This article was published in partnership with The 19th , a newsroom reporting on gender, politics and policy.

Three days after Roe v. Wade was overturned, Sam Guido gave birth to his first child. His doctors, unsure of what was still legal, didnt prescribe misoprostol a drug used in medication abortions to help with contractions.

That was another blow, another way in which Guido felt he wasnt in control of his labor. Guido hadnt wanted to give birth in a hospital at all he was afraid to be there. As a transmasculine and nonbinary person, they have faced the same ignorance and discrimination in medical institutions that many trans people in the United States experience . But a home birth just wasnt an option; health insurance wouldnt cover that or midwife care, and Guidos apartment was too small.

Instead, Guido enlisted chosen family and friends to advocate for them in the hospital. Having other trans voices in the room ensured that they were respected by hospital staff as they brought his daughter, T, into the world. Guido asked that The 19th only use his daughters first initial for privacy.

They made sure everybody who came into the room knew that I was going to be Papa, that I was Ts Papa, and that the language that they used surrounding myself and my body was all appropriate, he said.

T is now 17 months old. Guido is grateful for the small wonders of parenthood, like watching T learn to blow kisses and give high-fives, becoming her own person more every day. He and his partner, Joey, both grew up with siblings, and look at them as some of the most important relationships in their lives. They want T to have that kind of special connection. So for the past six months, Guido and Joey have been trying to conceive another child. It has been a beautiful and queer process but not without struggle.