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?

Of course being trans was relevant:

The night before the operation, a nurse used a chart to ask him a series of yes and no questions that ultimately ruled a pregnancy test wasn't required.

It’s highly likely the answers to these questions would have been influenced by medical treatments such as testosterone. The patient could well have had suppressed menstruation as a result, didn’t think it was possible to be pregnant. They should have done a test anyway, but it’s likely being trans clouded judgement.

Why, when they discovered it was a 4 month gravid uterus, didn’t they stop?

So woman had sex with man and gets pregnant.

Because of "make believe " accepts no responsibility and its the Hospitals fault.🙄

'The night before the operation, a nurse used a chart to ask him a series of yes and no questions that ultimately ruled a pregnancy test wasn't required.'

Looks like a hospital mistake to me, surely they should always do a test regardless of some questions

In answer to your last point, apparently the placenta was growing into the C-section scar, which would have meant a hysterectomy was needed in any event.

I am not a medic and don't know if that's best practice, but that's what was in the article.

Given the patient requested a pregnancy test before the surgery and wasn't given one, I'm fairly sure this sounds like a hospital issue.

To add, in order to be accepted for surgery, individuals usually have live as the gender they wish to acquire for a period of time and complete psychological assessment. Requirements vary between countries and providers.

Inevitably, there is information online about how to "pass" psychological assessments. This can lead to those wanting surgery giving rehearsed answers instead of answering truthfully.

Bottom line? Don't lie to HCP to get what you think you want.
And definitely don't then complain if it turns out that what you said you wanted and lied to get, doesn't live up to expectations.

None of us know do we, this is where it gets cloudy and lots of people don't know how to deal with someone presenting and pretending to be a man when they are actually a woman. Undoubtedly this woman should have still had a pregnancy test, but I wouldn't just the nurse without knowing the answers to the questions. I wonder if this woman wasn't pregnant if they'd have ran to social media to state how the transphobic nurse forced me to have a pregnancy test even though I'm a man.

Judge*

It is standard policy to ALWAYS have a pregnancy test before a hysterectamy. The Hospital cocked up here

Why didn't they say anything then? Couldn't be there's some rewriting of history here? I can't imagine anyone if they were so set on having a pregnancy test just accepting a nurse saying no.

I would imagine that the pre-operation medications plus the initial cuts for the operation would be quite a shock to the body. It might be sufficient for a miscarriage to be triggered even if they stopped and closed up as soon as they discovered the foetus.

I thought All female patients were given pregnancy test regardless ?

Surely this highlights the stupidity of allowing people to change sex markers. And all this " training" that terrifies staff into thinking anything that alerts a patient to their sex will get them into trouble.( remember the broken arm fiasco)

The medical field should never have allowed themselves to become captured like this. People will die. Taking a pregnancy test isn't a value judgement. Its not there to prove you know nothing about your teenage daughters life or you can't be trusted to use a condom or that your identity is not valid. Its there to ensure they don't potentially kill you or remove the choice about what to do with a pregnancy.

Staff should not have to be running scared of upsetting patients. There should be no confusion over what questions you can ask.

And as I've just said on another thread. Can the answers of someone who is denying biological reality even be trusted.

In an email from the hospital, Mr Pohlner was told that depending on his last period or if he was sexually active that he may require a pregnancy test.

Presumably Mr Pohlner, being a mother to several children, knows that having PIV sex may result in pregnancy. Pregnancy tests are available over the counter. From the supermarket. Online. Etc.

When the hospital should do a pregnancy test as a matter of course, I wonder whether they were tiptoeing around the issue to avoid causing offence.

Ironic that Mr Pohlner elected to have surgery at the Women's Hospital.

*While the hospital ...

I agree the hospital were at fault for promising a test and not giving one. However I do wonder what the questions and responses were to make the nurse consider it wasn’t needed.

'The night before the operation, a nurse used a chart to ask him a series of yes and no questions that ultimately ruled a pregnancy test wasn't required.'

Wouldn't the answers have been, yes I've had sex, my last period was three months ago and I've been throwing up.

Unless she looked exactly like a man, and the nurse thought she was being forced to do the politically correct thing of asking a man if he could possibly be pregnant, so rushed through it as a tick box exercise.

If the truth was told yes those would be the answers, but none of us know what was actually said do we.

The patient being trans is irrelevant - the hospital performed a hysterectomy on someone who was pregnant. It doesn't matter the reason for the hysterectomy.

The hospital has a new procedure to test for pregnancy, I wonder whether this is standard elsewhere or not.

I think the hospital were at fault here, I’m a lesbian married to a woman, so no chance of pregnancy what so ever, I have had a few procedures and I tell them this and they still make me take a test.

Nurse completed yes or No questioner with the patient before op ?

it's called taking responsibility.
This person had sex with a man.. .result pregnant.

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.

Bullshit.

The only people responsible for this horror are the hospital.
Someone failed to a fundamental part of the preparation before a hysterectomy which is a pregnancy test.

To me this seems very typically of the hospital fuck-ups that happened during covid.

Wouldn't the answers have been, yes I've had sex, my last period was three months ago and I've been throwing up.

But it also could well be:

Yes I’ve had sex and I haven’t had period in ages but that’s normal for the testosterone I’m on and I can’t get pregnant on testosterone.

And a nurse who’s naive and inexperienced enough to believe it.

Two holes lining up in the classic Swiss cheese model of root cause analysis of medical error.

Not really the point but it’s pretty distasteful that they are illustrating this article with pictures of live full term babies.