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Knowledge and practice of induction of lactation in trans women among professionals working in trans health.
International Breastfeeding Journal ( IF 3.5 ) Pub Date : 2020-07-16 , DOI: 10.1186/s13006-020-00308-6
Emily Trautner 1 , Megan McCool-Myers 1, 2 , Andrea Braden Joyner 1
Affiliation  

Breastfeeding is emerging as an important reproductive rights issue in the care of trans and gender nonconforming people. This study sought to understand the tools available to professionals working in the field of trans health to help trans women induce lactation and explore the concept of unmet need. In November 2018, we conducted a cross-sectional study which surveyed attendees at the World Professional Association for Transgender Health (WPATH) symposium in Buenos Aires, Argentina. Eligible participants were 18 + years old, had professional experience with transgender populations, were able to complete a survey in English, and were conference attendees. Descriptive data were collected using a 14-item written survey encompassing demographic characteristics, experience in transgender health, and lactation induction in trans women. We surveyed 82 respondents (response rate 10.5%), the majority of whom were healthcare professionals (84%). Average age of respondents was 42.3 years old. They represented 11 countries and averaged 8.8 years of work at 21.3 h/week with trans populations. Healthcare professionals in this sample primarily specialized in general/internal medicine, psychology, endocrinology, and obstetrics/gynecology. One-third of respondents (34%) stated that they have met trans women who expressed interest in inducing lactation. Seventeen respondents (21%) knew of providers, clinics, or programs that facilitated the induction of lactation through medication or other means. Seven respondents (9%) have helped trans women induce lactation with an average of 1.9 trans women in the previous year. Two protocols for lactation induction were mentioned in free text responses and 91% believe there is a need for specialized protocols for trans women. This exploratory study demonstrates healthcare professionals’ interest in breastfeeding protocols for lactation induction in trans women. Additional studies are needed to capture insights from breastfeeding specialists, e.g. lactation consultants and peripartum nurses, and to understand patients’ perspectives on this service.

中文翻译:

从事跨性别保健工作的专业人员中跨性别女性哺乳的知识和实践。

母乳喂养正在成为对跨性别者和性别不合格者的重要生殖权利问题。这项研究试图了解跨性别健康领域的专业人士可用的工具,以帮助跨性别女性诱导哺乳并探索未满足需求的概念。2018年11月,我们进行了一项横断面研究,调查了在阿根廷布宜诺斯艾利斯举行的世界跨性别健康专业协会(WPATH)研讨会的与会者。符合条件的参与者年龄在18岁以上,具有跨性别人群的专业经验,能够用英语完成调查,并且是会议的参与者。使用14项书面调查收集描述性数据,包括人口统计特征,跨性别健康经验和跨性别女性的泌乳诱导。我们调查了82位受访者(答复率为10.5%),其中大多数是医疗保健专业人员(84%)。受访者的平均年龄为42.3岁。他们代表11个国家,平均工作8.8年,每周21.3小时,有跨性别者。本样本中的医疗保健专业人员主要专长于普通/内科,心理学,内分泌学和妇产科。三分之一的受访者(34%)表示,他们遇到了对诱导哺乳感兴趣的跨性别女性。17名受访者(21%)知道通过药物或其他方式促进哺乳的提供者,诊所或程序。七名受访者(9%)曾帮助跨性别女性诱发哺乳,去年平均有1.9位跨性别女性。自由文本回复中提到了两种诱导泌乳的方案,有91%的人认为需要针对跨性别女性的专门方案。这项探索性研究表明,医护人员对跨性别女性的母乳喂养方案对诱导泌乳的兴趣。需要进行其他研究以从母乳喂养专家(例如泌乳顾问和围产期护士)获得见解,并了解患者对此服务的看法。
更新日期:2020-07-16
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