Acta méd. costarric vol.50 no.4 San José dic. 2008
Knowledge of health personnel about female genital mutilation (Letter in Spanish)
Cambronero-Aguilar I, Campos-Cortés C, Chavarría-Bolaños R, Chavarría-Ulate D, Gamboa- Ramón K, Loría- Chavarría G, Sandí Grettchen F
Background and aim: Nowadays, the short and long-term consequences in psychological, sexual, social and medical areas of female genital mutilation are known. It is a common practice in non occidental countries. However because of globalization and migration it has been a problem in different countries. In this context it is very important that the medical and nursing professionals have knowledge about its medical complications and management. The present study was undertaken to determine the knowledge of medical doctors and nurses regarding female genital mutilation, its possible medical consequences and its clinical management. Materials and method: A survey was made to 70 medical doctors and 30 nurses, at 4 national hospitals of the Costa Rican social security system, between October and November 2006. Result: 81% know about female genital mutilation, however 63% do not know about its obstetric complications and 97% said they did not know the deinfibulation method, 60% of the medical doctors do not know how to manage a case. Discussion: The result is explained because this is not a common diagnosis in this country. Nevertheless, the documentation of a case in Costa Rica and the continued migration of these populations justify the need of more information and knowledge about management of these patients. It is relevant the role of continue medical education.
Fertil Steril. 2004 81(6): 1692-1694
Infertility from female circumcision
Chen G, Dharia SP, Steinkampf MP, Callison S
OBJECTIVE: To present a case report of a patient with primary infertility from female circumcision, the management of the patient, and a review of the literature. DESIGN:Case report and literature review. SETTING: University hospital. PATIENT(S): A 31-year-old woman referred for a history of primary infertility. INTERVENTION(S): Complete history and physical exam of the patient and subsequent deinfibulation. MAIN OUTCOME MEASURE(S): Diagnosis, surgical management, and postoperative sexual function and pregnancy. RESULT(S): Resolution of dyspareunia, satisfactory postoperative sexual function, and pregnancy. CONCLUSION(S): Awareness of this type of female circumcision and familiarity with its surgical management may prevent delays and any subsequent complications.
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Adolesc Med State Art Rev. 2009 Dec;20(3):874-86, viii.
Adolescent health in an international context: the challenge of sexual and reproductive health in sub-Saharan Africa.
Fatusi A, Blum RW.
Department of Community Health, College of Health Sciences, Obafemi Awolowo University, P.O. Box 1905 OAU Post Office, Ile-Ife 22005, Nigeria.
Adolescent Health in an International Context: The Challenge of Sexual and Reproductive Health in Sub-Saharan Africa Adesegun Fatusi, Robert W. Blum Today’s young people are growing up in a world that is rapidly changing and vastly different from that of previous generations. The health challenges confronting them are also significantly different and vary greatly around the world. This article presents an overview of the health of young people in an international context and highlights the factors that have shaped the lives of young people in recent times. It draws attention to the patterns and variations in the major causes of mortality and morbidity. A special focus is given to sub-Saharan Africa, where HIV/AIDS and reproductive health challenges are the greatest.
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