How pregnancy can be made more difficult by maternity care’s notions of ‘normal’

The Conversation, October 8, 2019 10.04pm AEDT

Maternity records in the UK have spaces only for the expectant mother and the baby’s father. This inflexibility can cause difficulties for the pregnant person, their partner, and their unborn baby if they do not fit into these boxes.

Over the last decade there has been a significant increase in the number of people conceiving outside of the traditional model of a heterosexual couple, so this affects an increasing number of parents.

Research shows that problems occur when heteronormativity – the perception that heterosexuality is the normal, default, or preferred sexual orientation – is communicated either overtly or subtly in the way healthcare staff treat patients, the way leaflets are worded, or the assumptions made in the way administration systems are designed.

Healthcare failing transgender people

La Trobe University, 10/10/2019

Some trans and gender diverse patients would rather die than face ignorance and discrimination previously experienced in health care settings, according to La Trobe University research.

La Trobe PhD student Lucille Kerr surveyed 537 trans and gender diverse people from across Australia, asking detailed questions about their experiences in the Australian health system.

“We’ve found people being refused care, experiencing significant mistreatment, and having to educate their own doctors,” Ms Kerr said.

“Although some reported having found understanding, well-informed doctors, most of our findings are concerning, with some deeply worrying. We urgently need widespread training and education within the healthcare system.”

 

 

Concerns for women after SA closes two centres for surgical abortion

ABC News, 19/09/2019

Two of South Australia’s surgical abortion services have been shut down over the past 18 months, amid community concerns about the impact on women seeking care.

In January, services were relocated from the main abortion provider in the state, the Pregnancy Advisory Centre in Adelaide’s inner-western suburbs, moving all surgical abortions to the Queen Elizabeth Hospital (QEH).

SA Health is now looking at relocating the abortion service permanently to the QEH during the hospital’s redevelopment.

 

 

What to know about bipolar disorder and sex

Medical News Today, 

Bipolar disorder causes a person to experience intense shifts in moods, sometimes from a manic state to a depressed state, for example. These shifts can occur with changes in sexual desire, confidence, or sexual function.

Though the symptoms vary from person to person, bipolar disorder can disrupt several aspects of a person’s life, including their sexuality.

In this article, we discuss sexual symptoms of bipolar disorder and ways to manage them.

Understanding LGBTI+ Lives in Crisis (Report)

Australian Research Centre in Sex, Health and Society, La Trobe University & Lifeline Australia, February 2019

This research report presents findings of lesbian (L), gay (G), bisexual (B), transgender (T), intersex people (I), and other sexual identity and gender diverse individuals (+) use of crisis support services (CSS) in Australia.

This is the first research of its kind in Australia that explores the needs of LGBTI+ people during a time of personal or mental health crises. It focuses on their uptake and familiarity with crisis support services in Australia, their perceptions and experiences with crisis support services, and where they might seek other professional mental health service support during a time of crisis.

This study enhances the evidence base for those working to design, resource or deliver services to meet the needs of LGBTI people in Australia during times of crisis.

Actions to support Lesbian, Gay, Bisexual, Trans and Gender Diverse, and Intersex elders

Australian Department of Health, February 2019

We know that LGBTI older people and elders are likely to have experienced violence, stigma and discrimination throughout their lives. As a result, they may be reluctant to disclose their identities or histories to aged care services and therefore remain isolated or invisible within both the aged care sector and the broader community. Combined with general stigmatisation and invisibility of LGBTI needs at large, this results in a lack of awareness of the unique needs of LGBTI elders and older people, including a lack of targeted services to support them. In addition, the fear of mistreatment or rejection from aged care providers can lead to LGBTI elders and older people delaying seeking care until their health deteriorates or a crisis occurs.

Many LGBTI elders and older people have lived through a time where identities were pathologised or criminalised, aversion therapies were encouraged, and non-consensual surgeries were routinely performed. As a result, many LGBTI older people have learned to conceal their sexual orientation, gender identity or intersex status in order to be safe, particularly when interacting with the health or social services sector. The fear and mistrust of these services in the past have led LGBTI elders and older people to be reluctant to utilise mainstream services, including aged care. Reliving past discrimination when encountering new forms of discrimination in the aged care
environment can lead to feelings of anxiety and/or depression.

The Action Plan is a resource that will assist aged care service providers to better understand how they can advocate for and support LGBTI elders and older people. By providing culturally safe and inclusive services, providers will build confidence amongst LGBTI elders and older people and their carers, families of choice (who may or may not include biological family) and allies that aged care services are available for them and they will be given the support and care they need as they age.

The Consumer Guide captures the voice of LGBTI peoples expressed through those consultations. It is intended both to help LGBTI peoples express their needs when speaking with aged care providers and as a resource to support people working in aged care to understand the perspectives of LGBTI peoples.