Supporting trans and non-binary people through pregnancy
Pregnancy care isn't a one-size-fits-all; in just 10 minutes, we’ll equip you with the essential skills and confidence to deliver respectful, inclusive maternity care to trans and non-binary patients. This quick introduction will help you feel prepared — not pressured – and is designed to help you feel confident, capable and informed.
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The current landscape
In the UK today, 2% of NHS births are to people who do not identify as women¹. Despite this, many trans and non-binary individuals choose not to disclose their gender identity during maternity care², often because they fear discrimination or poor treatment. Services, research, and training have not kept pace with the needs of this growing patient group¹. Providing inclusive care is essential for improving safety, trust, and outcomes².
NEXT STEP
Which statement is true?
Question 1/5
Please select your answer from the choices below
Only people who have transitioned surgically can get pregnant.
A
B
C
D
Testosterone therapy acts as contraception.
Many trans and non-binary people do not disclose their identity when receiving maternity care.
Trans and non-binary pregnancies are extremely rare.
Many trans and non-binary people choose not to disclose their identity when accessing perinatal services². Inclusive, respectful care should therefore be standard practice for every patient.
Correct!
Incorrect!
Understanding pregnancy for trans and non-binary people
Trans men can become pregnant if they retain a uterus and ovaries². It’s important to remember that testosterone therapy is not a contraceptive², and pregnancy can occur even when menstruation has stopped. Experiencing pregnancy can heighten gender dysphoria for some people³, as bodily changes may feel distressing. Sensitive communication and compassionate care are crucial for supporting these patients during a vulnerable time³.
False
True
Taking testosterone makes it impossible for trans men to conceive.
True or False?
Question 2/5
Testosterone does not guarantee infertility². Even trans men who have stopped having periods can still conceive, meaning fertility discussions remain important.
Birth choices and inclusive care
Many trans and non-binary people can and do give birth vaginally⁴. However, some may request an elective Caesarean section because of gender dysphoria⁴, and this is a completely valid clinical decision. Previous surgeries, trauma, or fears of misgendering can all influence birth choices⁴. Respecting autonomy and creating a birth environment that feels safe and affirming is critical to patient wellbeing⁴.
Trans people are not allowed homebirths.
Only cisgender women have valid birth fears.
Gender dysphoria can justify an elective C-section.
C-sections can only be offered for obstetric complications.
Which of the following is true?
Question 3/5
Gender dysphoria is a valid reason for offering a C-section⁴. Respecting each patient's unique experiences and needs leads to better outcomes.
Language, pronouns and legal context
Respectful communication is fundamental; always ask patients about their preferred name, title, and pronouns. Misgendering or "deadnaming" (using a previous name) can cause significant distress². Under the Equality Act 2010, it is unlawful to discriminate against someone for reasons related to gender reassignment⁶. The Gender Recognition Act 2004 also protects the confidentiality of a person’s gender history, meaning disclosure should only occur with consent⁶.
Partner’s relationship name (e.g., spouse, wife, husband)
Preferred body part terminology (e.g., chest instead of breast)
Favourite food
Preferred title
Which should you ask during the booking appointment?
Question 4/5
E
A, C and D
Asking about titles, body language preferences, and relationship names helps to personalise care and ensures every patient feels seen and respected⁵.
Postnatal support and mental health
Trans and non-binary parents face a higher risk of postnatal depression and mental health struggles compared to cisgender parents⁷. Decisions about chestfeeding, bottle feeding, or resuming testosterone therapy should be fully respected⁷. Compassionate listening, proactive mental health referrals, and culturally sensitive support can make a real difference during the postpartum period⁷.
Trans and non-binary parents are at greater risk of postnatal depression compared to cisgender parents.
Question 5/5
Higher rates of postnatal depression and suicide have been reported among trans and non-binary parents⁷. Awareness and proactive support are key.
You’ve completed the fast-track training on Supporting Trans and Non-Binary People Through Pregnancy.
We hope this learning supports you in your practice — helping you deliver confident, compassionate, and inclusive care to every patient you meet.
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