Gender Inclusive Care and Intersectionality: A Guide for Perinatal Care Providers

A 20 minute course designed to meet the requirements of California AB 2319, the Amended Dignity in Pregnancy and Childbirth Act

AB 2319 applies to "All staff interacting with perinatal patients or providing care in hospitals, clinics, birthing centers, and emergency departments."

About the CA AB 2319,
The Amended Dignity in Pregnancy and Childbirth Act

What's Different?

Expanded Training

Requires implicit bias training to address intersecting identities and potential harms to patients and infants.

Training Deadlines

Existing providers: Complete training by June 1, 2025.
New providers: Complete training within six months of hire.

Broader Applicability

Extends training to all staff interacting with perinatal patients or providing care in hospitals, clinics, birthing centers, and emergency departments.

Facilities must offer training to physicians providing perinatal care who are not directly employed by the facility.

Reporting & Enforcement

Facilities must submit proof of compliance to the Attorney General by February 1 each year starting in 2026. Non-compliance may result in civil penalties.
AB 2319 added new required learning objectives to the original law (SB 464). As a result, the original course Dignity in Pregnancy & Childbirth—which remains free through 2028 due to California Health Care Foundation funding—now partially, but no longer fully, meets California’s current requirements.

To address the new requirements, Humanitas Institute (formerly Diversity Science) developed a short companion course. When completed together with the free Dignity in Pregnancy & Childbirth course, the requirements of AB 2319 are fully met.

Because this new course (Gender Inclusive Care and Intersectionality: A Guide for Perinatal Care Providers) is not grant-funded, a small fee is required.

To minimize additional burden, the $15 fee also includes access to other California-required courses, including content meeting SB 923, AB 1407, and training requirements for new nurses and nursing students.

Additional courses developed (for example, we are developing a single, consolidated course launching in 2026 that will cover all required content for SB 464 and AB 2319 (currentlyr requires two courses) and will also be included under the same $15 fee.

THE COURSE IS AVAILABLE NOW 

Comprehensive documentation of training quality, content,
and provider compliance is now required.
We provide that to you.

Reporting Requirements: Who Provides?

This law specifically requires evidence-based training and documentation of the training itself. WE WILL PROVIDE THIS DOCUMENTATION.

Detailed description of training content, format, and duration. 

WE PROVIDE TO YOU 

Copies of all written training materials.  

WE PROVIDE TO YOU

List of trained providers & completion date.

WE PROVIDE TO YOU IF LEARNERS COMPLETE THE COURSE ON OUR LMS. YOU PROVIDE IF USING YOUR OWN LMS FOR COURSE DELIVERY 

Categorized list (by job title) of providers who did not participate, employee status, and percentage of noncompliance. 

YOU PROVIDE

About the Course

This 20 minute course equips perinatal care providers to deliver care that safeguards the dignity and comfort of every birthing person

Perinatal care providers serve an increasingly diverse patient population. Understanding how intersections of different identities (“intersectionality”) impact healthcare experiences is critical for ensuring respectful and high-quality care for all birthing people—including transgender and nonbinary patients. 

This evidence-based course introduces the concept of intersectionality in perinatal care, emphasizing how overlapping social identities—such as race, gender, socioeconomic status, and body size—shape patient experiences and healthcare outcomes.

Real-world scenarios illustrate how unconscious automatic reactions, unconscious expectations, and invisible assumptions (sometimes referred to as implicit biases) in clinical settings can impact the quality of care. Special attention is given to the experiences of those who identify as transgender or nonbinary. 

The course provides evidence-based, practical strategies for preventing unconscious assumptions and beliefs from affecting care. Ultimately, this training equips perinatal professionals to deliver care that safeguards the dignity and comfort of every birthing person, no matter their overlapping identities.

Earn .5 hours of ANCC CE or ACCME CME credits

Course Objectives

You will learn:

  1. How intersectionality shapes patient experiences in perinatal care,
  2. How intersecting identities affect our unconscious assumptions and expectations in ways that can shape patient-provider interactions,
  3. Unique challenges faced by transgender and nonbinary birthing individuals in perinatal care,
  4. Best practices and practical, effective strategies to ensure high-quality care for all patients.

High Level Outline

This course is split into 3 Parts:

  1. Understanding Intersectionality
  2. A Closer Look at the Experiences of Transgender Birthing People
  3. Best Practices and Effective Strategies

Course Outline

Part 1: Intersectionality in Perinatal Care

How multiple aspects of identity—such as race, gender, ability, and socioeconomic status—intersect to shape patient experiences.

The unconscious assumptions that can influence patient-provider interactions.

An introduction to the Warmth-Competence Framework, a research-based model that helps explain how automatic perceptions impact healthcare decisions.

Part 2: Addressing Gender Inclusivity in Perinatal Care

The unique challenges faced by transgender and nonbinary birthing individuals.

Barriers to affirming, patient-centered care and their impact on patient trust, engagement, and outcomes.


Part 3: Best Practices for Equitable Perinatal Care

Strategies for reducing bias-driven disparities and fostering a more inclusive healthcare culture.

The role of trauma-informed care, cultural humility, and stress-management techniques in improving patient-provider relationships.

Key strategies for ensuring gender-inclusive communication, documentation, and clinical practices

Actionable Steps for Change: Integrate course concepts into daily practice.


See all our courses!
Skills for Providing Exceptional Patient Care in a Diverse and Changing Wolrd

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