Pregnancy

Fury over new NHS advice on trans pregnancy which refers to ‘breast feeding’

The new NHS pregnancy and breastfeeding advice page that has raised concerns

New NHS advice for trans parents has been described as ‘ideological’ for failing to mention the word boobs and ‘normalising’ a potentially dangerous breast attachment technique.

The advice also encourages people to continue taking hormone transition drugs when ‘nursing’, although they admit ‘it is unclear what effect this might have on your baby’.

The notice was written a year ago but was only published online this week after nearly a year of internal wrangling over whether to publish.

It raised concerns among nurses and members of the public, who said the advice failed to warn people of the health risks to parents and babies.

A page titled “breastfeeding if you are trans or non-binary” makes no mention of breasts and refers to breast reduction operations as “superior surgery.”

The advice also has a section on binding, a technique used by women transitioning to men to flatten their breasts, usually with extremely tight-fitting bras.

Experts have previously warned that the technique can cause bruised ribs, broken bones, breathing difficulties and infections.

Even advice from NHS England in 2008 stated that fixtures should only be used for short periods of time, as they “can cause back problems” and can distort breast tissue, which could affect any future breast removal surgery.

The new NHS pregnancy and breastfeeding advice page that has raised concerns

The new NHS pregnancy and breastfeeding advice page that has raised concerns

The page’s critics said it normalized a potentially dangerous “binding” technique used to reduce breast size using tissue and which can cause a variety of health issues.

The page also says testosterone can pass through breast milk to babies, but adds that it’s “unclear” what effect passing the hormone to a baby might have.

The term breastfeeding if used throughout the page with the term “breast” omitted. Breast milk has also been replaced by “breast milk”

The new NHS page says women who bond may have a higher risk of getting an infection called mastitis, a breast infection that can make breastfeeding more difficult.

A separate page admits “it’s not clear” what effects taking testosterone and “breastfeeding” will have on the baby.

He also adds, “It is also important to consider your own well-being if you find that not taking testosterone triggers dysphoria. ‘

Kat Barber, a nurse from Shrewsbury, said the NHS had failed to adequately highlight the risks involved in her advice.

“There’s advice here that denies mentioning that bonding while breastfeeding can negatively impact health care supplies,” she tweeted.

“Specific advice for trans people is great, but it deserves to know the full range of possible harm, and the NHS has a duty to make that clear.”

James Esses, a former lawyer, who frequently posts about gender issues on social media, accused the NHS of using “ideological language” instead of acknowledging medical realities.

“He uses the ideological language of ‘chestfeeding,'” he said.

“Most concerning is that it normalizes breast binding, which studies have shown can cause significant physical health issues.”

Another user, called Andrea, called the NHS’s apparent normalization of bonding ‘irresponsible’.

“It’s totally irresponsible. The NHS should in no way recommend breast bandaging, but for breastfeeding it’s borderline criminal,” she said.

Dr Karleen Gribble, a nursing and midwifery expert from the University of Western Sydney in Australia, said the NHS page was “misleading”.

She said the advice on bonding was ‘unclear’ and did not highlight the risks of mastitis.

“Binding will increase the risk of mastitis, it’s not that it might increase the risk as they say,” she said.

“The literature that has looked at bonding and lactation universally says that this is not something that should be attempted early in lactation and if attempted later in life one should be very careful.

“They’re doing no one a favor by not saying it’s not recommended or linking to the NHS webpage which discusses mastitis in detail.”

Dr. Gribble added that there has been very little research on the effects of testosterone in breast milk.

Given the unknowns, she said it was good that people were encouraged to speak to a medical professional about the matter, but added that there were so many unknowns that it was difficult to know what guidelines to follow.

“It’s good that people are referred to their doctor or midwife, but the question I have is where do these health providers go to get information to support them?” he said. she declared.

“The information seems to suggest that it is okay in certain circumstances to take testosterone, but if so, what are those situations?”.

She added that the creation of health advice for specific groups was welcome. Trying to cover a diverse group such as LGBT people at once was not the best way to go about it, and that such a page should contain “more clear and honest information”.

An NHS spokesperson said: “The NHS website provides information for everyone, and we are adding pages to the site to keep it in line with the best clinical evidence and to make it as useful as possible for everyone. in need.”

Earlier this year, this website revealed a government-funded report that maternity services should use ‘inclusive’ terms like ‘breastfeeding’ so pregnant trans people aren’t offended.

The report, by the LGBT Foundation, made the recommendation after surveying 121 trans Britons about their experiences of pregnancy.

Some Twitter users said the NHS was using 'ideological language'

Some Twitter users said the NHS was using 'ideological language'

Some Twitter users said the NHS was using ‘ideological language’

A nurse said the NHS had a duty to highlight some of the health risk techniques such as bonding can cause

A nurse said the NHS had a duty to highlight some of the health risk techniques such as bonding can cause

A nurse said the NHS had a duty to highlight some of the health risk techniques such as bonding can cause

Other members of the public pointed to the NH's advice, saying experts apparently had no idea what impact testosterone-containing breast milk might have on a baby.

Other members of the public pointed to the NH's advice, saying experts apparently had no idea what impact testosterone-containing breast milk might have on a baby.

Other members of the public pointed to the NH’s advice, saying experts apparently had no idea what impact testosterone-containing breast milk might have on a baby.

A Twitter user called Andrea said the NHS should under no circumstances recommend linking

A Twitter user called Andrea said the NHS should under no circumstances recommend linking

A Twitter user called Andrea said the NHS should under no circumstances recommend linking

Earlier this week, the I revealed that a series of NHS webpages offering advice to LGBT people had been published after a whistleblower revealed they had been blocked for almost a year.

The whistleblower believed the delayed advice was evidence of anti-trans views within the institution.

However, meetings within NHS England and nhs.uk, the health service’s main website, took place on Monday and led to the publication of the pages.

The total number of trans people who have given birth in the UK is unknown.

A female-to-male trans person, a trans man, can still get pregnant and give birth as long as she is fertile and her uterus has not been removed.

However, they may have difficulty breastfeeding if they have had surgery to remove their breast tissue, known as breast reduction or top surgery.

Male-to-female trans people, trans women, can’t give birth because they weren’t born with a uterus.

However, scientists believe it is theoretically possible to impregnate a trans woman through IVF, when the eggs are fertilized outside the body and then inserted.

But it would take a healthy uterus for the child to grow, and transplant operations are years, if not decades, away from making that a reality.

There are no precise estimates of the number of trans people in the UK, but the government estimates there are between 200,000 and 500,000.