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Feminism: Sex and gender discussions

HCPs - midwives, nurses, doctors - do you really use the term "assigned F/M at birth"?

31 replies

GreenUp · 06/08/2020 02:01

Just wondering if any HCPs working in healthcare can explain whether or not the term "assigned male at birth" and "assigned female at birth" are commonly used by HCPs in everyday environments? If so is this a recommended term, a new addition or has it long been used?

I was under the impression that HCPs observe sex at birth based on genital inspection and thought that the concept of "assignment" might happen in a few intersex cases but perhaps this is out of date?

If this is a term you use in everyday practise and if there is some process of assignment involved, could anyone point me to the relevant guidelines, textbook and training etc. used by NHS staff?

I was reading on a forum where people were suggesting that cervical screening targeting "people assigned female at birth" would be an appropriate term to use in place of "people with a cervix" as they said it describes women and wouldn't be insulting to trans people but I thought this is odd as I don't know anyone outside of the trans community who uses this term to describe themselves - but if it is commonplace in the NHS I suppose I will need to update my vocabulary.

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TheGoogleMum · 07/08/2020 12:39

Nah I don't work with babies at all but in a cancer related area and we just use men and women. Breast cancer is breast cancer (occasionally call the treatment site chest wall instead if post mastectomy as the breast tissue is no longer there). Prostate cancer signage mentions men a lot. Transsexuals have been rare in my career so far tbh. When I gave birth I didn't particularly notice ungendered language (I hadn't had my eyes opened to it yet) but i didn't know sex prior to birth and was told I had a girl, nobody assigned it she had female genitals and thats how we knew. Its funny how everyone knows what to look for to 'assign' sex.

NearlyGranny · 07/08/2020 11:30

"Assigned" sounds just like the sorting hat, doesn't it? You pop it on at age 11, not knowing what it will say, and instead of announcing its decision instantly, it turns out you can actually influence it if you feel strongly about not wanting to be a Slytherin, say.

So perhaps JKR really does bear some responsibility for all this crazy. Could it be that the TRAs are all just HP fans who imbibed magical thinking in their formative years? Transitioning is just their polyjuice potion, but it doesn't work on everyone so they get cross until people pretend it does.

Imnobody4 · 07/08/2020 10:04

I'm a bit disappointed, I imagined a moment of silent contemplation followed by ' I now assign this baby male/female.'

Lamahaha · 07/08/2020 08:39

It's a bit ridiculous, isn't it, the "Assigned at Birth" thing, since as people said many/most parents find out during their scans and are told then.
So if anything it should "Assigned at Scan", not at birth, in the most cases.
But of course it is observed, not assigned, and everyone, everyone, knows it's because of external genitals.

GoodyWoolf · 07/08/2020 08:35

We also had the NIPT, for our second child after several losses and we were told that she was a girl at 10 weeks pregnant as well. With my son we were told at 20 weeks during a scan. We never had a surprise at birth and neither child had their sex assigned at birth.

RosieHen · 06/08/2020 23:07

(Ooft. Way too many 'nevers' there)

RosieHen · 06/08/2020 21:51

Former midwife here - have never "assigned" anyone's baby M/F, only very recently I googled AFAB/AMAB myself. Never heard this used in a healthcare setting and hope never to.

JohnnyMcGrathSaysFuckOff · 06/08/2020 21:48

This is all so ridiculous.

I was pg with my twins in 17-18, so 3 years ago now. Then, I had a NIPT (non invasive prenatal test also marketed as Harmony).

It observed male DNA so we knew at least one of the twins was a boy.

I was 10 WEEKS pregnant.

So no one assigned DS male. They didn't even inspect his genitals. They observed his gene when he was basically a tadpole of around 2 months' existence in his mother's uterus.

Assigned, my arse.

GreenUp · 06/08/2020 21:36

Thanks so much everyone who replied - glad to know this isn't commonplace language in medical environments at the moment. I wonder if it will start to take hold though.

PS. Sorry didn't mean to make the list/workplace exclusionary - I realised after I posted that you can't do editing (new user). I just wanted to know if HCPs in the UK (any sector - public or private) use "AFAB/AMAB" in the workplace between themselves or about patients.

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Lamahaha · 06/08/2020 08:13

@EdgeOfACoin

I find it laughable that this term is used at all. 99% of people I know find out their unborn baby's sex before birth.
My daughter is pregnant and just had a scan at 4 months. They told her the baby is a girl. YAY!!!! A sister for gd1!
gassylady · 06/08/2020 08:09

Another doctor who has never heard it used. Again on labour ward it’s always “it’s a girl” or “here’s your girl” no assignment nonsense.

highame · 06/08/2020 08:06

@Kit19 Only by that Gilmore goon I expect but it's worth writing to the Royal College of Nursing to find out what should be taught and why he's allowed to teach.

He is male of course, and it's funny how equality has meant men surging into the NHS and taking over.

Ffsnosexallowed · 06/08/2020 07:56

Of course it isn't. Clinicians don't just randomly assign sexes (or indeed genders) to babies.

Middleagedmidwife · 06/08/2020 07:53

I’ve delivered hundreds of babies and have never assigned a sex at birth! They’re male or female or unknown in rare cases where genitalia are ambiguous. This is such bollocks and if it comes my way I’ll be out of the profession. I’ve already noticed the increases use of gender on forms when they clearly mean sex. I have started to change gender to biological sex on social services forms. They seem to be the biggest culprits!

Kit19 · 06/08/2020 07:18

Gah too soon

So people trained in the past won’t use assigned at birth but i bet they are being taught to use it now

Kit19 · 06/08/2020 07:16

This guy who appears to be an assistant professor nursing seems doesn’t “subscribe to the concept of maje bodiedness”

twitter.com/gilmorejnurse/status/1291063467265458177?s=21

If people like this are teaching nursing I’m lost for words

He also dismissed all the people asking him clear direct questions about the impact of this as transphobes

vinoelle · 06/08/2020 06:53

I’m a Gp and I’ve never heard of this.

Monstamio · 06/08/2020 06:49

I'm due to give birth soon and every HCP I've seen so far has asked conversationally, "Do you know what you're having?" Me: "Yes, it's a boy". There won't be any assigning at birth.

NotBadConsidering · 06/08/2020 06:40

No, never, and I have attended to thousands of newborn babies. The worst part is, it’s being written into legislation as something that happens.

FaiIWorseAgain · 06/08/2020 06:30

IT'S BEEN ASSIGNED MALE!
That's a bit of a mouthful to fit across a helium balloon.

AnyFucker · 06/08/2020 06:03

Of course not. It's made up bollocks for people with a massive agenda.

PawPatrolMakesMeDrink · 06/08/2020 05:33

I’m a HCP (nhs nurse) and just use man/woman/alternative that the individual prefers. I’ve never heard the phrase ‘assigned xxx at birth’ used professionally.

EdgeOfACoin · 06/08/2020 05:05

I find it laughable that this term is used at all. 99% of people I know find out their unborn baby's sex before birth.

teezletangler · 06/08/2020 04:35

I'm a midwife. I say it's a boy/girl. Everyone does! The check boxes in our system for newborn details at birth are male/female/undetermined (for those rare babies born with DSDs).

June628 · 06/08/2020 03:58

HCP (although not one from your list)& have never heard that phrase be used.

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