ABSTRACT
This chapter explores the unique challenges faced by LGBTQ+ individuals during pregnancy and childbirth, with a particular focus on birth trauma. While birth trauma has not been extensively studied in LGBTQ+ parents, research indicates that this population experiences a higher incidence of factors that increase vulnerability to traumatic birth experiences. Within this chapter, we examine key risk factors for birth trauma among LGBTQ+ individuals, including pre-existing mental health conditions, lower levels of family support, and experiences of poor-quality care during labour and birth, often due to homophobia and transphobia. The chapter then delves into how these vulnerabilities intersect with minority stress and cisheteronormative health care structures to create additional challenges for LGBTQ+ parents while highlighting the importance of building trust between health care providers and LGBTQ+ families. Discussion also addresses specific risk factors during pregnancy and the importance and methods of providing tailored support during and after birth. Strategies for health care professionals to improve care and reduce the risk of birth trauma for LGBTQ+ families include using inclusive language, providing LGBTQ+ specific information, and striving for continuity of care. Overall, this chapter brings to light what constitutes a “good birth” for LGBTQ+ parents, emphasising the need for respectful, individualised care that acknowledges diverse family structures and parenting roles.
