Obstet Gynecol Int. 2014;2014:205230. doi: 10.1155/2014/205230. Epub 2014 Mar 20.
Female genital mutilation and obstetric outcomes: flawed systematic review and meta-analysis does not accurately reflect the available evidence.
Meirik O, Banks E, Farley T, Akande O, Bathija H, Ali M.
We commend Berg and Underland for taking on the momentous task of systematically reviewing and summarizing available data on the association between female genital mutilation (FGM) and obstetric outcomes [1, 2]. FGM is an important health and human rights issue and reliable evidence on its effects on health is critical for advocacy to encourage its abandonment.
Despite the obvious hard work and adherence to a prespecified protocol, there are two major problems with this systematic review that undermine the validity of the conclusions reached.