Obstetric management of women with female genital mutilation

  title={Obstetric management of women with female genital mutilation},
  author={Mumtaz Rashid and Mohammed H. Rashid},
  journal={The Obstetrician \& Gynaecologist},
• Female genital mutilation is the partial or total removal of the female genitalia for non‐medical reasons. • The practice is illegal in the United Kingdom. • It is estimated that one woman dies every 10 minutes from the sequelae of the procedure. • Healthcare professionals require adequate training in the clinical management of women with this condition and they also need to demonstrate great cultural sensitivity. • In types III and IV the narrowed vaginal opening is likely to cause obstetric… 
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The risks to patients who are pregnant and have had FGM are discussed and a number of intrapartum risks caused by FGM and the role of deinfibulation in pregnancy are explored.
Eradicating Female Genital Mutilation: Case Series Evaluating the Effect of the Interventions
Female genital mutilation remains a source of abuse to females despite efforts to eradicate it, individual perception does not depend on the degree of complication experienced and there is need for increased education and enlightenment on its dangers.
Female genital mutilation: Obstetric outcomes in metropolitan Sydney
There is a broad range of sequelae relevant to obstetrics and gynaecology, particularly related to maternal morbidity from labour and delivery, particularly associated with FGM.
What can be done to raise midwives' awareness of female genital mutilation?
By understanding the effects of FGM, midwives in the areas where FGM is less prevalent will be better able to care for these women when they encounter them, which may be increasingly likely, as the numbers of women migrating to the UK grow.
Does the timing of deinfibulation for women with type 3 female genital mutilation affect labour outcomes
Women who were ‘not deinfibulated before labour’ had a significantly greater risk of episiotomy and had non-significant increased risk of a postpartum haemorrhage.
Mandatory reporting of female genital mutilation in children in the UK
The effect of changes in the legislation of 2015, which made reporting of FGM in girls under 18 mandatory, was determined to determine the ability of frontline professionals to protect girls from female genital mutilation.
Exploring the psychosexual drive, before genital cosmetic surgery.
Assessment of knowledge, attitude and practice of female genital mutilation among Somali community in Eastleigh, Nairobi County found that there is a need for campaigns that will target behavioral changes toward the practice, using those who have already abandoned the practice as community role models.


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With increasing immigration, obstetrical teams in developed countries can be confronted with such situations and should be aware of proper clinical management practices for these women.
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The treatment is based on Gabbar's deinfibulation surgery which can be proposed when there are uro-gynecologic complications, or during pregnancy and labor, and can lead to spontaneous vaginal delivery without perineal trauma.
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  • M. Brady
  • Medicine
    AIDS patient care and STDs
  • 1999
Several of the most common complications of female genital mutilation are discussed and helpful suggestions for management during pregnancy and delivery are explored.
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The government of Mali has agreed to assist local activists and religious leaders engaged in grassroots efforts to eradicate the custom by involving them in a national campaign.
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  • L. Hakim
  • Medicine
    East African medical journal
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The study demonstrates the negative impact of FGM more on maternal than neonatal outcomes during parturition and creates awareness of its implication on women and neonatal health.
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A significant number of women (38%) declined antenatal defibulation, preferring to wait until the onset of labour, which has implications for midwives and obstetricians who are not at present trained in the management of women with previous FGM presenting in labour.
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The need for further interventions aimed at discouraging the practice of female genital mutilation is highlighted, as up to 67% of the women reported complications following the procedure.
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Assuming that the size of the population in Britain of ethnic groups which practice or favor female genital mutilation remains more or less unchanged, adaptation and acculturation will probably cause the practice to die out within a few generations.
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SummaryThe acute complications of female circumcision were haemorrhage, infection and vulval trauma, and the late complications urinary tract and genital tract infection, defloration trauma,