Reply to: Effect of female genital cutting performed by health care professionals on labor complications in Egyptian women: methodological concerns

2018 ◽  
Vol 46 (4) ◽  
pp. 427-428
Author(s):  
MA Youssef ◽  
WF Salah
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Female Genital Cutting ◽  
Labor Complications ◽  
Egyptian Women ◽  
Genital Cutting ◽  
Female Genital

Effect of female genital cutting performed by health care professionals on labor complications in Egyptian women: a prospective cohort study

2018 ◽  
Vol 46 (4) ◽  
pp. 419-424
Author(s):  
Wael F. Saleh ◽  
Haitham A. Torky ◽  
Mohamed A. Youssef ◽  
Wael S. Ragab ◽  
Mohamed A. Sayed Ahmed ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Female Genital Cutting ◽  
Delivery Mode ◽  
Type Ii ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Perineal Tears ◽  
Labor Complications ◽  
Genital Cutting ◽  
Female Genital

Abstract Aim: To examine the effect of the degree of female genital cutting (FGC) performed by health-care professionals on perineal scarring; delivery mode; duration of second stage of labor; incidence of perineal tears and episiotomy in a cohort of uncircumcised versus circumcised (types I and II) women. Methods: A prospective cohort study included 450 primigravida women in active labor attending the Faculty of Medicine Cairo University Hospital between January 2013 and August 2014. Women were divided into three groups based on medical examination upon admission. Group I (Control) included 150 uncut women, Group II included 150 women with type I FGC and Group III included 150 women with type II FGC. A structured questionnaire elicited the information on women’s socio-demographic characteristics including age, residence, occupation, educational level, age of marriage and FGC circumstances. Association between FGC and labor complications was examined. Main outcomes: risk of perineal scarring; delivery mode; duration of second stage of labor; incidence of perineal tears and episiotomy. Results: Family history of genitally cut mother/sister was the most significant socio-demographic factor associated with FGC. FGC especially type II was associated with significantly higher incidence of vulvar scar (P<0.0002), perineal tears (P<0.0001) and increased likelihood of additional vaginal and perineal trauma [odds ratio (OR): 1.85, 95% CI: 0.60–5.65. P≤0.001]. There was insignificant difference in risks of cesarean section (CS), instrumental delivery, episiotomy and short-term neonatal outcomes. Conclusion: The study strengthens the evidence that FGC increases the risk of tears in spite of medicalization of the practice.

Female Genital Cutting and the Health Care Provider’s Dilemma: A Case Study

2011 ◽  
Vol 4 (2) ◽  
pp. 119-124 ◽  
Author(s):  
Krista Blanton
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
World Health ◽  
Female Genital Cutting ◽  
Care Providers ◽  
Quality Health Care ◽  
Genital Mutilation ◽  
Genital Cutting ◽  
Health Organization ◽  
Female Genital

According to the World Health Organization (WHO, 2010), 100–140 million women have been subjected to some form of female genital mutilation, also called female genital cutting (FGC). WHO (2010) defines FGC as any “procedure involving partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons” (para. 1). To provide culturally sensitive quality health care, providers must have a basic understanding of the types of FGC, the cultural implications associated with FGC, the physical and emotional sequelae of FGC, and the legal and ethical dilemmas surrounding FGC.

scholarly journals Medicalization of Female Genital Cutting in Sapele Local Government Area, Delta State, Nigeria: The Implication for Health Care Provision in Nigeria

2021 ◽  
Vol 33 (1) ◽  
pp. 30-40
Author(s):  
I. Ikechukwu ◽  
E.C. Isah ◽  
S.E. Ehinze
Keyword(s):  
Health Care ◽  
Local Government ◽  
Health Care Providers ◽  
Local Government Area ◽  
Reproductive Age ◽  
Female Genital Cutting ◽  
Care Providers ◽  
Cross Sectional ◽  
Genital Cutting ◽  
Female Genital

Background: Female genital cutting (FGC) affects over 200 million girls and women globally. It is inimical to health and increasingly being performed by healthcare providers. Medicalization of FGC is proposed by its proponents to reduce and prevent the incidence of its complications and though perceived to be safer, it is unethical and unjustifiable. This study assessed medicalization of FGC in Sapele Local Government Area, Delta State and made recommendations geared towards ending its practice.Methods: A descriptive cross-sectional study was conducted among reproductive age women (15 – 44 years) selected using multi-stage sampling. Pre-tested structured questionnaire was used to obtain quantitative data from 502 women while a focus group discussion guide was used to obtain qualitative data. Data was analyzed using SPSS version 20.0 and by themes. Results were presented as tables and narratives.Results: Prevalence of FGC was 277 (55.2%), of which 223 (80.5%) were medicalized. The mean age of cutting was 16.8 ± 5.46 years and nurses performed majority 220 (79.4%) of them. Few 44 (8.8%) of the respondents were aware of possible complications of FGC. Qualitative findings indicated that FGC is still being practiced with nurses being reported as major practitioners.Conclusion: Despite concerted efforts to eliminate FGC, its practice is still propagated with increasing heath workers as practitioners. Advocacy and health education for women and girls as well as training and retraining of health care providers is imperative to check this trend.

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