Local Maternity System - HNY LMNS Perinatal Care for Trans and Non-Binary People

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HNY Perinatal Care for Trans and Non-Binary People - Protocol for HCPs

contentful__3_ Adapted with permission from the Brighton and Sussex University Hospitals Trust, this protocol on Perinatal Care for Trans and Non-Binary People has been developed by HNY LMNS for midwives and doctors working in and with the LMNS Trusts which are: Hull University Teaching Hospitals NHS Trust (HUTH), York and Scarborough Teaching Hospitals NHS Foundation Trust (YSTHFT) and Northern Lincolnshire and Goole NHS Foundation Trust (NLaG).

We recognise that transgender and non-binary people may face personal, social, economic, institutional, and structural barriers to accessing appropriate and affirmative care. They are likely to have had negative experiences in healthcare settings and may worry that healthcare professionals will not understand their specific identity, needs and concerns.

Respectful care recognises and affirms the gender identity of the pregnant person and normalises the experience of carrying a pregnancy whilst trans or non-binary. Professionals should recognise that the desire to conceive, birth and feed a baby can be shared by people of any gender identity.

You can access our protocol, which includes detailed guidance for antenatal, intrapartum and postnatal care here.

Support for transgender and non-binary people during the perinatal period -Information for service users

Again adapted with permission from the Brighton and Sussex University Hospitals Trust, this information for service users has been developed to support trans and non-binary people during the perinatal period.

It includes information on:

The role of the midwife and antenatal care
Ongoing antenatal care
Physical changes
Emotional health
Care in hospital
Infant feeding
Resumption of testosterone
Birth registration
Contraception and screening.

You can access our information for service users here.

Week 4

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Your baby is now officially an embryo and is about the size of a poppy seed.

Please visit www.nhs.uk/conditions/pregnancy-and-baby/4-weeks-pregnant/ for more information.

Week 8

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Your baby is now the size of a kidney bean and weighs 1g.

Please visit www.nhs.uk/conditions/pregnancy-and-baby/8-weeks-pregnant/ for more information.

Week 12

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Welcome to the second trimester!

Your baby is about the size of a small lime and weighs approximately 14g.

You have hopefully seen your midwife for your 'booking in' appointment, if you have not yet seen a midwife please make an appointment quickly, so you can have all of your choices about screening tests explained and offered to you.

Please visit www.nhs.uk/conditions/pregnancy-and-baby/12-weeks-pregnant/ for more information. You can also link to the 'Pregnancy Journey' area here.

Week 16

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Your baby is about the size of an avocado and weighs approximately 100g.

Please visit www.nhs.uk/conditions/pregnancy-and-baby/16-weeks-pregnant/ for more information.

Week 20

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Your baby has grown in length and is now the length of a small banana and weighs approximately 300g. Around this time you will be offered your '20 week' scan, also known as the 'anatomy' or 'anomaly' scan.Click here for more information about screening.

This is a also a good time to talk and sing to your bump as your baby can now hear sounds. This is great way for you and your partner/family to bond with your baby.

Please visit www.nhs.uk/conditions/pregnancy-and-baby/20-weeks-pregnant/ for more information.

Week 24

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Your baby has grown again to the approximate length of an ear of sweetcorn and weighs about 600g.

Please visit www.nhs.uk/conditions/pregnancy-and-baby/24-weeks-pregnant/ for more information.

Week 28

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Welcome to the third trimester!

Your baby is now approximately the weight of an aubergine; about 1kg and approximately 37cm in length.

Please visit www.nhs.uk/conditions/pregnancy-and-baby/28-weeks-pregnant/ for more information.

Week 32

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Your baby now weighs approximately the same as a coconut; around 1.5kg.

Please visit www.nhs.uk/conditions/pregnancy-and-baby/32-weeks-pregnant/ for more information.

Week 36

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Your baby is now around the same size as a lettuce, approximately 47cm long and weighs around 2.6kg.

Please visit www.nhs.uk/conditions/pregnancy-and-baby/36-weeks-pregnant/ for more information.

Week 40

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Your baby is now the weight of a small watermelon which is approximately 3.3kg and around 50cm in length.

Please visit www.nhs.uk/conditions/pregnancy-and-baby/40-weeks-pregnant/ for more information.