The impact of female genital mutilation/cutting on obstetric outcomes and its management

The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Yaşam Kemal Akpak, Ismayil Yilmaz

Abstract

Objectives: Female genital mutilation/cutting (FGM/C) is a surgical intervention that is still widely performed around the world with serious obstetric and neonatal outcomes. We aimed to determine the obstetric and neonatal effects of FGM/C in pregnant women in a hospital with high standards of care in Sudan, where this is a common case, using a homogenous patient group.Methods: This is a retrospective cohort study in pregnant women with FGM/C, conducted at Nyala, Sudan-Turkey Training and Research Hospital. The inclusion criteria were: >18 years of age, history of FGM/C, vertex presentation, full-term birth, and single pregnancy. FGM/C group was compared with women without FGM/C (control group) who were monitored for the same period of 8 months in terms of age, parity, gestational age, and obstetric and neonatal outcomes.Results: A total of 220 eligible pregnant women were included in the study. Each group consisted of 110 pregnant women (FGM/C and control groups). We noticed that in the FGM/C group more emergency C-sections occurred, the second stage of the delivery was prolonged significantly, and episiotomy and periclitoral injuries were higher. Also, it was seen that postpartum blood loss and hospitalization of the mother ...Continue Reading

References

Jun 7, 2006·Lancet·UNKNOWN WHO study group on female genital mutilation and obstetric outcomeMohamed Ali
Nov 1, 2007·The Journal of Sexual Medicine·Crista Johnson, Nawal M Nour
May 23, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·S WuestA Kuhn
Oct 24, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Jasmine AbdulcadirMichel Boulvain
Jul 12, 2016·Revista brasileira de ginecologia e obstetrícia : revista da Federação Brasileira das Sociedades de Ginecologia e Obstetrícia·Mário Dias Corrêa Junior, Renato Passini Júnior
Sep 27, 2016·British Journal of Nursing : BJN·Claudine Gayle, Janice Rymer
Feb 7, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Ekpereonne EsuMartin M Meremikwu
Feb 7, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Adegoke AdelufosiMartin M Meremikwu
Feb 7, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Helen Smith, Karin Stein
Sep 11, 2017·International Urogynecology Journal·Aswini A BalachandranRanee Thakar

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Citations

Oct 21, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Sebastien MadzouRomain Corroenne
Jul 28, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Yasam Kemal AkpakCetin Kilicci
Jul 16, 2021·Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives·Caisha Arai AhmedMalin Bogren

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