 15. Consequently, most of the members of this cohort may delay or postpone seeking needed care due to disrespect and discrimination 8, 15.