Advertisement

Society for Maternal-Fetal Medicine Special Statement: Commitment to excellence in obstetrical care, research, and education for people with diverse sexual and gender identities

Published:November 13, 2021DOI:https://doi.org/10.1016/j.ajog.2021.11.1344
      The Society for Maternal-Fetal Medicine seeks to ensure excellence in obstetrical outcomes for all people who desire or experience pregnancy, including people with diverse sexual and gender identities. The Society commits to the use of practices in clinical and research settings that affirm the sexual and gender identities of all people, encourages the development of undergraduate and graduate medical education curricula and training programs that address diverse pathways to pregnancy and support clinicians with diverse sexual and gender identities, and promotes the use of inclusive language that is accurate and, when possible, specific.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Obstetrics & Gynecology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • NIH LGBT, Research Coordinating Committee
        Consideration of the Institute of Medicine (IOM) report on the health of lesbian, gay, bisexual, and transgender (LGBT) individuals.
        (Available at:)
        • Hoffkling A.
        • Obedin-Maliver J.
        • Sevelius J.
        From erasure to opportunity: a qualitative study of the experiences of transgender men around pregnancy and recommendations for providers.
        BMC Pregnancy Childbirth. 2017; 17: 332
        • Kirubarajan A.
        • Patel P.
        • Leung S.
        • Park B.
        • Sierra S.
        Cultural competence in fertility care for lesbian, gay, bisexual, transgender, and queer people: a systematic review of patient and provider perspectives.
        Fertil Steril. 2021; 115: 1294-1301
        • Griggs J.
        • Maingi S.
        • Blinder V.
        • et al.
        American Society of Clinical Oncology position statement: strategies for reducing cancer health disparities among sexual and gender minority populations.
        J Clin Oncol. 2017; 35: 2203-2208
        • Vyas N.
        • Douglas C.R.
        • Mann C.
        • Weimer A.K.
        • Quinn M.M.
        Access, barriers, and decisional regret in pursuit of fertility preservation among transgender and gender-diverse individuals.
        Fertil Steril. 2021; 115: 1029-1034
        • Hahn M.
        • Sheran N.
        • Weber S.
        • Cohan D.
        • Obedin-Maliver J.
        Providing patient-centered perinatal care for transgender men and gender-diverse individuals: a collaborative multidisciplinary team approach.
        Obstet Gynecol. 2019; 134: 959-963
        • Grasso C.
        • Goldhammer H.
        • Thompson J.
        • Keuroghlian A.S.
        Optimizing gender-affirming medical care through anatomical inventories, clinical decision support, and population health management in electronic health record systems.
        J Am Med Inform Assoc. 2021; 28: 2531-2535
        • Sokkary N.
        • Awad H.
        • Paulo D.
        Frequency of sexual orientation and gender identity documentation after electronic medical record modification.
        J Pediatr Adolesc Gynecol. 2021; 34: 324-327
        • Deutsch M.B.
        • Green J.
        • Keatley J.
        • et al.
        Electronic medical records and the transgender patient: recommendations from the World Professional Association for Transgender Health EMR Working Group.
        J Am Med Inform Assoc. 2013; 20: 700-703
        • National LGBTQIA+ Health Education Center
        LGBTQIA+ glossary of terms for health care teams.
        (Available at:)
        • Moseson H.
        • Zazanis N.
        • Goldberg E.
        • et al.
        The imperative for transgender and gender nonbinary inclusion: beyond women’s health.
        Obstet Gynecol. 2020; 135: 1059-1068
        • Moseson H.
        • Lunn M.R.
        • Katz A.
        • et al.
        Development of an affirming and customizable electronic survey of sexual and reproductive health experiences for transgender and gender nonbinary people.
        Plos One. 2020; 15e0232154
        • Geist C.
        • Greenberg K.B.
        • Luikenaar R.A.C.
        • Mihalopoulos N.L.
        Pediatric research and health care for transgender and gender diverse adolescents and young adults: improving (biopsychosocial) health outcomes.
        Acad Pediatr. 2021; 21: 32-42
        • Zumwalt A.C.
        • Carter E.E.
        • Gell-Levey I.M.
        • Mulkey N.
        • Streed Jr., C.
        • Siegel J.
        A novel curriculum assessment tool, based on AAMC competencies, to improve medical education about sexual and gender minority populations.
        Acad Med. 2021;
        • James S.E.
        • Herman J.L.
        • Rankin S.
        • Keisling M.
        • Mottet L.
        • Anafi M.
        The Report of the 2015 U.S. transgender survey.
        National Center for Transgender Equality, Washington, DC2016 (Available at:) (Accessed December 8, 2021)
        • McPhail D.
        • Rountree-James M.
        • Whetter I.
        Addressing gaps in physician knowledge regarding transgender health and healthcare through medical education.
        Can Med Educ J. 2016; 7: e70-e78
        • Grimstad F.
        • McLaren H.
        • Gray M.
        The gynecologic examination of the transfeminine person after penile inversion vaginoplasty.
        Am J Obstet Gynecol. 2021; 224: 266-273
        • Streed Jr., C.G.
        • Lunn M.R.
        • Siegel J.
        • Obedin-Maliver J.
        Meeting the patient care, education, and research missions: academic medical centers must comprehensively address sexual and gender minority health.
        Acad Med. 2021; 96: 822-827
        • Vance Jr., S.R.
        • Dentoni-Lasofsky B.
        • Ozer E.
        • Deutsch M.B.
        • Meyers M.J.
        • Buckelew S.M.
        Using standardized patients to augment communication skills and self-efficacy in caring for transgender youth.
        Acad Pediatr. 2021; 21: 1441-1448
        • National LGBTQIA+ Health Education Center
        Learn Resour.
        (Available at:)
        • Association of American Medical Colleges
        Sexual & gender minority health resources.
        (Available at:)
      1. Sexual Orientation and Gender Identity Definitions.
        (Available at:)