Evidence map›Paper›PMID 38822631›Full record

ArticleBirth (Berkeley, Calif.)2025

Gender-inclusive language in midwifery and perinatal services: A guide and argument for justice.

Sally Pezaro, John Pendleton, Rodante van der Waal, Sarah LaChance Adams, Mario J D S Santos, Ash Bainbridge, Krishna Istha, Zan Maeder, John Gilmore, Jeannine Webster and 3 more

Abstract read
In one paragraph

Article in Birth (Berkeley, Calif.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Sally PezaroResearch Centre for Healthcare and Communities, Coventry University, Coventry, UK.ORCID 0000-0001-5767-0708
John PendletonResearch Centre for Healthcare and Communities, Coventry University, Coventry, UK.ORCID 0000-0002-6660-5681
Rodante van der WaalCare Ethics Department, University for Humanistic Studies, Utrecht, The Netherlands.ORCID 0000-0003-2152-2695
Sarah LaChance AdamsThe Florida Blue Center for Ethics, University of North Florida, Jacksonville, Florida, USA.ORCID 0000-0002-0436-9812
Mario J D S SantosDepartment of Sociology, Universidade da Beira Interior, Covilhã, Portugal.ORCID 0000-0002-4804-1843
Ash BainbridgeThree Counties School of Nursing and Midwifery, University of Worcester, Worcester, UK.ORCID 0000-0002-0075-8853
Krishna Isthahttps://www.krishnaistha.com.
Zan MaederQueer Doula, Adelaide, Australia.
John GilmoreSchool of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland.ORCID 0000-0002-3943-0724
Jeannine WebsterDublin, Ireland.
Bunty Lai-BoydThree Counties School of Nursing and Midwifery, University of Worcester, Worcester, UK.
Anne Marie BrennanIndependent Midwife, Bristol, UK.
Elizabeth NewnhamSchool of Nursing and Midwifery, University of Newcastle, Newcastle, New South Wales, Australia.ORCID 0000-0001-9080-769X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Effective communication in relation to pregnancy and birth is crucial to quality care. A recent focus in reproductive healthcare on "sexed language" reflects an ideology of unchangeable sex binary and fear of erasure, from both cisgender women and the profession of midwifery. In this paper, we highlight how privileging sexed language causes harm to all who birth-including pregnant trans, gender diverse, and non-binary people-and is, therefore, unethical and incompatible with the principles of midwifery. We show how this argument, which conflates midwifery with essentialist thinking, is unstable, and perpetuates and misappropriates midwifery's marginalized status. We also explore how sex and gender essentialism can be understood as colonialist, heteropatriarchal, and universalist, and therefore, reinforcing of these harmful principles. Midwifery has both the opportunity and duty to uphold reproductive justice. Midwifery can be a leader in the decolonization of childbirth and in defending the rights of all childbearing people, the majority of whom are cisgender women. As the systemwide use of inclusive language is central to this commitment, we offer guidance in relation to how inclusive language in perinatal and midwifery services may be realized.

Indexed as

LanguageMidwiferyPerinatal CareSocial JusticeFemaleHumansPregnancyequitygenderinclusive languageintersectional feminismmidwiferypregnancyreproductive justice

Identifiers

PMID38822631
PMCPMC12434221

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.