scholarly journals Diagnoses and Procedures of Inpatients with Female Genital Mutilation/Cutting in Swiss University Hospitals: A Cross-Sectional Study

2021 ◽  
Author(s):  
Mathilde Horowicz ◽  
Sara Cottler-Casanova ◽  
Jasmine Abdulcadir
Keyword(s):  
Female Genital Mutilation ◽  
International Classification Of Diseases ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
University Hospitals ◽  
Cross Sectional ◽  
Genital Mutilation ◽  
Classification Of Diseases ◽  
Women And Girls ◽  
Female Genital

Abstract Background: Female genital mutilation/Cutting (FGM/C) can result in short and long-term complications, which can impact physical, psychological and sexual health. Our objective was to obtain descriptive data about the most frequent health conditions and procedures associated with FGM/C in Swiss university hospitals inpatient women and girls with a diagnosis of FGM/C. Our research focused on the gynaecology and obstetrics departments. Methods: We conducted an exploratory descriptive study to identify the health outcomes of women and girls with a coded FGM/C diagnose who had been admitted to Swiss university hospitals between 2016 and 2018. Four of the five Swiss university hospitals provided anonymized data on primary and secondary diagnoses coded with the International Classification of Diseases (ICD) and interventions coded in their medical files. Results: Between 2016 and 2018, 207 inpatients had a diagnosis of FGM/C. The majority (96%) were admitted either to gynaecology or obstetrics divisions with few genito-urinary and psychosexual conditions coded.Conclusions: FGM/C coding capacities in Swiss university hospitals are low, and some complications of FGM/C are probably not diagnosed. Pregnancy and delivery represent key moments to identify and offer medical care to women and girls who live with FGM/C. Trial registration: This cross-sectional study (protocol number 2018-01851) was conducted in 2019, and approved by the Swiss ethics committee.

scholarly journals Female Genital Mutilation/Cutting (FGM/C) coding capacities in Swiss University Hospitals using the International Classification of Diseases (ICD)

2020 ◽  
Author(s):  
Sara Cottler-Casanova ◽  
Mathide Horowicz ◽  
Angèle Gayet-Ageron ◽  
Jasmine Abdulcadir
Keyword(s):  
Female Genital Mutilation ◽  
Female Circumcision ◽  
International Classification Of Diseases ◽  
University Hospitals ◽  
Genital Mutilation ◽  
High Prevalence ◽  
Classification Of Diseases ◽  
Anonymized Data ◽  
Women And Girls ◽  
Female Genital

Abstract Background: To assess the number of inpatient women and girls in Swiss university hospitals from countries with high female genital mutilation/cutting (FGM/C) prevalence, and of inpatients with a coded diagnosis of FGM/C.Methods: Exploratory descriptive study in Switzerland to assess the number of women and girls admitted to Swiss university hospitals between 2016 and 2018 from 30 FGM/C high prevalence countries (1), inpatients with a coded diagnosis of FGM/C (2). Participating hospitals provided anonymized data for all inpatient women and girls from 30 FGM/C practicing countries, and for all inpatients with a coded diagnosis of FGM/C. We calculated indirect estimates of inpatient women and girls with FGM/C and compared them with the number of inpatients with a coded diagnosis of FGM/C.Results: 8720 women and girls from countries with high prevalence of FGM/C were admitted. 207 patients were coded with FGM/C, including 7 with a nationality outside the 30 targeted countries, corresponding to an overall prevalence of 2.3% (95%CI: 2.0-2.6). The number of FGM/C cases by hospital was significantly different across year (P<0.001), with a higher proportion of cases collected in Geneva.Conclusions: The comparison between indirect estimates of inpatients with or at risk of FGM/C and the low number of FGM/C cases coded, suggests low recording and coding capacities of FGM/C.Funding: Swiss Federal Office of Public Health and Swiss Network against Female circumcision, Caritas Switzerland.

scholarly journals A cross-sectional study on pelvic floor symptoms in women living with Female Genital Mutilation/Cutting

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Alzbeta Binkova ◽  
Marion Uebelhart ◽  
Patrick Dällenbach ◽  
Michel Boulvain ◽  
Angèle Gayet-Ageron ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Female Genital Mutilation ◽  
Cross Sectional Study ◽  
Background Information ◽  
Sectional Study ◽  
Cross Sectional ◽  
Genital Mutilation ◽  
Pelvic Floor Symptoms ◽  
The Impact ◽  
Female Genital

Abstract Background Female Genital Mutilation/Cutting (FGM/C) concerns over 200 million women and girls worldwide and is associated with obstetric trauma and long-term urogynaecological and psychosexual complications that are often under-investigated and undertreated. The aim of this study was to assess the pelvic floor distress and the impact of pelvic floor and psychosexual symptoms among migrant women with different types of FGM/C. Methods This cross-sectional study was conducted between April 2016 and January 2019 at the Division of Gynaecology of the Geneva University Hospitals. The participants were interviewed on socio-demographic and background information, underwent a systematic gynaecological examination to assess the presence and type of FGM/C and eventual Pelvic Organ Prolapse (POP), and completed six validated questionnaires on pelvic floor and psychosexual symptoms (PFDI-20 and PFIQ7 on pelvic floor distress and impact, FISI and WCS on faecal incontinence and constipation, PISQ-IR and FGSIS on sexual function and genital self-image). The participants’ scores were compared with scores of uncut women available from the literature. The association between selected variables and higher scores for distress and impact of pelvic floor symptoms was assessed using univariate and multivariable linear regression models. Results 124 women with a mean age of 31.5 (± 7.5), mostly with a normal BMI, and with no significant POP were included. PFDI-20 and PFIQ-7 mean (± SD) scores were of 49.5 (± 52.0) and 40.7 (± 53.6) respectively. In comparison with the available literature, the participants’ scores were lower than those of uncut women with pelvic floor dysfunction but higher than those of uncut women without such disorders. Past violent events other than FGM/C and forced or arranged marriage, age at FGM/C of more than 10, a period of staying in Switzerland of less than 6 months, and nulliparity were significantly associated with higher scores for distress and impact of pelvic floor symptoms, independently of known risk factors such as age, weight, ongoing pregnancy and history of episiotomy. Conclusions Women with various types of FGM/C, without POP, can suffer from pelvic floor symptoms responsible for distress and impact on their daily life. Trial registration. The study protocol was approved by the Swiss Ethics Committee on research involving humans (protocol n°15-224).

THE EFFECTS OF FEMALE GENITAL MUTILATION ON THE FEMALE SEXUAL FUNCTION: A CROSS-SECTIONAL STUDY

2020 ◽  
Vol 114 (3) ◽  
pp. e466
Author(s):  
Ahmed M. Abbas ◽  
Mennatallah Mohamed Samir ◽  
Reham Maher Abdel-Gaber ◽  
Emad Eldien Kamal Ali
Keyword(s):  
Sexual Function ◽  
Female Genital Mutilation ◽  
Cross Sectional Study ◽  
Female Sexual Function ◽  
Sectional Study ◽  
Cross Sectional ◽  
Genital Mutilation ◽  
Female Genital

scholarly journals Prevalence and associated factors of Female Genital Mutilation among reproductive age women’s of Wolayita Zone, Southern Ethiopia: A cross-sectional study

2021 ◽  
pp. 091-098
Author(s):  
Anjulo Bargude Balta ◽  
Lambebo Amanuel Fanta
Keyword(s):  
Female Genital Mutilation ◽  
Associated Factors ◽  
Community Intervention ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Multivariate Logistic Regression Model ◽  
Sectional Study ◽  
Cross Sectional ◽  
Genital Mutilation ◽  
Female Genital

Background: Female Genital Mutilation (FGM) is estimated to have been practiced on at least 200 million girls and women in 30 countries around the world. Clitoridoctomy is the most common type of FGM in Ethiopia. Objectives: The aim of the study was to assess the magnitude of Female Genital Mutilation and associated factors among women’s of Wolayita zone. Methods: A community-based quantitative cross-sectional study was used. Face-to-face interviews with prepared questionnaires were used to collect data. SPSS version 20 software was used to analyze the data. The prevalence of FGM was determined using descriptive statistics. The researchers utilized a bivariate and multivariate logistic regression model to find independent determinants of FGM. Result: 296 women were undergone FGM out of a total of 333, indicating that FGM is prevalent in the research area (88.9%). Age (AOR-1.86, 95% CI: 0.42-0.98) and support to reduce sexual due to hyperactivity (AOR: 14.595, 95% CI: 3.391-6.807) were all independently linked to FGM. Conclusion: An integrated effort administrative and surrounding community intervention to be initiated to alleviate FGM practices through empowering women, discouraging risky factors like traditions; and sensitizing parents, community members and the public focusing on the rejecting of FGM.

scholarly journals Effects of COVID-19 Pandemic on Female Genital Mutilation/Cutting and Child, Early or Forced Marriages in Kenya, Uganda, Ethiopia and Senegal

2021 ◽  
Author(s):  
Tammary Esho ◽  
Dennis J. Matanda ◽  
Timothy Abuya ◽  
Sintayehu Abebe ◽  
Yeshitila Hailu ◽  
...  
Keyword(s):  
Female Genital Mutilation ◽  
Cross Sectional Study ◽  
Talk Shows ◽  
Cross Sectional ◽  
Genital Mutilation ◽  
Alternative Approaches ◽  
Women And Girls ◽  
Harmful Traditional Practices ◽  
Depth Interviews ◽  
Female Genital

Abstract Background The effects of COVID-19 on harmful traditional practices such Female Genital Mutilation/Cutting (FGM/C) and Child, Early or Forced Marriages (CEFM) have not been well documented. We examined how the COVID-19 pandemic has affected FGM/C and CEFM in Kenya, Uganda, Senegal, and Ethiopia. Methods A cross-sectional study design with a mixed methods approach was used. Household surveys targeting women and men aged 15–49 years in Kenya (n = 312), Uganda (n = 278), Ethiopia (n = 251), and Senegal (n = 208) were conducted. Thirty-eight in-depth interviews with programme implementers and policymakers were carried out in Kenya (n = 17), Uganda (n = 9), Ethiopia (n = 8), and Senegal (n = 4). Results In Kenya, the COVID-19 pandemic has contributed to the increase in both FGM/C and CEFM cases. Minimal increase of FGM/C cases was reported in Uganda and a significant increase in CEFM cases. In Ethiopia, the COVID-19 pandemic had a limited effect on changes in FGM/C and CEFM. In Senegal, there were minimal effects of COVID-19 on the number of FGM/C and CEFM cases. The pandemic has negatively affected implementation of interventions by the justice and legal system, the health system, and civil societies. Conclusions The pandemic has had varied effects on FGM/C and CEFM across the four countries. Across the four countries, the pandemic has negatively affected implementation of interventions by the various sectors that are responsible for preventing and responding to FGM/C and CEFM. This calls for innovative approaches in intervening in the various communities to ensure that women and girls at risk of FGM/C and CEFM or in need of services are reached during the pandemic. Evidence on how effective alternative approaches such as the use of call centres, radio talk shows and the use of local champions as part of risk communication in preventing and responding to FGM/C and CEFM amid COVID-19 is urgently required.

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