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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:
wlana · 09/08/2023 10:34

Isn’t it the case that after a certain stage in pregnancy, the poas type pregnancy tests come back negative? And in that case an ultrasound would have been needed?

Chersfrozenface · 09/08/2023 10:35

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.

I wonder how many actual men you get in a women's hospital?

NotBadConsidering · 09/08/2023 10:35

JenniferBarkley · 09/08/2023 10:28

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.

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.

Ifeelsuchflutterings · 09/08/2023 10:36

The patient was told there would be a pregnancy test. A medical person then told them they didnt need one.

All this person wanted was to make sure pregnancy tests were always done in future to rule out this happening again, that's hardly a terrible thing to raise awareness of.

The trans thing is a red herring.

The hospital staff messed up here. Yes the patient could have done a pregnancy test themselves but a hysterectomy shouldnt rely on a patient having done one anyway, as there are some patients who wouldnt be able to comply with this (mental health issues, lack of money etc)

MichelleScarn · 09/08/2023 10:36

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.

So no responsibility at all for them to take a test themselves? Is that due to their special status?

Busubaba · 09/08/2023 10:37

Horrific.

Datun · 09/08/2023 10:37

NotBadConsidering · 09/08/2023 10:32

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.

It's an odd one. Because it's my understanding that pregnancy tests are so routine that not to do one would have to be supported by a pretty good reason.

The main one of which is that you're a man.

I wonder if the upshot of this is that men everywhere are going to be subjected to a bloody pregnancy test. Rather than dealing with whatever the issue actually was.

ItStopsHere · 09/08/2023 10:37

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 read that too, but wasn't sure what it meant? Would a hysterectomy have been needed after the birth, or did it mean the pregnancy was never viable in the first place?

Datun · 09/08/2023 10:38

Chersfrozenface · 09/08/2023 10:35

I wonder how many actual men you get in a women's hospital?

I missed that. In which case, the nurse must've known she was talking to a woman.

Cowlover89 · 09/08/2023 10:39

🙄

TakenRoot · 09/08/2023 10:40

Well, there you have it.

Biology.

This is a very disturbing story though, and I don’t wish upset on anyone whatever their sex or gender.

The patient should have been more open about the biological possibility of pregnancy. The hospital should have been aware that openness may be compromised Because Dysphoria, and anyway should surely do all tests on an objective basis, whoever the patient. Childbearing age with ovaries and uterus: do a pg test.

studentgrant · 09/08/2023 10:40

Just count the number of accidental pregnancies. Tons. There should have been tests to check either way.

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.

MichelleScarn · 09/08/2023 10:41

Were they prevented from purchasing a test and doing it?
As pp has said, they recently had PIV sex as a female, with a male, so it's always a possibility.
My sympathy lies with the baby and staff who will have likely been traumatised by performing the operation.

Flickersy · 09/08/2023 10:43

MichelleScarn · 09/08/2023 10:36

So no responsibility at all for them to take a test themselves? Is that due to their special status?

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".

Whatwouldscullydo · 09/08/2023 10:43

So no responsibility at all for them to take a test themselves? Is that due to their special status?

Personal responsibility is something seriously lacking in trans ideology at all levels. Drs seem to have no idea what to do with patients. They seem.surprised at the obvious. Patients seem to expect the safety net lf everyone else doing the thinking for them so they don't ever have to face reality and the consequences of their decisions to deny it.

We would not believe an anorexic if they said they'd eaten that morning.

They'd not believe a drug addict that they hadn't taken drugs that day.

Yet people who very clearly are denying what you can see in front of you can be believed instantly even if it puts their lives at risk?

Doesnt make sense at all.

The hospital should have tested.

But the patient shouldn't be allowed to circumnavigate questions and if they did. If , because we don't actually know, but if they did then that's on them too. Words don't change reality.

Beachbreak2411 · 09/08/2023 10:44

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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!

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.

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.

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 10:48

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.

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.

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.

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

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