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Background Many transgender individuals desire and experience pregnancy. However, there remains a dearth of information on the unique needs of this population during pregnancy, particularly when it comes to fostering and maintaining mental well-being.Aims This study aimed to identify and describe themes in how transgender people in the United States experience pregnancy, with special attention paid to factors associated with mental well-being.Methods Forty-nine (N = 49) transgender individuals in the United States with current or prior experiences of pregnancy responded to a combination of closed- and open-ended questions through an online survey. Responses were analyzed using statistical and thematic analyses.Results Several variables were associated with mental well-being during pregnancy, including social support, positive and negative pregnancy experiences, and internalized transphobia. Participants’ qualitative responses revealed themes of embodiment, connection, visibility, and marginalization during pregnancy.Discussion This study reveals complex positive and negative experiences of pregnancy among transgender people and reaffirms the importance of providing evidence-based and culturally responsive care for transgender individuals across the perinatal period to both enhance well-being and counter marginalization.
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Stevens et al. (2026) studied this question.
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