Transman loses baby during hysterectomy

[ItsFunToBeAVampire]

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?

Wouldn’t be the first time

Both parent and fetus would have died had the pregnancy progressed - that's why the operation took nine hours and an ITU stay - the placenta was in the scar tissue, which causes uterine rupture.

If a pregnancy test had been carried out, a scan would have followed very quickly and detected the problem, so the procedure could have been carried out in a more planned manner.

Even if they did provide scans immediately upon a positive test and she wouldn't have been left for weeks until rupture, it doesn't change the fact that the fetus would never have made it to birth and the patient would have had to undergo an difficult and dangerous surgery as an emergency.

This is not true. It seems they stumbled across a placenta accreta. If this is found as part of routine pregnancy assessment such as scans at 12 or 20 weeks, it becomes a high risk pregnancy, usually with a very risky controlled delivery around the 35 week mark. This patient’s pregnancy could have progressed to a success outcome. It could also have led to pregnancy loss later or bleeding at some stage needing emergency surgery with a similar outcome to this but it would have been known about, so there would have been a cell saver, cross match etc.

What most likely happened is they discovered the placenta accreta intraoperatively and ran into a nightmare of complications such as bleeding, hence it ended up being a 9 hour operation.

It’s very likely a hysterectomy would have been performed, but a healthy baby was a possible outcome.

I had placenta percreta (a more serious form of placenta acreta). The placenta was attaching to my bowel. DD was born prematurely at 28 weeks and I had to have an emergency hysterectomy otherwise I would have bled to death.

This was not identified until after delivery. They did actually try to remove the placenta which is not something I would wish on anyone. The baby in this case might have survived depending on how far advanced the condition was.

This whole situation is tragic for all concerned and I really hope that the fact of the patient being trans was not relevant in this case.

They did ask. They asked a series of questions which led them to believe there was no possibility of the patient being pregnant

I've said that before but they refused to just take my word for it, and did a test.

has had their sex life speculated over in some rather crass ways

This person was pregnant, are you saying they didn't have PIV sex?

I wouldn't do another tbh, I'd have assumed the hospital had done one as they said they would. Especially if I wasn't trying and was unaware of the pregnancy 🤷‍♀️

If you were suspicious enough that you might be pregnant that you considered buying a test and asked about testing ten days prior to your surgery, you would still wait until you had arranged your life (childcare) around your hospital stay, got to hospital and being prepped for surgery before testing? This was also covid times so in the uk you would have had to self-isolate for those ten days and have a covid test. Why would you do that if you were concerned enough you might be pregnant that you wanted confirmation the hospital would test ten days earlier? Why not buy a test and avoid all that hassle?

She. Men don't need to take pregnancy tests. Women do.

Reading the article, they just relied on the questionnaire instead of doing tests in everyone like they should have done. This could have happened to someone who wasn't trans. This was poor procedure and a massive hospital cockup. You should never rely solely on the patient's word, either about their sexual history or even taking a test. People's memories are unreliable. People lie.

the condition with the placenta sounds like placenta accreta (more severe forms are percreta and increta) It can happen without previous C-sections but the previous scar tissue increases the risk. Depending on the exact situation the baby may be viable. Everything depends on the level of penetration. There are uterine sparing procedures, but many times a hysterectomy is required. Allowing the placenta to try to detach naturally can result in hemorrhage and death.

I'm hiding this thread now as MN and the OP haven't changed the title and it's giving me the rage every time I see 'man' with 'hysterectomy' and 'baby' in the same line.

I quite like the title, reminds everyone that a trans man is a woman , just as a trans woman is a man.

We need to keep reminding people of these simple facts and not allow ourselves to be distracted by the shouting.

Obviously but he's trans. They often have relationships with people also trans. So if he was in a relationship with a trans woman still with they're penis why shouldn't they be able to have sex? The hysterectomy was probably the first stage of his sex change.

Case and point really. Gaslighty gender swap language confuses the issue.

The hospital certainly should not rely on the answers given by someone with such a tenuous grasp of reality that they believe themselves to be a man when they're clearly a woman.