scholarly journals Female Genital Mutilation Consequences and Healthcare Received among Migrant Women: A Phenomenological Qualitative Study

Author(s):  
Alba González-Timoneda ◽  
Marta González-Timoneda ◽  
Antonio Cano Sánchez ◽  
Vicente Ruiz Ros

European healthcare systems are increasingly being challenged to respond to female genital mutilation (FGM). This study explores the FGM experiences of migrant women coming from FGM-practicing countries residing in a European host country. A qualitative phenomenological study was carried out and 23 participants were included. Data were collected through 18 face-to-face open-ended interviews and a focus group and were analysed using Giorgi’s four-step phenomenological approach. Three main themes were derived: “FGM consequences”, “healthcare received” and “tackling FGM”. Participants highlighted obstetric, gynaecological and genitourinary consequences such as haemorrhages, perineal tears, caesarean delivery, risk of infection, dysmenorrhea, urinary tract infections and dysuria; consequences for sexuality, mainly, dyspareunia, loss of sexual interest and decreased quality of sexual intercourse; and psychological consequences such as loss of self-esteem, feelings of humiliation and fear of social and familial rejection. Women perceived a profound lack of knowledge about FGM from health providers and a lack of sensitive and empathetic care. Some women perceived threatening and disproportionate attitudes and reported negative experiences. Participants highlighted the importance of educating, raising awareness and improving prevention and detection strategies. The findings disclose the need to improve training and institutional plans to address structural and attitudinal barriers to health equity across migrant families in their host countries.

Author(s):  
G. E. Halle-Ekane ◽  
N. M. N. Guidona ◽  
L. T. Mbuagbaw ◽  
A. M. Mengouo ◽  
R. E. Mbu

Various forms of Female Genital Mutilations (FGMs) have been performed for several years and continue to be practiced with serious consequences. Aims: The study aimed at assessing the socio-demographic profile, prevalence, types of FGM, and associated obstetric outcomes in the Far North Region, Cameroon. Study Design: Case-control study. Place and Duration of Study: Four health facilities in the aforementioned region from 4th February, 2017 to 28th April 2017. Methods: We included 213 parturients matched for age and parity in a proportion of 1:2 (71 with FGM and 142 counterparts). Data was collected on their socio-demographic characteristics, knowledge of FGM and obstetric outcomes. Each parturient’s labor was monitored using a partograph and intermittent fetal heart rate auscultation. The mother-neonate dyads were followed up until discharge from the hospital. Data were analyzed using Epi Info™ version 7. Results: The mean age of parturients was 23.8 years (SD: 5.8 years). The prevalence of FGM was 28.7%. Most participants had FGM before the age of ten for the following reasons: cultural, marital, social acceptability and suppression of sexual desires. Female genital mutilation was significantly associated with Caesarian section (RR:2.91; 95% CI: 1.43-5.93; p=0.002), episiotomy (RR 8.0: 95% CI 1.56-17.26) P=0.03), perineal tears (RR: 3.67; 95% CI: 1.93-6.98; p<0.001), prolonged labor (RR:2.7; 95% CI 1.44-5.09; p<0.001), and neonatal resuscitation (RR:.44; 95% CI: 1.59-12.18; p=0.002). However, only perineal tears (Adjusted RR:5.58; 95% CI: 2.49-12.53; p<0.001) and episiotomy (Adjusted RR 11.52; 95% CI: 1.16-114.69; p= 0.03) were independently associated with FGM on multivariate analysis. Conclusion: The prevalence of FGM was high. FGMs were associated with maternal and fetal morbidity. Therefore, mass sensitization on the consequences of FGM, utilization of ANC services and health facility child births should be encouraged.


2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Makama Baje Salihu ◽  
Stephen Yusuf ◽  
Aliyu D. Labaran

Acute urinary retention is a urological emergency presenting with a sudden inability to pass urine due to mechanical or functional reason characterized by suprapubic pain and distension requiring urgent bladder drainage. Acute urinary retention is ten times more common in males than females. Female genital mutilation comprises all surgical procedures involving partial or total removal of the female external genitalia or other injuries to the female genital organ for cultural and other non-therapeutic reasons. We present an 11 year old girl who was referred from a primary health centre with recurrent history of acute urinary retention following a female genital mutilation done 5 days prior to presentation, she was said to have been having suprapubic tapping of the urine to relive her of the retention as the health providers were unable to identify the urethral orifice for catheterization. On examination; she was in painful distress with complain of suprapubic pain and urge to pass urine, there is tender suprapubic distention, the left upper labia majora, minora and clitoris were severed, the urethral meatus distorted. Examination under anaesthesia with suprapubic cystostomy and urethral catheterisation was done and the patient was placed on sitz bath and genital toileting. We report a case of acute urinary retention in an 11 year old girl following a female genital mutilation five days earlier.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
S. Cottler-Casanova ◽  
J. Abdulcadir

Abstract Background We updated the indirect estimates for women and girls living with Female Genital Mutilation Cutting (FGM/C) in Switzerland, using data from the Swiss Federal Statistical Office of migrant women and girls born in one of the 30 high-prevalence FGM/C countries that are currently living in Switzerland. Methods We used Yoder and Van Baelen’s “Extrapolation of FGM/C Countries’ Prevalence Data” method, where we applied DHS and MICS prevalence figures from the 30 countries where FGM/C is practiced, and applied them to the immigrant women and girls living in Switzerland from the same 30 countries. Results In 2010, the estimated number of women and girls living with or at risk of FGM/C in Switzerland was 9059, whereas in 2018, we estimated that 21,706 women and girls were living with or at risk of FGM/C. Conclusion Over the past decade, there have been significant increases in the number of estimated women and girls living with or at risk of FGM/C in Switzerland due to the increase in the total number of women and girls originally coming form the countries where the practice of FGM/C is traditional.


2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Keddy Wanjiru Muchene ◽  
Irene Gacheri Mageto ◽  
Joyce Jebet Cheptum

Background. Female genital mutilation (FGM) is one of the most harmful traditions still practiced in many parts of the developing world, including Kenya. The practice leads to permanent and irreversible health damages; however, knowledge and attitude of women towards its obstetric effects is scarce. Aim. The objective of this study was to determine knowledge and attitude of women towards obstetric effects of FGM among Maasai women. Methods. A hospital-based cross-sectional study was conducted at Loitokitok Sub-County Hospital among 64 Maasai women who had undergone FGM. Systematic sampling was employed to identify the respondents. Data were collected using a pretested semistructured questionnaire and analyzed through Statistical Package for the Social Sciences (SPSS) version 20.0 based on frequencies and percentages. Qualitative data were coded and categorized and thematic analysis was done. Results. Half of the women were knowledgeable on obstetric effects of FGM. Majority of them, 81% (n=52), sustained perineal tears during childbirth while 53% (n=34) had postpartum hemorrhage. Majority of the respondents, 81% (n=51), had negative attitude towards FGM and 87% (n=31) would not encourage their daughters to be circumcised. Most of them, 64% (n=23), disagreed that circumcision made one a respectable woman. Conclusion. Obstetric effects of FGM were fairly known and there was negative attitude towards FGM practice.


PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0230919 ◽  
Author(s):  
Ramin Kawous ◽  
Maria E. T. C. van den Muijsenbergh ◽  
Diana Geraci ◽  
Anke van der Kwaak ◽  
Els Leye ◽  
...  

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