scholarly journals The long-term reproductive health consequences of female genital cutting in rural Gambia: a community-based survey

2001 ◽  
Vol 6 (8) ◽  
pp. 643-653 ◽  
Author(s):  
Linda Morison ◽  
Caroline Scherf ◽  
Gloria Ekpo ◽  
Katie Paine ◽  
Beryl West ◽  
...  
PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245723
Author(s):  
Bothild Bendiksen ◽  
Trond Heir ◽  
Fabakary Minteh ◽  
Mai Mahgoub Ziyada ◽  
Rex A. Kuye ◽  
...  

Background Female genital cutting (FGC) involve an acute physical trauma that hold a potential risk for immediate and long-term complications and mental health problems. The aim of this study was to examine the prediction of depressive symptoms and psychological distress by the immediate and current physical complications following FGC. Further, to examine whether the age at which 12-year-old Gambian girls had undergone the procedure affected mental health outcomes. Method This cross-sectional study recruited 134 12-year-old girls from 23 public primary schools in The Gambia. We used a structured clinical interview to assess mental health and life satisfaction, including the Short Mood and Feeling Questionnaire (SMFQ), the Symptom check list (SCL-5) and Cantril’s Ladder of Life Satisfaction. Each interview included questions about the cutting procedure, immediate- and current physical complications and the kind of help and care girls received following FGC. Results Depressive symptoms were associated with immediate physical health complications in a multivariate regression model [RR = 1.08 (1.03, 1.12), p = .001], and with present urogenital problems [RR = 1.19 (1.09, 1.31), p < .001]. The girls that received medical help following immediate complications had a lower risk for depressive symptoms [RR = .73 (.55, .98), p = .04]. Psychological distress was only associated with immediate complications [RR = 1.04 (1.01, 1.07), p = .004]. No significant differences in mental health outcomes were found between girls who underwent FGC before the age of four in comparison to girls who underwent FGC after the age of four. Conclusion Our findings indicate that the immediate and long-term complications following FGC have implications for psychological health. Only a minimal number of girls received medical care when needed, and the dissemination of health education seems crucial in order to prevent adverse long-term physical and psychological health consequences.


2018 ◽  
Author(s):  
Aniyizhai Annamalai

Providers encounter increasingly diverse patient populations, as migration of people continues to increase worldwide. Health of migrant women is influenced by factors before migration as well as those affecting the migratory process and resettlement. Cultural factors influence patient beliefs and attitudes toward all facets of reproductive health including contraception. Providers may also encounter sequelae of traditional practices such as female genital cutting. Migrant women may be at a higher risk of violence both due to intimate partner violence and risks encountered during migration. They are also at risk for psychological sequelae resulting from stressors before and after displacement. Posttraumatic stress disorder prevalence is higher compared to local populations. Whereas migrants still carry a high burden of infectious disease, chronic health conditions are becoming increasingly common in many groups. Healthcare providers with an awareness of health issues faced by migrants can contribute to improving overall health of migrants and ease the process of resettlement for these people. This review contains 53 references, 1 figure, and 10 tables. Key Words: female genital cutting, immigrant, intestinal parasites, intimate partner violence, migration, nutrition, posttraumatic stress disorder, refugee, reproductive health, tuberculosis


2018 ◽  
Author(s):  
Aniyizhai Annamalai

Providers encounter increasingly diverse patient populations, as migration of people continues to increase worldwide. Health of migrant women is influenced by factors before migration as well as those affecting the migratory process and resettlement. Cultural factors influence patient beliefs and attitudes toward all facets of reproductive health including contraception. Providers may also encounter sequelae of traditional practices such as female genital cutting. Migrant women may be at a higher risk of violence both due to intimate partner violence and risks encountered during migration. They are also at risk for psychological sequelae resulting from stressors before and after displacement. Posttraumatic stress disorder prevalence is higher compared to local populations. Whereas migrants still carry a high burden of infectious disease, chronic health conditions are becoming increasingly common in many groups. Healthcare providers with an awareness of health issues faced by migrants can contribute to improving overall health of migrants and ease the process of resettlement for these people. This review contains 53 references, 1 figure, and 10 tables. Key Words: female genital cutting, immigrant, intestinal parasites, intimate partner violence, migration, nutrition, posttraumatic stress disorder, refugee, reproductive health, tuberculosis


2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
Dani Zoorob ◽  
Kristrun Kristinsdottir ◽  
Thomas Klein ◽  
Sonyoung Seo-Patel

Background. Clitoral neuromas occurring after female genital mutilation/cutting (FGM/C) can vary in presentation and may require surgical management. Case. A 39-year-old East African female with a history of FGM/C presented during pregnancy with a progressively enlarging mass and worsening periclitoral pain. Postpartum surgical excision restored cosmesis and resolved the discomfort with pathology confirming the presence of a neuroma within the epidermal inclusion cyst. Conclusion. We present the first published case of a symptomatic clitoral neuroma within an epidermal inclusion cyst. This unique pathology demonstrates that complications of female genital cutting can present in complex and varied ways. Considering the prevalence of FGM/C and increasing rates of emigration from countries in which FGM/C is performed, complex clitoral neuromas are an important long-term complication which providers in Africa or internationally must be aware of.


2021 ◽  
pp. 104973232110492
Author(s):  
Danielle Jacobson ◽  
Daniel Grace ◽  
Janice Boddy ◽  
Gillian Einstein

We used institutional ethnography to explore the social relations that shaped the reproductive health care experiences of women with female genital cutting. Interviews with eight women revealed that they engaged in discourse that opposed the practices of cutting female genitals as a human-rights violation. This discourse worked to protect those affected by the practices, but also stigmatized female genital cutting, making participants anticipate experiencing stigmatization during health care. Women’s engagement in this discourse shaped their emotional health work to prepare for such encounters. This work included navigating feelings of worry, shame, and courage to understand what to expect during their own appointment; learning from family/friends’ experiences; and seeking a clinic with the reputation of best care for women with female genital cutting. It is important to strive for more inclusive health care in which women do not have to engage in emotional health work to prepare for their clinical encounters.


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