December 6, 2018

This was originally an assignment in a midwifery course. I've shared my thoughts here in hopes it helps other birth workers serve all birthing people with dignity and thoughtfulness. 

Case Study

Michael and Shona and their children are dedicated to their conservative Baptist faith. Michael is a deacon and Shona ministers to children in the nursery. You have assisted them with five other births. Shona has just given birth to their 8th child. When you conduct the newborn exam you find the following genitalia: an opening that could be a vagina, a swollen area that look similar to a divided testicular sack or a labia that is uniquely formed, an enlarged clitoris/small penis. You discuss your findings with the parents and show them the baby’s genitalia. You recommend that they assess for urination and follow-up with their pediatrician within 24 hours. You continue to provide postpartum care to the baby and mother. The mother reports that the baby is urinating well.

At their two-week postpartum...

November 15, 2018

This was originally an assignment in a midwifery course. I've shared my thoughts here in hopes it helps other birth workers serve all birthing people with dignity and thoughtfulness. To read the original format of the assignment and/or references, click here

Case Study 1

A male trans client who has had top surgery (double mastectomy) comes to you with the following questions about chestfeeding:

Can you help me understand the process of chestfeeding and what I can expect?

“Chestfeeding can look many different ways, depending on your goals, what you’re comfortable with, and who is supporting you. I want to start by talking about what your thoughts are on feeding a baby and I’d love to hear what you would like the experience of chestfeeding to be like for you, baby, and any partners involved.” This is how I would start the conversation, because I want to get a feel for where the client’s values lie and what they already know about chestfeeding. This is the same process I go through whe...

November 14, 2018

This was originally an assignment in a midwifery course. I've shared my thoughts here in hopes it helps other birth workers serve all birthing people with dignity and thoughtfulness. To read the PDF of the assignment, click here

Case Study 1

Part 1: You have begun offering well-person care in your practice some years ago, but until now, you haven’t had the opportunity of serving a trans male for a pelvic with pap. Chris called to schedule with you for 2 weeks from now.

a.    What are the special considerations you have?

To begin with, I’d want to make a conscious effort to shift pronoun usage if my typical clientele included primarily people who prefer she/her pronouns. I’d want to remember going in to ask about pronoun choices. I’d also need to look over my documents and forms prior to the appointment to ensure they were inclusive and left room to chat about the experiences, needs, and values of a trans man. I would want to inquire with Chris as to the preferred environment fo...

November 2, 2018

This was originally an assignment in a midwifery course. I've shared my thoughts here in hopes it helps other birth workers serve all birthing people with dignity and thoughtfulness. To read the original format of the assignment and/or references, click here

Case Study 1

Genevieve and Jamie come to their fourth visit with you. This is their first pregnancy. They have been married for 3 years. You realize after four appointments that their best friend, DeVante has been present for every appointment and seems uniquely connected to the couple. You begin to wonder if he is actually in a committed relationship with Genevieve and/or Jamie because he is very connected to the pregnancy, has asked as many questions about the pregnancy, birth, and baby and cried when he heard the baby’s heartbeat. Many things DeVante, Genevieve and Jamie have said during appointments suggested that he may be involved in raising the child. You become concerned that you have given the family some indication t...

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