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Individuals who are transgender often want a family and want to be validated as fathers, but may lack support in the reproductive health field. The aim of this qualitative study was to explore midwives' perceptions regarding caring for transmen during labour and birth. Five midwives were recruited from Stockholm-area hospitals, with interviews lasting 17 minutes on average. Qualitative content analysis using an inductive approach was used. Our findings describe the challenges midwives face when caring for transmen in childbirth, includ