A qualitative evaluation of lesbian and gay mothers' experiences of midwifery care

Background/Aims Facilitation of care for lesbian mothers and the effects of midwifery on their experiences is an understudied area of practice. This study explored detailed accounts of midwifery care experienced by lesbian and gay women in the UK, aiming to explore their holistic recollections of accessing midwifery services and identify any learning opportunities to improve equality in clinical practice. Methods This qualitative and phenomenological study was carried out with 10 participants recruited via social media. Semi-structured interviews were used to collect in-depth data on participants' experiences of maternity care. Data were analysed thematically. Results Four themes were found: disclosure of sexual orientation; heteronormative language, communication and behaviour towards the non-biological parent; homophobia and stigmatism (including religious teachings and cultural philosophy); and a desire for normality. Conclusions The identification of barriers in midwifery communication, education and personal philosophy or tolerance to lesbian parenting are indicative of the need for supplementary research, increased cultural competence and facilitation of specialised LGBTQ+ teams. There is a direct correlation between the identified barriers and interpretation of care received. Implications for practice Additional LGBTQ+ education should be provided at all ages from primary school to postgraduate. Culturally competent communication (both verbal and documentation) is needed, and an LGBTQ+ champion or specialised midwifery practitioners should be appointed. Zero tolerance of discrimination should be institutional policy and trust incentives should be implemented for LGBTQ+ diversity and equality.