[Gesundheitliche Chancengleichheit in der Geburtshilfe durch transkategoriale Kompetenz].

Abstract

Introduction: Not all mothers and newborns have equal opportunities for a healthy motherhood and a healthy start. Differences exist in various diversity characteristics such as low socioeconomic status, migration background, sexual orientation, gender identity, and disability. In addition to a range of increased health risks for mothers and newborns, barriers in the care process, such as lack of awareness of the specific needs and interaction problems between clients and professionals, hinder the utilization of obstetric and maternity services. The elimination of access barriers and mechanisms of discrimination can be achieved through transcategorial competence. In the context of obstetrics and maternity care, transcategorial competence means, for example, the appropriate involvement of relatives in migrant women's care, recognition, and support of different family forms in LGBTI*Q people, and awareness of discriminatory behavior. Continuity in care provided by gynecologists and midwives facilitates healthcare provision and minimizes misunderstandings. The establishment of transcategorial competence requires institutional awareness of forms of discrimination and disadvantage. Interdisciplinary collaboration and diversity-sensitive education and training are crucial for reducing uncertainties and avoiding stereotyping.