College students can help you care for penises that may give birth.
According to documents obtained by feminist site Reduxx, students at Edinburgh Napier University in Scotland were given a “Skills Workbook” recently.
Catheterization is the topic at hand
It is important to note that while most times the birthing person will have female genitalia, you may be caring for a pregnant or birthing person who is transitioning from male to female and may still have external male genitalia. You need to be familiar with the catheterization procedure for both female and male anatomy. For this reason, where appropriate, this book refers to the birthing person.
The manual also describes how to catheterize (and work the urethra of) the penis and expectant human.
Male Anatomy Catheterization: Procedure
- Prepare the person, maintaining their dignity. Place a disposable pad underneath (help remove underwear if necessary).
- In the acute setting: Screen the bed; in the community setting: Close curtains/door.
- Assist the person into a supine position with legs extended on the bed.
- Ensure the person feels comfortable.
- Wash hands again, or decontaminate with hand sanitizer, and put on a disposable apron. Put on the first pair of sterile gloves.
- Place a sterile towel across the person’s thighs, ensuring the scrotal area is covered.
- Wrap a sterile swab around the penis and, with the same non-touch technique, retract the foreskin if present.
Different doses of anesthesia are recommended for males (11 milliliters) and females (6 millimeters).
The workbook focuses on post-procedure efforts.
Female anatomy: Make sure to clean the entire area from the front to the back.
Male anatomy: Make sure to clean the meatus.
Be sure to make both males and females comfortable.
A biological male who is about to give birth to a child through his penis will not be happy for very long.
Culture has also given rise to new standards for sexual behavior.
The world is dilation to make space:
— Alex Parker (@alexparker1984) May 6, 2022
Adjustment takes time in any transition period.
Reduxx has noted that Elaine Miller, Chartered Society for Physiotherapy Fellow, is not in agreement with Edinburgh Napier’s instructions.
She claims they made errors
“It is not possible for a male person to get pregnant,” Miller said, continuing that even the hasty edits the instructors made were rife with impossibilities.
“A [female] with a gender difference can become pregnant but will not have male genitalia,” she notes, expressing concern that even if the instruction was given on serving female-to-male transgender patients, the information was still both incomplete and unrealistic.
“Most [females] who use testosterone, at the doses used for ‘transition,’ will develop vaginal atrophy. The fragile tissue of an atrophied vagina may be unable to stretch to accommodate a baby’s head,” Miller says, also noting that female-to-male transgender people who wish to naturally deliver are at risk of sustaining “new types of birth injury” that has not yet been studied or investigated.
“Examining this potential risk is probably more important than learning to remove a catheter from a non-existent prostate gland.”
Times are changing. There are many possibilities. Although the university, which purportedly has edited its catheterization guide, may have raised eyebrows by referring to birthing penises, the storks of modern technology are capable of all manner of miracles.
— Jennifer Bilek (@bjportraits) May 5, 2022