Doctors have been ordered to help Trans men who give birth with ‘chestfeeding’,
A new guideline from the Royal College of Obestricians and Gynaecologists proposes overhauls of cancer screening, childbirth, and fertility treatments to make them more inclusive for transgender and non-binary patients.
It says that trans men should be asked about their preferred manner of feeding before their baby is born and those who chose to chest feed should be offered ‘chest-feeding support in the same manner as for cis-women’.
The guideline covers care for trans and gender diverse people though childbirth, contraception, fertility, gynaecological procedures and cancer treatment and care.
It also says trans women should be put on female wards – even if they retain their male sex organs, and warns that misgendering ‘may cause profound offence.’
The guideline also instructs medics to remember that ‘trans men may have different psychological reactions to pregnancy than cis women’, and says this should be taken into account when developing a birthing plan.
It adds: ‘While some strongly prefer a vaginal birth as an emotionally meaningful experience, others desire disconnection with the process and express a preference for caesarean birth.’
RCOG president Dr Edward Morris said: ‘This is an important guideline which aims to improve the care and experiences of transgender and gender diverse individuals accessing obstetric and gynaecological services.
‘Sadly, trans and gender diverse individuals say they often feel judged and misunderstood by the health service.
‘This can act as a barrier for them when it comes to accessing vital care and we as healthcare professionals have a role to play in making them feel listened to and recognised.
‘This draft guideline is our first attempt to ensure we are providing personalised care for all our patients.
‘We welcome feedback on this draft to ensure the guideline is the best as it can be for clinicians and the trans and gender diverse individuals who use our services.’
Phil Rolland, gynaecological oncologist who helped to draft the guidance, said: ‘It is highly likely that if an obstetrician or gynaecologist hasn’t already consulted or treated a trans or gender diverse patient then it is only a matter of time before they do.’
‘We know that trans people are more likely to have poor experiences when accessing healthcare and we can do better.’
Earlier this year the NHS ditched the terms ‘women’ and ‘woman’ from its menopause guidance, despite ministers promising to crackdown on woke gender-free language in medical advice.
‘Chestfeeding’ instead of breastfeeding and asking men if they are pregnant before getting a scan are just two ways NHS language has gone woke recently.
Health service chiefs have repeatedly defended the changes, saying they want to be ‘inclusive, respectful and relevant’.
But experts have warned de-gendering medical advice could be dangerous as it over-complicates and obscures vital health messaging.
Former Health Secretary Sajid Javid promised to reverse gender neutral language in the NHS before he resigned earlier this month.
Here, we detail some of the ways the woke language storm has engulfed the health service.
NHS removes the word ‘women’ from its MENOPAUSE page
This month it was revealed the NHS’s online guidance about the menopause had the terms ‘women’ and ‘woman’ removed.
The webpage used to describe the condition as ‘when a woman stops having periods and is no longer able to get pregnant naturally’.
But a new, gender-neutral description made in May, says: ‘Menopause is when your periods stop due to lower hormone levels’.
The old advice also highlighted menopause usually occurs in women between the ages of 45 and 55, but about one in 100 women experience it before 40.
But none of this information is included in the overview section of the updated webpage.
In total six mentions of ‘women’ and ‘woman’ have been scrubbed from the page.
Justifying the change, NHS Digital said they wanted language to be ‘inclusive and respectful’.
Experts warned that de-sexing the menopause page meant women with low English or health literacy could miss out and not read further.
The NHS has quietly omitted the terms ‘women’ and ‘woman’ from its webpage on menopause. Pictured here is the older version of the menopause overview page (May 16) which mentioned women six times
But the new version omits women from the overview entirely. Experts have warned women could be disadvantaged by de-gendered medical advice confusing health messaging
NHS midwives told that sex is ‘ASSIGNED’ at birth
Midwives denounced claims they ‘assign’ the sex of children at birth in a row on woke language earlier this month.
The wording came from the Royal College of Midwives (RCM) and Royal College of Obstetricians and Gynaecologists in an ‘inclusivity’ statement.
Their document said: ‘We recognise maternity and gynaecological services will be accessed by women, gender diverse individuals and people whose gender identity does not align with the sex they were assigned at birth.’
But some midwives hit back at the colleges, arguing that they merely ‘observe’ the reality of a baby’s sex at birth — as opposed to deciding it themselves.
Jo Gould, a midwife in Sussex, said she was ‘ashamed’ of her representative body and that the statement was ‘nonsense’ and ‘offensive’.
But the RCM said the phrase ‘sex assigned at birth’ was used correctly arguing it is the UK government’s Office for National Statistics legal terminology for the sex observed at birth and then recorded on the birth certificate.
A statement on inclusivity from the Royal College of Midwives and Royal College of Obstetricians and Gynaecologists has provoked outrage from some midwives on social media for using the term ‘sex assigned at birth’
NHS pregnancy advice refers to ‘chestfeeding’ and refuses to mention breasts
The NHS was criticised over ‘ideological’ new advice for trans parents that failed to mention the word ‘breast’.
A page titled ‘chestfeeding if you’re trans or non-binary’ makes no mention of breasts and refers to breast reduction operations as ‘top surgery’.
It was also accused of ‘normalising’ a potentially dangerous chest-binding technique.
The guidance also encourages people to keep taking hormone transitioning drugs when they ‘chestfeed’, despite admitting ‘it is unclear what effect this could have on your baby’.
The advice was written a year prior to publication but was only issued online after nearly 12 months of internal NHS wrangling.
It provoked concern among nurses and maternity experts, who said the advice fails to warn people about health risks of such practices to both parents and babies.
The term chestfeeding is used throughout the page with the term ‘breast’ omitted. Breastmilk likewise has been replaced with ‘milk from the chest’
The page also says testosterone can pass through breast milk to babies but adds it is ‘unclear’ what affect passing the hormone on to a baby could have
Critics of the page have said it normalises a potentially dangerous ‘binding’ technique used to make breasts smaller using fabric and which can cause a variety of health problems
NHS bosses removed term ‘WOMEN’ on ovarian and womb cancer advice pages
Official NHS advice pages about ovarian, womb, vaginal and cervix cancers were found to have quietly scrubbed the word ‘women’ from their webpages earlier this year.
The term was missing from the landing pages of three sections explaining the cancers, which are only found in biological women.
For example, the original version of the ovarian NHS cancer page featured the line: ‘Ovarian cancer, or cancer of the ovaries, is one of the most common types of cancer in women.’
Another line read: ‘Ovarian cancer mainly affects women who have been through the menopause (usually over the age of 50), but it can sometimes affect younger women.’
However, in an update sneaked out in January — these were removed with the page now saying: ‘Anyone with ovaries can get ovarian cancer, but it mostly affects those over 50.’
The changes were made late in 2021 and early 2022 but only came to light in May.
The old version of the NHS ovarian cancer page as of December 30 2021 (left) mentions women specifically twice, whereas the new version (right) omits them
NHS reinstates the word ‘women’ in its miscarriage advice
In June, the health service added the word ‘women’ back to its miscarriage page following backlash.
The health service replaced ‘women who know they’re pregnant’ with ‘people who know they are pregnant’.
Another line on the page was also criticised for saying miscarriage ‘only affects about one in 100 people’ instead of women.
Despite amending one of the sentences to state that having three consecutive miscarriages ‘only affects about one in 100 women’, other pages in the NHS guidance make no mention of women at all.
A section called ‘aftermath’ refers to ‘people’ seven times but not once to women, including in its sub-paragraph about the emotional impact of a miscarriage.
Another section titled ’causes’ does mention women several times when attributing their age as a factor on their pregnancy, with one in ten expectant women under 30 having a miscarriage compared to five in ten over 45.
NHS Digital has now partially amended the webpage to include the word ‘women’ once at the end
NHS-backed guidance states transwomen can breastfeed
Experts warned newborn babies could be harmed by woke NHS-backed guidance stating biologically born men can breastfeed.
Guidance from the La Leche’s charity — linked to on the NHS’s controversial ‘chestfeeding’ advice page — states biological men who swap sex can stimulate milk supply using the Newman-Goldfarb protocol.
But the procedure, which involves taking a powerful drug called domperidone, has been mired in controversy and is effectively banned in the US because of its side effects.
NHS bosses only recommend it to women struggling to produce milk in some cases because domperidone carries a risk of giving a baby an irregular heartbeat.
Experts told MailOnline how scientists have ‘no idea about the implications’, of breastfeeding in men and that the NHS should focus on improving access to breastfeeding rates for women.
An NHS England spokesperson said the link to La Leche’s advice on the chestfeeding guidance page was to an ‘independent, non-profit support site’ and added does not reflect NHS policy.
Hospitals asking men if they are pregnant before scans
In March, it was revealed that men were being asked if they are or could be pregnant before given radiotherapy by some NHS trusts.
Male cancer patients, as well as those having X-rays and MRI scans, were asked if they were expecting a baby, because the word ‘female’ was replaced by ‘individuals’ for medical procedures.
For example, the Walton Centre NHS in Liverpool now asks ‘all patients under the age of 60, regardless of how you may identify your gender’ whether they could be having a baby.
The dangers that radiotherapy, diagnostic imaging and nuclear medicine pose to an unborn child mean medics must find out if biologically female patients are pregnant before carrying out the procedures.
But campaigners warned the move could spark the beginning of a ‘clinically dangerous’ move to record only gender, and not sex, on medical records.
Patients and their families have also complained of ‘unnecessary confusion and agitation’ for vulnerable patients.
Student midwives being taught how to help biological MEN give birth
In May this year, it was revealed that midwifery students at Edinburgh Napier University were being taught biological men could get pregnant and trans men could give birth even if they have a penis.
In a coursebook that has since been revised, trainee midwives were given detailed instructions on how to treat a male-to-female trans person during childbirth.
The book’s introduction stated: ‘You may be caring for a pregnant or birthing person who is transitioning from male to female and may still have external male genitalia.’
Another section with photo demonstrations detailed how to fit a catheter in a person with a penis and scrotum during labour.
The book also included special instructions for people with prostate glands — which are exclusive to biological men — who may feel particular ‘discomfort’.
Several experts criticised the university, describing the woke material as ‘remarkably ignorant about basic biology, sex and anatomy’.
Bosses at the university have now changed the wording to say, ‘people transitioning from female to male’ rather than ‘male to female’, following the uproar.
NHS told to use inclusive birth terms to avoid offending transgender people
NHS services were told to use ‘inclusive’ terms like ‘chestfeeding’ so trans pregnant people aren’t offended by a Government-funded report published in April.
Produced by charity the LGBT Foundation other suggestions of language change was avoiding terms like ‘vaginal birth’, recommending ‘frontal’ or ‘lower birth’ instead.
The charity also says some trans and non-binary people would benefit from having a private space in hospitals to give birth, so that they are not made uncomfortable by seeing women.
It detailed the experience of one trans person, who said: ‘I didn’t have to go to a ward full of women after giving birth, I was actually provided with a private room for me and baby which was very helpful and accommodating for me and my gender identity.’
The report was based on a survey 121 trans Britons on their experience of pregnancy.
It was commissioned by the Health & Wellbeing Alliance, a partnership between charities and the NHS, which is managed jointly by the Department of Health and Social Care and Office for Health Improvement and Disparities.
NHS hospital tells staff to say ‘birthing parents’ and ‘human milk’
In February last year Brighton and Sussex Hospitals NHS Trust unveiled ‘gender inclusive’ phrases it wanted its staff to use.
These included terms like ‘birthing parents’ and ‘human milk’ rather than ‘mothers’ and ‘breast milk’ to avoid offending transgender people.
The Trust said using ‘gender inclusive’ phrases was part of a drive to stamp out ‘mainstream transphobia’.
Other changes include replacing the use of the word ‘woman’ with the phrase ‘woman or person’, and the term ‘father’ with ‘parent’, ‘co-parent’ or ‘second biological parent’, depending on the circumstances.
The new terms will be used for documents, protocols and Trust-wide communication.
The move was welcomed by inclusivity campaigners at the time, with the group TransActual tweeted: ‘This is fantastic, well done. Let’s hope many more trusts follow suit. Everybody deserves to be treated with dignity and respect.’