scholarly journals Obstetric Outcomes of Parturients with Female Genital Mutilation in a Tertiary Hospital in Nigeria

2020 ◽  
Vol 13 (1) ◽  
pp. 8-13
Author(s):  
C.O. Njoku ◽  
C.I. Emechebe ◽  
A.N. Njoku ◽  
E.E. Efiok ◽  
C.U. Iklaki
2017 ◽  
Vol 29 (3) ◽  
pp. 339-344 ◽  
Author(s):  
Aswini A Balachandran ◽  
Swapna Duvalla ◽  
Abdul H Sultan ◽  
Ranee Thakar

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Nesrin Varol ◽  
Angela Dawson ◽  
Sabera Turkmani ◽  
John J. Hall ◽  
Susie Nanayakkara ◽  
...  

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.


Author(s):  
Chidebe C. Anikwe ◽  
Brown N. Ejikeme ◽  
Nworah J. Obiechina ◽  
Bartholomew C. Okorochukwu ◽  
Johnson A. Obuna ◽  
...  

2019 ◽  
Vol 30 (3) ◽  
pp. 601-607 ◽  
Author(s):  
Engelbert A Nonterah ◽  
Edmund W Kanmiki ◽  
Isaiah A Agorinya ◽  
Evelyn Sakeah ◽  
Mariatu Tamimu ◽  
...  

Abstract Background Female genital mutilation (FGM) is commonly practiced in sub-Saharan Africa and results in adverse pregnancy outcomes among affected women. This paper assessed the prevalence and effects of FGM on pregnancy outcomes in a rural Ghanaian setting. Methods We analyzed 9306 delivery records between 2003 and 2013 from the Navrongo War Memorial Hospital. Multivariable logistic regression analyses were used to determine the effects of FGM on pregnancy outcomes such as stillbirth, birth weight, postpartum haemorrhage, caesarean and instrumental delivery. We also assessed differences in the duration of stay in the hospital by FGM status. Results A greater proportion of mothers with FGM (24.7%) were older than 35 years compared with those without FGM (7.6%). FGM declined progressively from 28.4% in 2003 to 0.6% in 2013. Mothers with FGM were nearly twice as likely to have caesarean delivery (adjusted odds ratios = 1.85 with 95%CI [1.72, 1.99]) and stillbirths (1.60 [1.21, 2.11]) compared with those without. Similarly, they had a 4-fold increased risk of post-partum haemorrhage (4.69 [3.74, 5.88]) and more than 2-fold risk lacerations/episiotomy (2.57 [1.86, 3.21]) during delivery. Average duration of stay in the hospital was higher for mothers with FGM from 2003 to 2007. Conclusions Despite significant decline in prevalence of FGM, adverse obstetric outcomes are still high among affected women. Increased public health education of circumcised women on these outcomes would help improve institutional deliveries and heighten awareness and prompt clinical decisions among healthcare workers. Further scale-up of community level interventions are required to completely eliminate FGM.


Sign in / Sign up

Export Citation Format

Share Document