The study looks at disparities in neonatal outcomes by the sexual orientation of the birthing person

Our findings highlight the critical need to address the structural barriers and health care needs underlying these disparities. (2/2)

LGB+ people continue to face discrimination and social inequities, impacting their reproductive health. Addressing the mechanisms (e.g., structural barriers and healthcare needs) underlying these disparities is critical. (6/6)

Risk was elevated for gestational hypertension among bisexual and lesbian/gay participants and for preeclampsia among lesbian/gay participants. (5/6)

We found that compared to heterosexual participants with no same-sex experience, mostly heterosexual participants had a 31% higher risk of gestational hypertension. Heterosexual participants with same-sex experience had a 31% higher risk of gestational diabetes. (4/6)

This was one of the few studies to look at sexual orientation disparities in gestational diabetes, gestational hypertension, and preeclampsia, and used data from a large national cohort study in the U.S. (3/6)

This work was led by @payalc.bsky.social, @colleenareynolds.bsky.social, @taborhoatson.bsky.social, @britshmit.bsky.social, & Obedin-Maliver, Austin, Haneuse, McKetta, Soled, Huang, Stuart, Everett, Chavarro, Eliassen, Rich-Edwards. (2/6)

Because LGB+ people experience many sources of social inequities, these disparities may be due to multiple mechanisms. Future work in reducing these disparities (e.g., addressing structural barriers & healthcare needs) is critical for achieving reproductive health equity. (5/5)

For example, pregnancies to mostly heterosexual people are at 22% higher risk of gestational hypertension & offspring of lesbian people are at >2 times the risk of low birthweight. Bisexual & lesbian people experience a high burden of almost all 6 outcomes. (4/5)

We found that LGB+ people may be at higher risk of gestational hypertension, preeclampsia, and low birthweight. However, inequities differ across LGB+ subgroups. (3/5)

We pooled data from two national U.S. cohorts to measure sexual orientation disparities in 6 outcomes: preterm birth, low birthweight, macrosomia, gestational diabetes, gestational hypertension, and preeclampsia. (2/5)