Inclusive Pregnancy and Birthing Terminology

NOT ALL PREGNANT PEOPLE ARE WOMEN

Not all pregnant people are women. Being pregnant as a person who does not identify as a cis woman can make my identity feel invisible. It often feels like all anyone sees about me is that I’m pregnant and therefore I must be a woman.

I know lots of cis women also feel like they lose their individuality while they are pregnant and especially once they are a parent. Some push back against it and some embrace it. I also know that pregnancy, birthing, and breastfeeding have been seen as traditional components of womanhood and there is a lot of push back against people who don’t identify as women claiming these experiences. There is also push back against people who identify as women not wanting to have these experiences and shame/stigma experienced by women who would like to have these experiences but are unable to for whatever reason.

I can’t fight against all these types of social marginalization, discrimination, and stigma in one post. I personally don’t see any of those judgments or identity based limitations as necessary, meaningful, or helpful. Everyone should be allowed to experience whatever aspects of childbearing, child caring, and child rearing they want and if they are unable to we should support them with community rather than shaming them. Regardless, I wanted to share my own personal experiences with this and some recommendations that might help others in the future.

PERSONAL EXPERIENCE

Being pregnant and preparing for a baby requires consuming a huge amount of information and resources, most of which is presented as female-centric. I constantly have to filter out the language in order to apply this information to myself which is exhausting.

It is often hard to tell why I am uncomfortable with the information I’m consuming. Is it because it is all new, different, and overwhelming as anyone preparing for their first child can attest? Is it because picturing myself in that scenario triggers dysphoria which may mean I will need/want to avoid that situation or have a dysphoria management strategy in place? Or is it because the information is presented using language that is triggering dysphoria as I read it?

This makes it extra difficult to know what aspects of birthing and baby care will be more or less difficult for me gender-wise and how to prepare without stressing myself out about things that will be completely fine in the moment.

In order to sort through these reactions, I have joined trans/nonbinary support groups so I can see if I am equally as uncomfortable, anxious, or dyphoric when discussing the same topics with people who share my experiences and use affirming language. I also talk to my therapist and will have appointments scheduled for postpartum as well (highly recommend this for anyone able to access this service). Lastly, I have found The Birth Partner by Penny Simkin to be an invaluable source of balanced information presented almost entirely using gender neutral language.

RECOMMENDATIONS AND RESOURCES

Below is a table of some of the terminology that I have come across and some gender neutral or inclusive alternatives. I hope this helps steer resources and practitioners in a more trans inclusive direction.

Please Note: I paired ‘Gestational parent’ with ‘Mother’ because traditionally, anyone gestating is labeled ‘Mother’ and resources that refer to the ‘Mother’ are often for gestating people in general. Some gestating people are men and will use the term ‘Father’ or other typically male parental term. Similarly, not all ‘Fathers’ are ‘Non-gestational parents’ – they might be the one who gestated the child! But traditional resources referring to the ‘Father’ often mean ‘Non-gestating parent’ or even just ‘Support person’.

The goal is to say what you mean. Do you mean ‘pregnant women’ specifically ie are you referring to a difference of experience between pregnant women and pregnant people of other gender identities? Or do you really mean ‘pregnant people’? Being inclusive isn’t difficult or mysterious. But it does require awareness of the breadth of identities and experiences and self awareness to say what you actually mean.

In addition to using trans-inclusive language, a basic understanding of what dysphoria is and how trans people who are pregnant, birthing, or postpartum may experience dysphoria is necessary for providing trans-inclusive care. Every trans person experiences dysphoria differently and will manage it differently. Knowing how to have those conversations with the gestating trans person in your life will make you a much better support person. As a support person, you are not responsible for identifying or managing their dysphoria for them. Simply knowing how to ask about it, being familiar with the language and experiences, will give them space to discuss it with someone who is showing care and support. Trust me, it makes a big difference.

If you are a birth worker (medically trained or not), here are some other resources that will help point you in the right direction:

• Inclusive lactation style guide from International Lactation Consultant Association and why it matters
• Gender Inclusive Language examples from Trans Care BC
• Moss Froom: Trans & Queer Centered Doula & Childbirth Educator
• Jenna Brown: Love Over Fear Wellness and Birth LLC
• The Birth Partner, 5th Ed by Penny Simkin (also very good resource for gestating and birthing people and their supporters)

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• They/Them Pronouns