Legacies and Futures: Measuring Roles of Resilience and Vulnerability in Pregnancy and Birth Outcomes

Summary

Pregnancy care typically assumes patients are heterosexual married women whose gender matches their assigned sex (i.e., cisgender), stigmatizing patients and creating limitations, blocking affirming care. Consequently, lesbian, gay, bisexual, queer, intersex, asexual, and/or transgender (LGBTQIA+) parents face minority stress as discrimination in antenatal care. This mixed-methods study assesses stressors and resilience factors on pregnancy and birth outcomes. LGBTQIA+ pregnant parents (n=200) are case-matched with cisheterosexual peers (n=600). Primary data comes from two panel surveys, one antenatally and one postpartum, combined with medical records. A sub-sample (n=30) will complete a journal between surveys. Findings will inform care guidelines and provider training.

Conditions

• Pregnancy Related

Sponsors & Collaborators

• UCL, Bloomsbury and East London (UBEL) Doctoral Training Partnership

  collaborator UNKNOWN

• Economic and Social Research Council, United Kingdom

  collaborator OTHER

• University College London Hospitals

  collaborator OTHER

• King's College Hospital NHS Trust

  collaborator OTHER

• University Hospitals Sussex NHS Foundation

  collaborator UNKNOWN

• Homerton University Hospital

  collaborator UNKNOWN

• Barts & The London NHS Trust

  collaborator OTHER

• The Whittington Hospital NHS Trust

  collaborator OTHER_GOV

• Guy's and St Thomas' NHS Foundation Trust

  collaborator OTHER

• West Hertfordshire Hospitals NHS Trust

  collaborator OTHER

• Kingston Hospital NHS Trust

  collaborator OTHER

• Royal Free Hospital NHS Foundation Trust

  collaborator OTHER

• Imperial College Healthcare NHS Trust

  collaborator OTHER

• Epsom and St Helier University Hospitals NHS Trust

  collaborator OTHER

• Lewisham and Greenwich NHS Trust

  collaborator OTHER_GOV

• St George's University Hospital NHS Foundation Trust

  collaborator UNKNOWN

• University College, London

  lead OTHER

Principal Investigators

• David M Frost, PhD · University College, London

Eligibility

Min Age

18 Years

Max Age

49 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2022-05-17

Primary Completion

2024-12-31

Completion

2025-09-30

Countries

• United Kingdom

Study Locations