LGBT foundation report into trans experiences of maternity services found to be flawed

[VeloVixen]

So in 2022 the LGBT foundation published a report into the experience of trans and non binary maternity service users which found they had poorer outcomes than non trans service users. Their report made a list of recommendations to the nhs.

Ive just been reading an article today in the British Journal of Midwiifery. (Webb et al. 2023. Trans and non binary experiences of maternity services: cautioning against acting without evidence)

This article has taken a detailed look at the original one and found the original study to be one sided, uncritical framing, lack of conceptual clarity. Lack of thorough engagement with literature. Lack of methodological rigour, poor sampling strategy and survey design which leads to the reports findings being invalid and unreliable.

lack of reliability due to imprecise questions, responses difficult to interpret. Misleading claims in the report due to the poor survey methodology and biased interpretation of responses.

most damming is the claim that the report includes recommendations not related to the (flawed) findings. Eg recommending that staff wearing pronoun badges and lanyards would make trans service users feel welcome when this wasn’t even touched upon in the survey.

Unbelievably for organisation which really should be able to interpret and critically analyse such reports the NHS has announced £100,000 of expenditure on the basis of the report’s recommendations. What a waste of taxpayer money! And these recommendations are being implemented without an assessment of how they may affect other service users (ie women).

I can’t link to the BJM article unfortunately as you need a subscription but it’s 7 pages long and very thorough.

But if they weren’t declaring themselves as NB at the time of giving birth (whatever the F that means), then any poor care they received as a WOMAN in labour has bugger all to do with their later adopted “identity” - if I’ve understood you correctly?

@VeloVixen “Decent PPH” - as in, terrifyingly life threatening? Not a great choice of adjective. I’ve had two PPHs. I’m glad to be here still.

This article has taken a detailed look at the original one and found the original study to be one sided, uncritical framing, lack of conceptual clarity. Lack of thorough engagement with literature. Lack of methodological rigour, poor sampling strategy and survey design which leads to the reports findings being invalid and unreliable.

Lack of reliability due to imprecise questions, responses difficult to interpret. Misleading claims in the report due to the poor survey methodology and biased interpretation of responses.

Copy and paste this regarding every single “positive” trans healthcare article ever.

I’m really pleased to read how critical and straight talking this article is - a great step forward (and away from the current maternity language of ‘birthing people’ and pregnant people). Excellent stuff!

Can you expand on that, @VeloVixen ? It seemed too ridiculous even for the current gender-crazy world.

but then i am guessing if they truly said what they thought it would be disciplinary, obviously depending on their actual view's

I seem to recall there was a photo of the relevant passages at the time, but cba looking for it right now, sorry.

I got the impression that chunks of the workbook had been copied and pasting from a nursing student’s anatomy and physiology workbook. And the stuff about male catheterisation had been inadvertently left in. And that nobody told the midwifery students that they may have to Catheterise the penis of a labouring person. That’s what I was told anyway.

It’s a fairly common term on a labour ward/postnatal ward. I’m sorry you’ve had two pphs.

Really? I take it you haven't heard about how the midwifery profession turned on Milli Hill for speaking biological facts then?

As a woman, personally I would feel less "safe" if my healthcare providers were wearing pronoun badges and rainbow lanyards.

As a woman, personally I would feel less "safe" if my healthcare providers were wearing pronoun badges and rainbow lanyards.

Me too.

Yep.

No you’re right I haven’t heard of any backlash against her from midwives in general. I’m sure there’s a few vocal handmaidens on twitter. But I’ve only heard praise for her and pushback against stuff like chest feeding. I’m not including Brighton in this who have gone full trans agenda.

I’m sure there’s a few vocal handmaidens on twitter.

The problem with social media is it amplifies a very few voices. Twitter especially was a problem pre-Musk when it was heavily censored. The BBC and even many MPs took it to be ‘the voice of the people’ with the BBC using selected tweets as evidence for their news articles further amplifying those few extreme voices and presenting them as representative. I notice the BBC doesn’t do that so much these days. I very much doubt they have seen the light about the unreliability of SM as a news source, probably much more to do with Twitter now allowing the ‘wrong’ view to be shared.

So very disappointing. I assumed , wrongly as it turns out, that identifying t or b would somehow magically transform a bog standard female body with a one way baby exit route into a very special creature with an invisible Velcro baby pouch. It’s almost as though that amazing transformation that physically turns a man into a woman with all the bits, bells and whistles doesn’t work when it comes to women turning into t or b and then having a baby. Seems very unfair to me. Stinks of that same old same old patriarchy.

This article has taken a detailed look at the original one and found the original study to be one sided, uncritical framing, lack of conceptual clarity. Lack of thorough engagement with literature. Lack of methodological rigour, poor sampling strategy and survey design which leads to the reports findings being invalid and unreliable

I'm shocked, I tell you. Just shocked.

Demi-boy? is that like a centaur?

Ahhhh, a refreshingly brusque review, thank you for the link.

No idea what a demi boy is either.