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Mothers in same‐sex relationships—Striving for equal parenthood:: A grounded theory study
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (CHiP & WELFARE)ORCID iD: 0000-0002-3238-063X
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (CHiP & WELFARE)ORCID iD: 0000-0003-2722-5544
Linköpings universitet, Sweden.
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (CHIP & WELFARE)ORCID iD: 0000-0002-6223-1109
2019 (English)In: JOURNAL OF CLINICAL NURSING, ISSN 0962-1067, Vol. 28, no 19-20, p. 3700-3709Article in journal (Refereed) Published
Abstract [en]

To get a deeper understanding of how mothers in same-sex relationships think and reason about their parenthood in terms of gender equality, and how they experience early parental support from child healthcare professionals. Background: There is an increasing amount of research on how women in same-sex relationships experience healthcare services when forming a family. Yet there is limited knowledge of what kind of early parental support these women may request. Design: Grounded theory. Follows guidelines for qualitative research (COREQ). Method: Twenty women ranging from 25 to 42 years of age participated in semi-structured interviews. Data collection and analysis took place in parallel, as recommended in grounded theory methodology. Results: The results are described by the core category Same-sex mothers request professional support to achieve equal parenthood, which includes five categories: (a) equality in everyday life, (b) diversity in mother and child attachment, (c) justification of the family structure, (d) ambivalent thoughts about their child's future and (e) a special need for networking and request for professional support. These findings provide a deeper understanding of how same-sex mothers experience their parenthood and the parental support that is offered. Conclusion: Child healthcare professionals need to be sensitive and recognise both mothers as equal parents and offer early parenting groups where two-mother families feel included and supported. Relevance to clinical practice: Healthcare professionals need to be aware of diverse family formations and meet each parent as a unique individual without heteronormative assumptions. Same-sex mothers must be treated as equal parents and acknowledged as mothers. Healthcare professionals should offer inclusive and supportive parental groups to same-sex families. They should also inform and support nonbirth mothers about the possibility to breastfeed.

Place, publisher, year, edition, pages
Wiley Online library , 2019. Vol. 28, no 19-20, p. 3700-3709
Keywords [en]
Caring, encounters, parental support, parenthood, qualitative study, Sweden, two‐mother families
National Category
Medical and Health Sciences Health Sciences
Research subject
Care Sciences; Care Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-44983DOI: 10.1111/jocn.14971ISI: 000477438700001PubMedID: 31240794Scopus ID: 2-s2.0-85068736793OAI: oai:DiVA.org:mdh-44983DiVA, id: diva2:1342132
Projects
Doktorandprojekt: Families with two mothersAvailable from: 2019-08-12 Created: 2019-08-12 Last updated: 2021-08-27Bibliographically approved
In thesis
1. Family formation in two-mother families: Experiences of parental support in antenatal and child health care in Sweden
Open this publication in new window or tab >>Family formation in two-mother families: Experiences of parental support in antenatal and child health care in Sweden
2021 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim with the thesis was to examine same-sex mothers experiences of forming a family, pregnancy, parenthood and parental support from professionals in antenatal and child health care. An additional purpose was to explore professionals' experiences of meeting and supporting families with two mothers.

The results are based on four articles (three studies). The project started with exploratory semi-structured interviews (n = 20) with mothers in same-sex relationships who had children with the help of assisted reproduction at a Swedish clinic. Thereafter, a web survey was designed based on the results from the first sub-study. The survey, as well as a survey on perceived parenting stress (SPSQ), was answered by 146 mothers in same-sex relationships. Finally, focus groups were held with professionals (n = 13) in antenatal and child health care with experience of meeting and supporting families with two mothers.

The results showed that the mothers in same-sex relationships experienced the process of forming a family as a stressful journey in a heteronormative world, and that they lacked psychological / emotional support (Articles I, III). The results also showed that the mothers strived for equal parenthood and that they lacked professional support (Articles II, III).

Furthermore, the results showed that the non-birth mother experienced a lower degree of acknowledgement from antenatal and child health care than the mother who gave birth, and a lower degree of support from antenatal care but no difference in the experience of support from child health care. The mothers also experienced a low degree of parenting stress (Article III).

Professionals strived for an open approach in meeting new parents. They met well-prepared mothers who planned for equal parenting. Professionals expressed that they either gave equal support to all parents, or that they provided tailored support to same-sex mothers (Article IV).

The thesis contributes with an in-depth understanding and increased knowledge about mothers in same-sex relationships' experience of family formation as well as their experience of treatment and support from professionals in antenatal and child health care. Furthermore, it also shows professionals' experiences of meeting and supporting families with two mothers.

Place, publisher, year, edition, pages
Västerås: Mälardalen University, 2021
Series
Mälardalen University Press Dissertations, ISSN 1651-4238 ; 342
National Category
Medical and Health Sciences Nursing
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-55668 (URN)978-91-7485-516-6 (ISBN)
Public defence
2021-10-22, Gamma samt via Zoom, Mälardalens högskola, Västerås, 09:15 (Swedish)
Opponent
Supervisors
Available from: 2021-08-27 Created: 2021-08-27 Last updated: 2021-10-01Bibliographically approved

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Appelgren Engström, HeléneHäggström-Nordin, ElisabetAlmqvist, Anna-Lena

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