Ciclo gravídico-puerperal do homem transexual e os desafios de acesso e assistência à saúde: uma revisão integrativa da literatura

Abstract

Objective: to identify in the literature the difficulties in access and healthcare faced by transgender men during pregnancy, childbirth and the postpartum period. Method: this is research classified as an Integrative Literature Review. The bibliographic research was carried out using Nursing Databases, Latin American and Caribbean Literature in Health Sciences, Medical Literature Analysis and Retrieval System Online, Scopus and Web of Science, without language or time period limitations. For the research strategy, controlled and uncontrolled descriptors obtained from the Health Sciences Descriptors Portal were used, together with their English counterparts in the Medical Subject Heading, linked to the Boolean operators "OR" and "AND". Results: Six articles were chosen, most carried out in different countries, predominantly descriptive studies with qualitative methodology and level of evidence IV. The findings indicated disrespect for the use of pronouns and social names, the need to deny gender identity, disqualification of professionals, intensification of gender dysphoria in health contexts, denial of assistance, obstetric violence, ridicule, unauthorized access to intimate parts of bodies, problems scheduling appointments, exams, procedures, admission and registration as a parent. Conclusion: it is clear that transgender men suffer violations during pregnancy and postpartum with regard to access and healthcare.