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Feminism: Sex and gender discussions

Calling medical professionals - 'assigning' sex at birth

47 replies

MmePoppySeedDefage · 27/06/2023 19:19

There's an article in today's Times about medical matters, in which Dr Porter talks about sex assigned at birth. Someone in the comments asked if this was what actually happens, ie it's not ' observed' and he's replied:

Assign has always been the legal term - as long as I remember - it's what we write in the notes at birth based (normally) on external genitalia. I say normally because external genitalia are not always a reliable indicator of being male or female. You can look like a boy and be a female genetically, and vice versa. Rare but happens.Gender is more complex than biological sex - not least due to social constructs.

Is this right?

OP posts:
XDownwiththissortofthingX · 27/06/2023 22:13

Those who claim sex is merely 'observed' at birth seem to be oblivious to the fact that is that were the case, then there would be no record at all of any baby's sex, and the only person with any inkling would be the professional who did the observing.

Likewise, the argument for 'recorded' at birth ignores the fact there are several stages to the process before you can reasonably record anything.

An observation is made, a value judgement made depending on what is observed, a sex assigned depending on that value, and the sex duly recorded. It is therefore entirely true and reasonable to say that sex is 'assigned' at birth whether you like the term or not.

MrsOvertonsWindow · 27/06/2023 22:17

XDownwiththissortofthingX · 27/06/2023 22:13

Those who claim sex is merely 'observed' at birth seem to be oblivious to the fact that is that were the case, then there would be no record at all of any baby's sex, and the only person with any inkling would be the professional who did the observing.

Likewise, the argument for 'recorded' at birth ignores the fact there are several stages to the process before you can reasonably record anything.

An observation is made, a value judgement made depending on what is observed, a sex assigned depending on that value, and the sex duly recorded. It is therefore entirely true and reasonable to say that sex is 'assigned' at birth whether you like the term or not.

How on earth sex is identified in utero is an absolute mystery. It's always depressing to see the medical profession regressing in terms of knowledge & skills but there you go - when an ideology takes precedence over knowledge and facts some people end up looking and sounding foolish. 😄

RoseslnTheHospital · 27/06/2023 22:19

@XDownwiththissortofthingX it's an odd way to force the word assigned into what is a very very simple process. Are weights and lengths assigned too? A baby is placed on some scales, the numbers observed and on the basis of those numbers a weight is assigned and the assigned weight is recorded.

dimorphism · 27/06/2023 22:21

If the self ID ideologues don't take over and people still use science then increasingly, as I did with my second child, people will have blood tests which will unambiguously tell you early on in the pregnancy if the child is XX or XY (or presumably the vanishingly rare other combinations). So sex will be on the notes well before birth.

'Assigned' sex is total bollocks and it's clear on this thread who the real medical professionals are.

I really fear for the future of healthcare if this identity rubbish takes over - we're going to have self identified doctors and surgeons and a much higher death rate.

XDownwiththissortofthingX · 27/06/2023 22:23

RoseslnTheHospital · 27/06/2023 22:19

@XDownwiththissortofthingX it's an odd way to force the word assigned into what is a very very simple process. Are weights and lengths assigned too? A baby is placed on some scales, the numbers observed and on the basis of those numbers a weight is assigned and the assigned weight is recorded.

Yes.

Personally I don't have any preference for what you want to call it, but the fact is, for the purpose of forming a legal record of sex at the time of birth, assignment is very much part of that process as it is impossible to make a record without it taking place, so people that claim 'sex is not assigned' are mistaken.

Dadalus · 27/06/2023 22:29

"Assigned a weight" what utter nonsense.

I think xdownwiththissortofthingx just had their arse assigned to them.

.

RoseslnTheHospital · 27/06/2023 22:29

Ach well I disagree with your theory on that @XDownwiththissortofthingX and certainly the midwives posting here don't consider your use of "assigning" to be relevant.

The reason that "assigning" is used by those pushing gender ideology is to make it seem like the supposed assignment is often incorrect and not based on the reality of sex. Hence making it possible for people who are unequivocally male to become female and vice versa.

allmyliesaretrue · 27/06/2023 22:30

Sick of this crap!! Penis = boy. Vulva/vagina = girl. End of.

dimorphism · 27/06/2023 22:31

I think the issue here is that some people's definition of what 'assigned' means varies. One of the dictionary definitions of 'assigned' is to 'distribute available things'

The TRA suggestion is that this is a random process at birth - so midwives and doctors just have an equal number of male and female stickers which they give out randomly to babies. Rather than being based on observable and measurable facts, facts like having an observable penis or having had a test during pregnancy that shows XY chromosomes (as well as having a penis).

XDownwiththissortofthingX · 27/06/2023 22:32

RoseslnTheHospital · 27/06/2023 22:29

Ach well I disagree with your theory on that @XDownwiththissortofthingX and certainly the midwives posting here don't consider your use of "assigning" to be relevant.

The reason that "assigning" is used by those pushing gender ideology is to make it seem like the supposed assignment is often incorrect and not based on the reality of sex. Hence making it possible for people who are unequivocally male to become female and vice versa.

I agree with your second paragraph, however, it changes nothing about my point that those who state 'assignment' doesn't take place are mistaken.

It's semantic, but nonetheless true.

LeilaRose777 · 27/06/2023 22:33

Can't find the article - does anyone have a link? Ta.

RoseslnTheHospital · 27/06/2023 22:46

"It's semantic, but nonetheless true."

Nope. That's your opinion, your particular interpretation of what's happening.

Piccalillipromises · 27/06/2023 23:05

I knew my child's sex chromosomes before even 20 weeks, thanks to a blood test. Nothing was "assigned" at any point, what absolute nonsense this all is.

h1d1ng1npla1ns1ght · 27/06/2023 23:17

I’ve had four children in hospital, of both sexes, and nowhere on any form or record given to me does anyone use the term “assigned”. I never heard it used out loud either. “It’s a boy” or “it’s a girl”.

h1d1ng1npla1ns1ght · 27/06/2023 23:18

And I didn’t even think about the chromosomal blood tests! I had those, too. So I knew the sex of three of my kids at 13 weeks or whenever they do the test. Long before birth.

fairywhale · 28/06/2023 06:18

RoseslnTheHospital · 27/06/2023 22:19

@XDownwiththissortofthingX it's an odd way to force the word assigned into what is a very very simple process. Are weights and lengths assigned too? A baby is placed on some scales, the numbers observed and on the basis of those numbers a weight is assigned and the assigned weight is recorded.

Well said

NecessaryScene · 28/06/2023 06:25

The term is a direct lift from DSD/intersex advocacy groups, who were using it about not just recording, but actual physical procedures performed to normalise genitalia. And in that context both the "assign" and the "at birth" bit makes sense. The reason it doesn't make sense for "trans" is it's not about them!

What the trans activists are trying to steal is the sense of an artificial imposition - which is what the DSD activists were accurately talking about - rather than the reality of just recording the natural state and not taking any action.

YukoandHiro · 28/06/2023 06:27

MrsFinkelstein · 27/06/2023 19:29

No. Sex is observed at birth. I worked as a Midwife for 11yrs, never came across a baby born intersex, nor heard of any colleagues who did. It's a vanishingly small % of births per year.

"Male" or "Female" was all that was documented. Nothing about assigned.

I don't think you would necessarily know. Some intersex conditions aren't observed by doctors until puberty doesn't progress as expected.

BluebellBlueballs · 28/06/2023 06:28

FannyCann · 27/06/2023 21:31

Also 20 years a midwife. Pretty sure there wasn't a third option back then. In any case we all know sex isn't assigned.

And the whole intersex red herring drives me nuts.
Firstly DSD / Difference of sexual development is the more accurate phrase.
Secondly people with DSD must be pig sick of being co-opted as some sort of gotcha for the cult.

"Anne Fausto-Sterling s suggestion that the prevalence of intersex might be as high as 1.7% has attracted wide attention in both the scholarly press and the popular media. Many reviewers are not aware that this figure includes conditions which most clinicians do not recognize as intersex, such as Klinefelter syndrome, Turner syndrome, and late-onset adrenal hyperplasia. If the term intersex is to retain any meaning, the term should be restricted to those conditions in which chromosomal sex is inconsistent with phenotypic sex, or in which the phenotype is not classifiable as either male or female. Applying this more precise definition, the true prevalence of intersex is seen to be about 0.018%, almost 100 times lower than Fausto-Sterling s estimate of 1.7%."

No sure if it's 0.018% or 0.001% as per @BluebellBlueballs

The higher figure (1.7% or more) that some people quote is ridiculous and includes all sorts of variations in development such as hypospadias.

For a hospital such as the one I trained at, with 9000 deliveries pa these figures would mean:

1.7% = 153 pa
0.018% = 1.62
0.001% = 0.09

Think about it.
How many people with DSD do you know? (Bearing in mind they might not want to shout about it from the rooftops). 152 pa in a large teaching hospital? 3 a week? Really??

In twenty years I can only think of one case, at the large teaching hospital I trained at. A baby with multiple abnormalities including exomphalos and sacral agenesis. It was quickly transferred to a specialist centre and I know no more.
But I am pretty sure it will have had an identifiable chromosomal sex whatever the complicated anatomical presentation.
And that poor little baby's multiple abnormalities have nothing to do with trans or being assigned anything at birth.

pubmed.ncbi.nlm.nih.gov/12476264/

When I said 'like 0.001' I was not being scientifically accurate just trying to say miniscule chance so I'll defer to you on the stats @HaveYouHeardOfARoadAtlas

I'm not a medical professional but my understanding is most if not all DSDs start on a male or female pathway which then goes wrong

I think true ambiguity as to whether the baby woukd hve become a boy or girl had they not had the dsd is v v rare?

YukoandHiro · 28/06/2023 06:28

RoseslnTheHospital · 27/06/2023 19:34

Is this Dr Mark Porter, the showbiz GP? Since when did he last attend a birth and write anything in a baby's notes?

But yes, this also

BluebellBlueballs · 28/06/2023 06:31

YukoandHiro · 28/06/2023 06:27

I don't think you would necessarily know. Some intersex conditions aren't observed by doctors until puberty doesn't progress as expected.

Yes, I have hears of CAIS where the person looks to all intents and purposes like a girl, but the female innards are unformed and only when it gets to puberty and no periods etc is it discovered.

TeenDivided · 28/06/2023 06:38

Sex is observed and recorded. No 'value judgment' required. It is what it is.

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