Pregnancy Outcomes in a US Cohort of Transgender People

This study assesses severe parental morbidity, cesarean deliveries, and preterm births among commercially and publicly insured trans people compared with cisgender people.

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Bibliographic Details
Published inJAMA : the journal of the American Medical Association Vol. 329; no. 21; pp. 1879 - 1881
Main Authors Stroumsa, Daphna, Moniz, Michelle H, Crissman, Halley, Dalton, Vanessa K, Tilea, Anca, Pfeiffer, Paul N, Marsh, Erica E
Format Journal Article
LanguageEnglish
Published United States American Medical Association 06.06.2023
Subjects
Online AccessGet full text
ISSN0098-7484
1538-3598
1538-3598
DOI10.1001/jama.2023.7688

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Abstract This study assesses severe parental morbidity, cesarean deliveries, and preterm births among commercially and publicly insured trans people compared with cisgender people.
AbstractList This study assesses severe parental morbidity, cesarean deliveries, and preterm births among commercially and publicly insured trans people compared with cisgender people.
Author Crissman, Halley
Tilea, Anca
Moniz, Michelle H
Dalton, Vanessa K
Marsh, Erica E
Stroumsa, Daphna
Pfeiffer, Paul N
AuthorAffiliation 2 Department of Psychiatry, University of Michigan, Ann Arbor
1 Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor
AuthorAffiliation_xml – name: 1 Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor
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Cites_doi 10.1186/s12884-017-1491-5
10.1016/j.socscimed.2015.11.010
10.1089/trgh.2016.0031
10.1093/jamia/ocy022
10.1080/26895269.2020.1841058
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References jld230034r4
Blosnich (jld230034r6) 2018; 25
Moseson (jld230034r1) 2021; 22
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Hoffkling (jld230034r2) 2017; 17
Proctor (jld230034r5) 2016; 1
37874577 - JAMA. 2023 Oct 24;330(16):1587. doi: 10.1001/jama.2023.16208
References_xml – volume: 17
  start-page: 332
  year: 2017
  ident: jld230034r2
  article-title: From erasure to opportunity: a qualitative study of the experiences of transgender men around pregnancy and recommendations for providers.
  publication-title: BMC Pregnancy Childbirth
  doi: 10.1186/s12884-017-1491-5
– volume: 147
  start-page: 222
  year: 2015
  ident: jld230034r3
  article-title: Transgender stigma and health: a critical review of stigma determinants, mechanisms, and interventions.
  publication-title: Soc Sci Med
  doi: 10.1016/j.socscimed.2015.11.010
– ident: jld230034r4
– volume: 1
  start-page: 250
  issue: 1
  year: 2016
  ident: jld230034r5
  article-title: Identifying the transgender population in the Medicare program.
  publication-title: Transgend Health
  doi: 10.1089/trgh.2016.0031
– volume: 25
  start-page: 905
  issue: 7
  year: 2018
  ident: jld230034r6
  article-title: Using clinician text notes in electronic medical record data to validate transgender-related diagnosis codes.
  publication-title: J Am Med Inform Assoc
  doi: 10.1093/jamia/ocy022
– volume: 22
  start-page: 30
  issue: 1-2
  year: 2021
  ident: jld230034r1
  article-title: Pregnancy intentions and outcomes among transgender, nonbinary, and gender-expansive people assigned female or intersex at birth in the United States: results from a national, quantitative survey.
  publication-title: Int J Transgend Health
  doi: 10.1080/26895269.2020.1841058
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SubjectTerms Cesarean Section
Delivery, Obstetric
Female
Humans
Letter
Letters
Male
Morbidity
Online First
Pregnancy
Pregnancy - statistics & numerical data
Pregnancy Outcome - epidemiology
Premature birth
Research Letter
Transgender persons
Transgender Persons - statistics & numerical data
United States - epidemiology
Title Pregnancy Outcomes in a US Cohort of Transgender People
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