trans birth parents

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Free resources: Perinatal care for trans people

On 8 February 2021, Brighton and Sussex University Hospitals NHS Trust published a series of groundbreaking resources on perinatal care for trans people, written by their Gender Inclusion Midwife team. As of March 2025, the Trust no longer exists, the midwives in question work elsewhere, and the resources page was sadly taken down – a sadly all-too common experience with NHS guidance for working with marginalised peoples.

Given the importance of these materials, for which I was part of a large team of expert reviewers, I am reproducing them on my website today for Trans Day of Visibility 2025, alongside some related resources.

I hope these will be of interest and use to anyone interested in improving perinatal care for trans people, including midwives, nurses, doctors, policymakers, commissioners, advocacy groups, and of course also families and prospective parents.

Professional guidance and protocols by the Gender Inclusion Midwives

Perinatal Care for Trans and Non-Binary People

Gender Inclusive Language in Perinatal Services


Information, forms, and materials for birth parents by the Gender Inclusion Midwives

Support for trans and non-binary people during pregnancy, birth and the postnatal period

Referral to Gender Inclusion Midwives

My language preferences

Pronoun stickers

Poster: Gender Inclusive Perinatal Care


Additional materials

It’s been a long four years since the Gender Inclusion Midwives resources were published. Here, therefore, are a few additional materials that may be of help to people working in this area.

National Maternity Survey data on trans birth parents
Since 2021 the Care Quality Commission has collected data on gender modality as part of its annual National Maternity Survey. The most recent findings indicate a significant rise in the number of men and non-binary people giving birth since 2021, with 1.58% of 2024 respondents indicating a gender that differs from the sex they were assigned at birth. This shows that hundreds of trans people are giving birth in England every year. See: Open data > 2024 Maternity survey National tables > page g9.

Inclusive language statement from the Royal College of Midwives
2022 statement affirming both that a majority of RCM members and service users are women, and that diverse gender identities should be recognised in midwifery.

Improving Trans and Non-Binary Experiences of Maternity Services (ITEMS)
2022 report published by the LGBT Foundation, looking at the findings of an English study on the experiences of 121 trans people who conceived and gave birth. It found that many trans birth parents do not feel safe sharing their identity in perinatal services, with a large proportion not feeling comfortable to access any support at all from an NHS or private midwife.

Trans Pregnancy Project website
I reviewed the Gender Inclusion Midwives resources as part of my work on the Trans Pregnancy Project, which was an international study of trans people’s experiences of pregnancy and childbirth. This year we launched a new website. This includes links to all our peer-reviewed publications, on topics including conception, pregnancy loss, midwifery, gender and embodiment, domestic violence, racialisation, and media representation.

Caring for Everyone: Effective and Inclusive Communication in Perinatal Care
One of the key recommendations of the Gender Inclusion Midwives’ guidance on Gender Inclusive Language in Perinatal Service is the adoption of “additive” language. This approach acknowledges male and non-binary birth parents alongside mothers, rather than simply replacing woman-centred language with a gender-neutral approach. This 2025 academic article by Matthew Cull, Jules Holroyd, and Fiona Woollard provides advice on a “pluralist” approach to language, which builds upon the additive model by offering a more contextual approach. It includes clear examples of what best practice can look like.

Image of poster on gender inclusive perinatal care. For version accessible to text reader, see download link above titled Poster: Gender Inclusive Perinatal Care.
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Free essays! Queer punk, trans-inclusive midwifery, and trans health law

In recent years I have co-authored numerous peer-reviewed essays for edited collections. I have just made three of these freely available, from books originally published in 2020 and 2021.

Why is this happening now? Well, it’s basically due to moves toward so-called “open access” within the bizarro world of academic publishing. I try and publish my work in places that will also let me share my work for free. For book chapters, publishers usually impose an embargo period of 2-3 years, after which authors are allowed to share the post-peer-review version on our own website. The essays I have recently uploaded have all had their embargo end, so I’m excited to now share them more widely.

You can download the essays by clicking on the links below.

Queering Community Development in DIY punk spaces
Also published in the book: Arts, Culture and Community Development (Policy Press)
Written with my long-running collaborator Kirsty Lohman, this essay looks at grassroots community organising within queer, feminist, and anti-racist punk spaces. We argue that this organising is often prefigurative: that is, it actively models and enacts the changes that punks want to see in the world. Looking at events such as First Timers and Decolonise Fest, plus bands such as Big Joanie, we explore what happens when marginalised people create their own cultural spaces, and seek to facilitate access to these spaces for others who are often denied artistic and political expression.

Men transmasculine and non-binary people and midwifery care
Also published in the book: Midwifery Essentials (Elsevier)
I contributed to this essay as part of the Trans Pregnancy research project team. Our project spoke with over 50 men, transmasculine, and non-binary people who experienced pregnancy and childbirth in Australia, Bulgaria, Canada, Germany, the UK, and the USA, plus a handful of midwives who have supported people from this group. In this short essay, we briefly outline the positive and negative experiences that trans birth parents reported having with midwives, plus challenges reported by midwives themselves. On this basis we make 8 recommendations for developing best practice with trans people in midwifery services.

Depathologising Gender: Vulnerability in Trans Health Law
Also published in the book: A Jurisprudence of the Body (Palgrave Macmillan)
I co-wrote this essay with Chris Dietz, a scholar of Law at the University of Leeds. Drawing on feminist and trans critiques of human rights models, plus an analysis of gender recognition laws in countries including Argentina, Denmark, and the UK, we argue for a new approach to understanding the fight for depathologisation in law and medicine.

These three essays are just some of the many peer-reviewed academic publications I make freely accessible on this website. For more work on a range of topics relating to trans studies, feminism, and/or community development, see my publications page.

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Trans inequalities in English perinatal care

About a month ago I participated in the TPATH conference. This groundbreaking online event centred trans healthcare practice, research, and activism by and for trans people.

I was very impressed with the measures taken by TPATH organisers to ensure the conference was accessible to as many people as possible from around the world. They organised live translation to and from English, French, and Spanish, provided live captioning, encouraged presenters to speak slowly and clearly to enable lipreading, and ensured that generous scholarships were available for those who would not otherwise afford to attend. Most of the event was recorded, and videos are gradually being uploaded to the TPATH Youtube channel.

At the conference I joined Tash Oakes-Monger from NHS England to present initial findings from the ITEMS project (Improving Trans Experiences of Maternity Services). The ITEMS team, led by Michael Petch from the LGBT Foundation, ran a survey in early 2021 to explore the experiences of trans people (including non-binary people) who give birth in England. I supported the design and dissemination of the survey through my former role with the Trans Learning Partnership.

Bar chart indicating that increasing numbers of trans and non-binary people are giving birth in England every year.
Bar chart indicating growth in number of trans people giving birth in England each year.


There is some really exciting information emerging from the ITEMS data. For example, it appears that more trans people are giving birth than ever before (see above). However, it was also apparent that trans people face substantial inequalities.

Many of the questions in the ITEMS survey used comparable wording to the CQC Maternity Survey – from this we can see that trans people appear more likely to have negative experiences in NHS maternity services than cis women across the board. Even more disturbing is that 30% of trans respondents gave birth without the support of an NHS or private midwife (rising to 46% among trans people of colour). This indicates a lack of trust in midwifery services among prospective trans birth parents, with potentially lethal consequences for both parent and baby.

To learn more, you can watch our presentation on the TPATH Youtube channel.

A formal report of ITEMS findings should be published in the coming months.