Transgender Male - Vaginal Delivery With Nuchal Cord
Semester 2
Students will care for a multifunction, transgender male virtual OB patient presenting to the hospital in active labor experiencing contractions at 39 weeks 6 days gestation. They are 5 cm dilated and have been progressing well. However, during the course of labor, variable decelerations in fetal heart rate are observed, requiring careful monitoring and interventions. Despite this, Anthony expresses a strong desire for a natural labor and birth experience. Students will provide routine intrapartum care throughout all three stages of the scenario, ensuring that the patient's unique needs and preferences as a transgender individual are respected and supported.
• Demonstrate effective communication skills in providing person-centered care to transgender individuals throughout the birthing process, acknowledging their unique experiences, identities, and preferences.
• Apply knowledge of the physiological changes and considerations specific to transgender males during pregnancy and childbirth, including hormone therapy and surgical history, to provide appropriate and safe care.
• Assess and address the psychological and emotional needs of transgender male individuals during labor and birth, creating a supportive and inclusive environment that promotes their dignity, autonomy, and comfort.
• Demonstrate competency in the use of inclusive and gender-affirming language, avoiding misgendering and utilizing appropriate terminology to respect and validate the transgender male individual's identity and experiences.
• Utilize culturally competent nursing interventions to address potential barriers and challenges faced by transgender male individuals during the birthing process, including addressing discrimination, stigma, and systemic inequalities.
• Collaborate effectively with the interprofessional healthcare team, including obstetricians, midwives, and other healthcare providers, to ensure coordinated and comprehensive care for transgender male individuals during vaginal birth, taking into consideration their specific needs and preferences.
• Identify and respond appropriately to potential complications or emergencies that may arise during labor and birth for transgender male individuals, implementing evidence-based practices and adapting care strategies as needed.
• Reflect on personal biases, assumptions, and attitudes towards transgender individuals and their reproductive experiences, fostering a more inclusive and affirming healthcare practice.
• Promote advocacy and empowerment for transgender individuals by providing information, resources, and support networks that address their unique healthcare needs during pregnancy, childbirth, and postpartum.
• Evaluate the effectiveness of the simulation scenario and personal performance in providing gender-affirming and inclusive care to transgender male individuals during vaginal birth, identifying areas for improvement and further learning.
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