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The aim of this study was to gain a deeper understanding of the role of midwifery in these inequities by analyzing the pregnancy experiences of transgender and gender\u2010expansive people from a critical midwifery perspective.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a systematic scoping review. We included 15 papers published since 2010 that reported on pregnancy experiences of people who had experienced gestational pregnancy at least once, and were transgender, nonbinary, or had other gender\u2010expansive identities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three themes emerged from our analysis: \u201cNavigating identity during pregnancy,\u201d \u201cExperiences with mental health and wellbeing,\u201d and \u201cEncounters in the maternal and newborn care system.\u201d Although across studies respondents reported positive experiences, both within healthcare and social settings, access to gender\u2010affirmative (midwifery) care and daily social realities were often shaped by trans\u2010negativity and transphobia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>To improve care outcomes of transgender and gender\u2010expansive people, it is necessary to counter anti\u2010trans ideologies by \u201cfixing the knowledge\u201d of midwifery curricula. This requires challenging dominant cultural norms and images around pregnancy, reconsidering the way in which the relationship among \u201csex,\u201d \u201cgender,\u201d and \u201cpregnancy\u201d is understood and given meaning to in midwifery, and applying an intersectional lens to investigate the relationship between gender inequality and reproductive inequity of people with multiple, intersecting marginalized identities who may experience the accumulated impacts of racism, ageism, and classism. Future research should identify pedagogical frameworks that are suitable for guiding implementation efforts.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12834","type":"journal-article","created":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T05:19:26Z","timestamp":1716182366000},"page":"421-434","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Pregnancy experiences of transgender and gender\u2010expansive individuals: A systematic scoping review from a critical midwifery perspective"],"prefix":"10.1111","volume":"52","author":[{"given":"Elias G.","family":"Thomas","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Amsterdam UMC  Amsterdam the Netherlands"},{"name":"Amsterdam Public Health  Amsterdam The Netherlands"},{"name":"Department of Ethics, Law and Humanities Amsterdam UMC  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9758-1299","authenticated-orcid":false,"given":"Bahareh","family":"Goodarzi","sequence":"additional","affiliation":[{"name":"Amsterdam Public Health  Amsterdam The Netherlands"},{"name":"Midwifery Academy Amsterdam Groningen InHolland  Amsterdam The Netherlands"},{"name":"Amsterdam UMC Location Vrije Universiteit Amsterdam Midwifery Science  Amsterdam the Netherlands"},{"name":"Department of General Practice &amp; Elderly Care Medicine, University Medical Center Groningen University of Groningen  Groningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Frese","sequence":"additional","affiliation":[{"name":"Independent Researcher"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda J.","family":"Schoonmade","sequence":"additional","affiliation":[{"name":"Medical Library Vrije Universiteit Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maaike E.","family":"Muntinga","sequence":"additional","affiliation":[{"name":"Amsterdam Public Health  Amsterdam The Netherlands"},{"name":"Department of Ethics, Law and Humanities Amsterdam UMC  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/26410397.2021.1886395"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/26895269.2021.1997691"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2023.2246059"},{"key":"e_1_2_11_5_1","unstructured":"MolloyJ.She Wanted You to See a Family Not Just a Pregnant Man.2018. 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