‘the pregnancy will show up in the X-ray/scan’/‘if they are harmed due to their own stupidity then that’s their problem’
What happens to any children who are born harmed as a result of the 'stupidity' of their parents?
Who is responsible?
This is important in terms of liability for hospitals. Could a child (rather than the parent) sue for negligence? Depends on the circumstances but possibly.
Also should doctors flag it as a potential future safeguarding concern if a patient persistently is in denail about their sex to the point of causing harm? For both them and their children.
Or should doctors be turning a blind eye merely 'cos trans' and its therefore 'a valid belief'?
The issue here is really about comorbidity rather than being trans itself.
My experience of pregnancy was that my mental health issues of extreme anxiety meant I got extra support and there was a conversation about the future interests of my unborn baby. Social services were not ultimately involved as they were reassured enough that I was willing to engage and address issues. But it was definitely presented as potentially on the table as it was made clear that it was an issue that health care professionals had to consider when the baby was born. It was about taking responsibility and recognising why you can't avoid certain subjects and avoidance behaviour is harmful.
If you are demonstrating that you are willing to make decisions that place you or your child at risk of harm in the past during pregnancy this may be a problem. Not because you are pregnant but because it's an act of self harm through denial. This would therefore also apply to effective self harm in health care in someway due to your denail of trans status before pregnancy just as much as your actions during the pregnancy.
The concern would be that you would continue to do so in future due to a failure to address comorbid mental health issues then it becomes very relevant and part of a pattern that doctors might look at with some concern both for you and any children you have.
(I'm trying to word this carefully as part of a demonstrated pattern about mental health issues not being addressed rather than being misinterpreted as something else relating to the behaviour of a pregnant woman).
It's not a simple area to navigate and deeply complex and would be down the severity of the individual case and willingness to work with HCPs.
Also see cases relating to custody battles and acting in the best interest of your child and whether your gender identity means you disregard your child's needs in some way.