Categories
Archives Blog Original research

Female genital mutilation (FGM) management during pregnancy, childbirth and the postpartum period

International Journal of Gynecology & Obstetrics. 2000 july:70(1)99-104

Female genital mutilation (FGM) management during pregnancy, childbirth and the postpartum period

Rushwan H

Abstract 

Female genital mutilation (FGM) is a traditional practice with serious health consequences to women that is still practiced in 28 countries with approximately 2 million girls exposed to the practice annually. The complications of FGM cause suffering to the woman all her life. Pregnancy, childbirth and the postpartum period are particularly important as there is increased risk of mortality and morbidity from FGM complications. Although the overall strategy should be to eliminate the practice completely, the healthcare providers and policy makers in the meantime should not only be aware but also well trained in the management of FGM complications to decrease the risk of mortality and serious morbidity.

This article can be accessed in this LINK

Categories
Archives Blog Original research

Urogenital complications among girls with genital mutilation: a hospital-based study in Khartoum.

Afr J Reprod Health. 2005 Aug;9(2):118-24.

Urogenital complications among girls with genital mutilation: a hospital-based study in Khartoum.

Almroth L, Bedri H, El Musharaf S, Satti A, Idris T, Hashim MS, Suliman GI, Bergström S.

Division of International Health, Karolinska Institutet, SE-17676 Stockholm, Sweden. L.Almroth@telia.com

Abstract

To explore paediatric complications of female genital mutilation (FGM), 255 consecutive girls aged 4-9 years presenting to an emergency ward in Sudan were included in this clinical study. Full examination, including inspection of genitalia, was performed. Dipsticks for nitrite and leucocytes were used to diagnose suspected urinary tract infection (UTI). Girls with a form of FGM narrowing vulva had significantly more UTI than others, and among girls below the age of seven there was a significant association between FGM and UTI. Only 8% of girls diagnosed as having UTI reported urogenital symptoms. In spite of the fact that 73% of the girls subjected to FGM were reported to have been bedridden for one week or more after the operation, only 10% stated immediate complications. We conclude that FGM contributes significantly to morbidity among girls, a large share of which does not come to medical attention.

This article can be purchased in this LINK