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Feminism: Sex and gender discussions

Transman loses baby during hysterectomy

317 replies

ItsFunToBeAVampire · 09/08/2023 09:44

Transgender patient loses unborn baby while undergoing hysterectomy while four months pregnant https://mol.im/a/12387829

This article is horrifying.
In my experience women are always given pregnancy tests before surgery, what the hell happened here?

Female-to-male patient loses unborn baby while undergoing hysterectomy

Jesse Pohlner, 38, was four months pregnant when he underwent a full hysterectomy at Royal Women's Hospital in Melbourne during lockdown in 2021.

https://mol.im/a/12387829

OP posts:
Ifeelsuchflutterings · 09/08/2023 11:00

Elepunt · 09/08/2023 10:54

It wasn't standard to conduct pregnancy tests in this hospital, it was only mandatory if the answers indicated there was a chance. This has rightfully now be changed, but the questions were around menstruation and sexual activity- I'd be interested to know the answers given that made the nurse say they didn't need a test. It's also disingenuous for the reasons mentioned previously to discount the impact of a woman's hospital having to play along with someone's delusions on being a man.

My periods can be up to 5 months apart due to my pcos

Would it also have been my fault if i didnt accurately remember exactly when I had sex 5 months ago?

NotBadConsidering · 09/08/2023 10:59

It doesn’t matter if a woman does a pregnancy test. How is the hospital supposed to believe it’s been done on the day of the op? Or by the woman? It has to be done by the hospital. They didn’t because of answers to a questionnaire.

Datun · 09/08/2023 10:58

NotBadConsidering · 09/08/2023 10:56

I rather suspect that if this woman didn't identify as a trans man, there wouldn't be the comments of "it's all her fault, she should have taken a pregnancy test".

No, if the woman didn’t identify as a trans man, the hospital would have done a pregnancy test. It’s extra negligent of the hospital - not the patient - because they allowed ideological beliefs to get in the way of standard medical care. It’s entirely their fault.

Yes. If the trans issue has led to some bad decisions, it's decisions made by the hospital that are relevant.

trans ideology should not be affecting their procedures.

MaggieBsBoat · 09/08/2023 10:58

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Clymene · 09/08/2023 10:58

NotBadConsidering · 09/08/2023 10:56

I rather suspect that if this woman didn't identify as a trans man, there wouldn't be the comments of "it's all her fault, she should have taken a pregnancy test".

No, if the woman didn’t identify as a trans man, the hospital would have done a pregnancy test. It’s extra negligent of the hospital - not the patient - because they allowed ideological beliefs to get in the way of standard medical care. It’s entirely their fault.

But that's not true. The hospital didn't do pregnancy tests as standard for any women.

They rely on women to answer a series of questions to determine whether or not a pregnancy test is needed. That's a stupid system and I'm glad they've changed it.

NotBadConsidering · 09/08/2023 10:57

And by “their fault” I mean the hospital. Not “their” referring to the patient🙄

Ifeelsuchflutterings · 09/08/2023 10:57

I would have thought the GC and feminist line would have been:

For the safety of all women a pregnancy test should always be done. Because some women might be in a position where they have to have a hysterectomy but are not capable of knowing if they are pregnant and because some women carry babies to full term without realising they are pregnant

But apparently according to some on this thread its:

Its the woman's own fault if this happens, she should remember when she last had sex, she should do her own pregnancy test and it doesnt sound like she wanted to continue with a pregnancy anyway

NotBadConsidering · 09/08/2023 10:56

I rather suspect that if this woman didn't identify as a trans man, there wouldn't be the comments of "it's all her fault, she should have taken a pregnancy test".

No, if the woman didn’t identify as a trans man, the hospital would have done a pregnancy test. It’s extra negligent of the hospital - not the patient - because they allowed ideological beliefs to get in the way of standard medical care. It’s entirely their fault.

DisquietintheRanks · 09/08/2023 10:56

NotBadConsidering · 09/08/2023 10:35

The patient being trans is relevant if it led to the patient answering questions wrongly or the nurse making the wrong conclusion from them if there is fallibility in those questions.

Not buying it. They knew the patient had a uterus and in this case that's the only information that was necessary in order to decide to test.

Codlingmoths · 09/08/2023 10:55

This is a hospital fuck up. Those poor poor staff in the theatre, this would take me a long time to recover from in their position.

Princessconsuelabananahammock9 · 09/08/2023 10:55

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Did you really just refer to a human being as an "it"?

And yet people will deny mumsnet is transphobic.

Elepunt · 09/08/2023 10:54

It wasn't standard to conduct pregnancy tests in this hospital, it was only mandatory if the answers indicated there was a chance. This has rightfully now be changed, but the questions were around menstruation and sexual activity- I'd be interested to know the answers given that made the nurse say they didn't need a test. It's also disingenuous for the reasons mentioned previously to discount the impact of a woman's hospital having to play along with someone's delusions on being a man.

Datun · 09/08/2023 10:54

Elsiebear90 · 09/08/2023 10:46

The nurse would have been doing the pre op so would have been aware of what the op was.

I work in a hospital and our policy is anyone of child bearing age gets a pregnancy test (if relevant to the procedure). I think the hospital messed up. Obviously the patient was negligent as well, but that doesn’t excuse the hospital not performing the test when they should have. It should be done regardless of whether the patient thinks they won’t be pregnant to prevent situations such as this, because patients can and do lie, unfortunately.

I completely agree.

And although, from my gender critical point of view, I don't think their trans status should've had the slightest impact, I can't help wondering whether or not it has.

When the NHS are capable of denying that a woman was raped on a female ward because 'no man was present', you cannot underestimate the mind boggling decision-making based on this ideology.

BlueBlubbaWhale · 09/08/2023 10:52

I rather suspect that if this woman didn't identify as a trans man, there wouldn't be the comments of "it's all her fault, she should have taken a pregnancy test".

Agreed

Princessconsuelabananahammock9 · 09/08/2023 10:51

The only reason people are victim blaming is because the patient was trans. This is a traumatic event due to medical negligence.

DisquietintheRanks · 09/08/2023 10:51

Blinkinbloodyhayfever · 09/08/2023 09:54

He should have taken responsibility and done a pregnancy test himself. The mind boggles, quite honestly.

Actually no, the responsibility to test lies squarely with the hospital. I've had to test before all sorts of procedures, it's not generally optional.

Chersfrozenface · 09/08/2023 10:50

Having to tread around being supposed to accept lies and accept biological reality isn't an easy dance to do.

Particularly in the completely captured Australia.

Ifeelsuchflutterings · 09/08/2023 10:50

Flickersy · 09/08/2023 10:43

Hospitals should always do a pregnancy test on any female of childbearing age before this type of surgery.

I rather suspect that if this woman didn't identify as a trans man, there wouldn't be the comments of "it's all her fault, she should have taken a pregnancy test".

I agree

I am infertile, have a coil and cannot get pregnant. But I have still had to have a pregnancy test before a medical procedure that could cause a miscarriage because the process is standardised to avoid situations like this.

And yes i think the comments would be very different if it wasnt trans related

Elepunt · 09/08/2023 10:48

The hospital have changed their policy and all women now get a blood test. Presumably the questions asked have been sufficient up to this point as don't recall seeing this being a widespread or even local issue before. If the person said no I don't have periods due to my medication or whatever then again I think some underestimate the impact of trans ideology and the 'fear' of getting it wrong. If the nurse has said well regardless you need a test in another world they'd be disciplined for it. There should be clear processes and guidance in healthcare settings that protects both patients and staff. Having to tread around being supposed to accept lies and accept biological reality isn't an easy dance to do.

Flickersy · 09/08/2023 10:48

Datun · 09/08/2023 10:40

I'm sure there is more to come out, but for me, the biggest question is why they didn't do a pregnancy test. That's a cock up.

And I don't think you should be relying on patients to do one of their own, either. Or say they have.

Exactly. This apples to women and women who identify as men.

I think a lot of the comments here are borne from the fact this patient is a trans man. Were the patient a woman I would bet there would be nothing but sympathy, and none of this victim blaming "she lied to get the operation, why didn't she take her own pregnancy test" etc. Its extremely unpleasant.

Elizadoloads · 09/08/2023 10:48

Flickersy · 09/08/2023 09:58

So it happened in lockdown, when consultations etc were done remotely and healthcare services were generally under pressure.

The surgery was rushed and booked in for only 10 days after the consultation.

The patient was assured a pregnancy test would be done but this didn't happen.

They were asked a series of questions to determine if pregnancy was a possibility, but still no test was done.

I don't think this has anything to do with the patients trans status, I think this is a hospital cock-up.

I agree. I can't get pregnant and still had to have a pregnancy test before surgery on my foot last year. Its standard practice and clearly should have been done beforehand.

Elsiebear90 · 09/08/2023 10:46

Datun · 09/08/2023 10:30

Transmen can pass far more than transwomen.

I wonder if the nurse wasn't aware of what surgery was about to happen, and genuinely thought she was talking to a man.

The nurse would have been doing the pre op so would have been aware of what the op was.

I work in a hospital and our policy is anyone of child bearing age gets a pregnancy test (if relevant to the procedure). I think the hospital messed up. Obviously the patient was negligent as well, but that doesn’t excuse the hospital not performing the test when they should have. It should be done regardless of whether the patient thinks they won’t be pregnant to prevent situations such as this, because patients can and do lie, unfortunately.

Elizadoloads · 09/08/2023 10:45

thatsn0tmyname · 09/08/2023 09:57

This is why we must, must, must be honest on documents and medical records. Accurately recording sex and gender ensures that we all get the correct treatment for our biological sex.

He was having a hysterectomy so the hospital would have been aware they were operating on a woman. The hospital fucked up by not doing a pregnancy test before surgery.

ginghamstarfish · 09/08/2023 10:45

You mean 'woman loses baby ...' as it is clearly only women who can get pregnant. Anyway, that sounds horrific, and as this was indeed a woman, with female reproductive organs, there should indeed have been a pregnancy test. Seems like you would remember if you had had PIV sex in the last 4 months though, particularly if you were claiming to be a 'man', so not all the hospital's fault - you would assume they at least asked the question.

Unexpectedlysinglemum · 09/08/2023 10:44

'The placenta was growing into his c section scar' that is terrifying no one told me that was a risk when I had an elective c section!