Queer couples’ narratives of birthing: a B.C. focus on the intersections of identity, choice, resources, family, policy, medicalization, and health in the experiences of queers birthing

This thesis focuses on the narratives of 10 queer couples’ birthing experiences in British Columbia. Not only does this thesis add to the continually growing anthropological interest in reproduction and kinship, but it also is able to reflect very practically on two recent changes in British Columbia: 1) the regulation of midwifery in 1998, and 2) the legal possibility of having two women named on their child’s birth certificate, since 2002. Three large themes arose from the research narratives: 1) the choices and experiences of having a ‘medical’ and/or ‘natural’ birth, 2) defining what ‘kinship’ and ‘family’ mean, and how roles and recognition are managed in a queer-parented family, and 3) how bureaucracies understand and deal with queer-parented families. In the end, this thesis provides an important and unique look at birthing and familial recognition in one of the most queer-friendly places in the world

Gender identity and in/fertility

Pregnancy is considered a feminine experience in mainstream Canadian culture. Babies identified as female at birth are expected to grow up to become feminine heterosexual mothers. This research considers the desires, choices, and experiences of individuals who were identified as female at birth, but who do not identify as feminine heterosexual women; this dissertation focuses on the reproductive desires, choices, and experiences of butch lesbians, transmen, and genderqueer individuals in British Columbia. Three methods and two distinct populations formed this research. Participant observation was conducted in 21 cities across southern BC. Questionnaires were completed by 28 health care professionals (HCPs), and by 46 butch lesbian, transmen, and genderqueer (BTQ) individuals. Face-to-face interviews were conducted with 10 HCPs, 8 BTQ individuals who had experienced at least one successful pregnancy, and 4 BTQ individuals who had either experienced or been diagnosed with a condition linked to infertility. What I found, is that for many BTQ individuals, reproduction associated with the female body (ie: pregnancy and breastfeeding) is not exclusively considered a feminine desire or experience. In fact, what I discovered is that BTQ individuals who experience pregnancy and breastfeeding explicitly challenge the cultural fetish associating femininity with reproduction (including pregnancy, breastfeeding, mothering, and fertility). Thus, I highlight not only the typically ignored desire and achievement of pregnancy of BTQ individuals, but also how BTQ individuals have experienced breastfeeding, how some BTQ parents raise queerlings, and how some BTQ individuals have negotiated diagnoses and experiences of infertility. Overall, I highlight the unique and various expectations and experiences that butch lesbians, transmen, and genderqueer individuals have regarding their ‘female’ (and potential) biological reproduction. In the end, I hope that by presenting the diverse reproductive experiences, desires, and choices of BTQ individuals, that I can foster more of an understanding of these experiences, desires, choices, and individuals, and thus challenge the cultural fetish that links femininity with ‘female’-associated reproduction. Moreover, I offer recommendations for health care professionals in an effort to foster more understanding in BTQ health care, as well as help to facilitate more queer competent health care professionals.Graduate Studies, College of (Okanagan)Graduat

Transmasculine individuals’ experiences with lactation, chestfeeding, and gender identity: a qualitative study

Background: Transmasculine individuals are people who were assigned as female at birth, but identify on the male side of the gender spectrum. They might choose to use and engage their bodies to be pregnant, birth a baby, and chestfeed. This study asked an open research question, “What are the experiences of transmasculine individuals with pregnancy, birthing, and feeding their newborns?” Methods: Participants who self-identified as transmasculine and had experienced or were experiencing pregnancy, birth, and infant feeding were recruited through the internet and interviewed. Interviews were transcribed verbatim. We used interpretive description methodology to analyze the data. Our analysis was guided by our awareness of concepts and history important to the transgender community. Results: Out of 22 participants, 16 chose to chestfeed for some period of time, four participants did not attempt chestfeeding, and two had not reached the point of infant feeding (i.e., were still pregnant or had a miscarriage). Nine of the 22 study participants had chest masculinization surgery before conceiving their babies. Six participants had the surgery after their children were born, five desired the surgery in the future, and two did not want it at all. Chest care, lactation, and chestfeeding in the context of being a transgender person are reported in this paper. The participants’ experiences of gender dysphoria, chest masculinization surgery before pregnancy or after weaning, accessing lactation care as a transmasculine person, and the question of restarting testosterone emerged as data. We present the participants’ experiences in a chronological pattern with the categories of before pregnancy, pregnancy, postpartum (6 weeks post birth), and later stage (beyond 6 weeks). Conclusions: The majority of participants chose to chestfeed while some did not due to physical or mental health reasons. Care providers should communicate an understanding of gender dysphoria and transgender identities in order to build patient trust and provide competent care. Further, health care providers need to be knowledgeable about lactation and chest care following chest masculinization surgery and during binding, regardless of the chosen feeding method and through all stages: before pregnancy, during pregnancy, postpartum, and afterward.Arts and Sciences, Irving K. Barber School of (Okanagan)Non UBCCommunity, Culture and Global Studies, Department of (Okanagan)ReviewedFacult

Advantage and Disadvantage across Australia's Extended Metropolitan Regions: A Typology of Socioeconomic Outcomes

New national and international economic and social forces have reshaped national geographies in general and the characteristics of cities in particular, resulting in a range of diverse social and spatial outcomes. These outcomes, which include greater differentiation across, within and between cities has become a feature of the economic and social forces associated with post-Fordist social structures. Taking localities across Australia's metropolitan regions, this paper develops a typology of advantage and disadvantage using a model-based approach with clustering of data represented by a parameterised Gaussian mixture model and confidence intervals of the means providing a measure of differences between the clusters. The analysis finds seven clusters of localities that represent different aspects of the socio-spatial structure of the metropolitan regions studied