International Journal of Transgender Health, 2025, First published online, 8 March 2025

Access to knowledgeable and skilled perinatal care is a human right and a cornerstone of health equity (WHO, Citationn.d.). It is well established through a recent expansion of research within Global North countries that transgender people and their families are currently under-served in perinatal care resulting from entrenched cis-heteronormative assumptions about reproduction and family building that erase and exclude trans people (e.g. Thomas et al., Citation2024). Trans people report non-affirming and discriminatory care which leads to reduced access to and engagement with services and inequitable outcomes (Thomas et al., Citation2024). The intersectional nature of trans exclusion in perinatal care has received less attention. This is an oversight because intersectional analyses demonstrate how trans exclusion overlaps and interacts with other systems of oppression including colonization, racism, classism, and ableism to normalize and privilege only the narrowest conceptualization of pregnant people and families in perinatal care: white, cisgender, heterosexual, able-bodied, socio-economically advantaged and organized in nuclear family units (Parker et al., in press). Perinatal care providers have expressed willingness and desire to improve their care for trans people and their families but lack guidance on how to achieve this (Miller et al., in press; Pezaro et al., Citation2023). Particularly lacking is guidance that addresses the intersectional roots of trans exclusion to produce safe and equitable conditions for all people in perinatal care. (From the introduction). Record #9174