项网络问卷调查：女同性恋者与双性恋者的妊娠丢失

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1、Pregnancylossinlesbianandbisexualwomen:anonlinesurveyofexperiences一项网络问卷调查研究：女同性恋者与双性恋者的妊娠丢失background:Althoughpregnancylossisadistressinghealtheventformanywomen,researchtypicallyequateswomen’sexperiencesofpregnancylossto‘marriedheterosexualwomen’sexperiencesofpregnancyloss’.Theobjectiveof

2、thisstudywastoexplorelesbianandbisexualwomen’sexperiencesofmiscarriage,stillbirthandneonataldeath.虽然妊娠丢失对于大多数妇女是让人痛苦的事件，这里却只是针对正常男女婚配的妇女来说的，而本文旨在针对研究女同性恋者与双性恋者妇女的妊娠丢失、死胎、新生儿死亡事件。methods:Thisstudyanalysedpredominantlyqualitativeonlinesurveydatafrom60non-heterosexual,mostlylesbian,womenfromth

3、eUK,USA,CanadaandAustralia.Allbutoneofthepregnancieswasplanned.Mostrespondentshadphysicallyexperiencedoneearlymiscarriageduringtheirfirstpregnancy,althoughathirdhadexperiencedmultiplelosses.这份调查源于60位非异性恋者的网上调查数据，这些非异性恋者主要为女同性恋，囊括英、美、加、澳四地同性恋妇女。所有妊娠多为计划内妊娠，大多数受调查者的首次妊娠时就发生了早期流产，三分之一患者还经历多次妊娠

4、丢失。results:Theanalysishighlightsthreethemes:processesandpracticesforconception;amplificationofloss;andhealthcareandheterosexism.Oftherespondents,84%conceivedusingdonorsperm;mostusedvariousresourcestoplanconceptionandengagedinpreconceptionhealthcare.Theexperienceoflosswasamplifiedduetocontex

5、tualfactorsandtheinvestmentrespondentsreportedmakinginimpendingmotherhood.Mostfeltthattheirloss(es)hadmadea‘significant’/‘verysignificant’impactontheirlives.Manyrespondentsexperiencedhealthcareduringtheirloss.Althoughthemajorityratedtheoverallstandardofcareas‘good’/‘verygood’/‘outstanding’,

6、aminorityreportedexperiencingheterosexismfromhealthprofessionals.本研究强调三点：1怀孕过程与治疗2流产影响的扩大化3健康护理与受歧视带来的影响。84%受调查者使用精子库精子受孕，大多数利用各种资源准备妊娠并参加孕前健康护理。流产影响的扩大化除了与上文提到的三点有关，还与受调查者为受孕进行的多种投入有关。许多妇女认为妊娠丢失在她们的生活中会产生“重要”“非常重要”的影响。许多受调查者在妊娠丢失时正在接受健康护理等治疗。虽然大多数认为护理整体标准“不错”“很好”“特别好”，但仍有少数称在护理专业人员那里受到了歧视。

7、conclusions:Themainlimitationwasthattheinflexibilityofthemethodologydidnotallowthespecificitiesofwomen’sexperiencestobeprobedfurther.Itissuggestedthatbothcoupledandsinglenon-heterosexualwomenshouldbemademorevisibleinreproductivehealthandpregnancylossrese