Management of painful clitoral neuroma after female genital mutilation/cutting. (2017)

This study is a Medical Case regarding All FGM/C with the following characteristics: Author(s): Abdulcadir,J.,Tille,J. C.,& Petignat,P. FGM/C Type(s): All Health area of focus: Reconstruction of FGM. Objective: To evaluate the symptoms and management of women presenting with a clitoral neuroma after female genitalmutilation/cutting (FGM/C). Study Population: Women undergoing reconstructive surgery Findings: Seven women were diagnosed with clitoral neuroma. Six attended our clinic to undergo clitoralreconstruction,and three of these suffered from clitoral pain. The peri-clitoral fibrosis was removed during clitoralreconstruction,which revealed neuroma of the clitoris in all six subjects. Pain was ameliorated after surgery.The seventh woman presented with a visible and palpable painful clitoral mass diagnosed as a neuroma. Excisionof the mass ameliorated the pain.Sexual function improved in five women. One was not sexually active,and one had not yet resumed sex. Geographical coverage Region(s):Western Europe Country(ies):Switzerland Source

September 8, 2023

Management of type III female genital mutilation in Birmingham,UK: A retrospective audit (2014)

This study is a Descriptive research regarding III FGM/C with the following characteristics: Author(s): Paliwal Priya,Sarah Ali,Sally Bradshaw,Alison Hughes,and Kate Jolly FGM/C Type(s): III Health area of focus: Gynaecological,Obstretic. Objective: To audit clinical management of women with type III female genital mutilation (FGM) according to local guidelines. Secondary objectives were to describe the population that uses the service and compare obstetric outcomes of intrapartum deinfibulation and antenatal deinfibulation Study Population: Women with type III FGM who gave birth between January 2008 and December 2009 Findings: 91 (36%) women booked into antenatal care after 16 weeks gestation. Only 26 (10.3%) were managed fully according to guidelines. The area with poorest performance was child protection,where the presence of normal genitalia was documented in only 52 (38.8%) of medical notes following birth of a female infant. The majority of women (214,84.6%) had been deinfibulated in a previous pregnancy. Of the 39 infibulated at booking,only 9 (23.1%) were deinfibulated antenatally,the rest opted for intrapartum deinfibulation. Women who had intrapartum deinfibulation had a higher average blood loss and more tears than those deinfibulated antenatally,although this was not statistically significant. Study concluded that alternative systems be considered to improve documentation of child protection related information. Geographical coverage Region(s):Northern Europe Country(ies):United Kingdom Source

Management of type III female genital mutilation in Birmingham,UK: a retrospective audit (2014)

This study is a Descriptive research regarding III FGM/C with the following characteristics: Author(s): Paliwal P,Ali S,Bradshaw S,Hughes A,Jolly K FGM/C Type(s): III Health area of focus: Obstetric. Objective: To audit clinical management of women with type III female genital mutilation (FGM) according to local guidelines. Secondary objectives were to describe the population that uses the service and compare obstetric outcomes of intrapartum deinfibulation and antenatal deinfibulation. Study Population: women Findings: 91 (36%) women booked into antenatal care after 16 weeks gestation. Only 26 (10.3%) were managed fully according to guidelines. The area with poorest performance was child protection,where the presence of normal genitalia was documented in only 52 (38.8%) of medical notes following birth of a female infant. The majority of women (214,84.6%) had been deinfibulated in a previous pregnancy. Of the 39 infibulated at booking,only 9 (23.1%) were deinfibulated antenatally,the rest opted for intrapartum deinfibulation. Women who had intrapartum deinfibulation had a higher average blood loss and more tears than those deinfibulated antenatally,although this was not statistically significant. Geographical coverage Region(s):Northern Europe Country(ies):United kingdom Source

Mapping the complexities and highlighting the dangers: The global drive to end FGM in the UK and Sudan (2017)

This study is a Systematic Review regarding All FGM/C with the following characteristics: Author(s): Bedri,N.,& Bradley,T. FGM/C Type(s): All Health area of focus: None. Objective: To map out the UK Department for International Development’s (DfID) global push to end the practice of Female genital Mutilation/Cutting (FgM/C),and how the various components aim to link together filling evidence gaps and seeking to identify what works to finally end this brutal practice Study Population: Relied on articles Findings: Discourse around FGM that shape policies and interventions are constantly colliding and being reshaped. There is a real danger that, unless coherence across of stands can me maintained,the FGM programme will become disconnected from the very individuals whose mindsets need to be shifted but also from those who represent the powerful vehicles for change needed. Geographical coverage Region(s):Northern Europe,Northern Africa Country(ies):United Kingdom,Sudan Source

Mapping the lack of public initiative against female genital mutilation in Denmark. (2018)

This study is a Descriptive research regarding All FGM/C with the following characteristics: Author(s): Christoffersen,G. M.,Bruhn,P. J.,de Neergaard,R.,Engel,S.,& Naeser,V FGM/C Type(s): All Health area of focus: N/A. Objective: The aim of this study is to investigate theDanish municipalities’efforts to prevent FGM on the local level,and whether these initiatives are in accordancewith international recommendations and standards Study Population: 98 municipalities in Denmark Findings: The current situation of FGM registration and prevention being under localadministrative responsibility in the 98 Danish municipalities has led to a severe lack of coordinated public initiativeagainst FGM Geographical coverage Region(s):Northern Europe Country(ies):Denmark Source

Marakwet of Kenya`s Perceptions of The Alternative Rite of Passage (2012)

This study is a Descriptive research regarding All FGM/C with the following characteristics: Author(s): Gladys Jerobon Kiptiony FGM/C Type(s): All Health area of focus: None. Objective: To find out the perceptions of the Marakwet people of Kenya on the alternative rite of passage. Study Population: Findings: Results showed that the youth,the christians,the educated,the wealthy,those with a high social status had a positive perception of the new rite. However,the Alternative Rite Graduands narrations showed non acceptance of their new status as women by their peers. For the Alternative Rite to be accepted,the community has to be convinced that women do not need the pain and suffering of mutilation of their genitalia to be women. The knifeless rite should be accepted. Geographical coverage Region(s):Eastern Africa Country(ies):Kenya Source

Married Sudanese Women’s Experiences,Perceptions,and Attitudes of Female Genital Mutilation/Cutting (FGM/C) (2018)

This study is a Descriptive research regarding All FGM/C with the following characteristics: Author(s): Nuri,M. O. FGM/C Type(s): All Health area of focus: None. Objective: The study aimed to explore married Sudanese women’s experiences,perceptions and attitudes of FGM/C. Study Population: Circumcised married woman her age between 18-49 who Lived in Omdurman. Findings: Results indicated that FGM/C is more prevalent in rural regions than in urban ones. FGM/C is more prevalent in those with lower levels of education,socioeconomic status,and social standing. The typical age of circumcision ranges from 4 to 8 years old. Sudan is experiencing a gradual drop in female genital mutilation and cutting. Due to regulations against genital mutilation and activist efforts for legislative prohibition,FGM/C is generally conducted in secret,especially in metropolitan areas. Negative experiences included dysmenorrhea,pregnancy complications,sexual pain,and an increased chance of obstetrical complications. The practice of female genital mutilation/cutting is related with religious and cultural beliefs and is viewed as an assurance of virginity and purity. The study recommended Health education on FGM/C and its complications through various media outlets,the establishment of a special legal act that clearly prohibits FGM/C with deterrent punishments,and the participation of community figures,religious leaders and scholars,and social activists in the fight against FGM/C. Geographical coverage Region(s):Northern Africa Country(ies):Sudan Source

Married women’s negotiation for safer sexual intercourse in Kenya: Does experience of female genital mutilation matter? (2017)

This study is a Explanatory research regarding All FGM/C with the following characteristics: Author(s): Chai,X.,Sano,Y.,Kansanga,M.,Baada,J.,& Antabe,R. FGM/C Type(s): All Health area of focus: None. Objective: Explored the relationship between the experience of FGM,and married women’s ability to negotiate for safer sex. Study Population: Married women Findings: The experience of female genital mutilation may influence married women’s ability to negotiate for safer sex through gendered socialization and expectations.Women who had undergone genital mutilation were significantly less likely to report that they can refuse sex (OR = 0.87; p

Massive epidermal vulval cyst: an unusual late complication of female genital mutilation. (2017)

This study is a Case report/study regarding III FGM/C with the following characteristics: Author(s): Kaur-Desai,T.,& Makris,A. FGM/C Type(s): III Health area of focus: Complication of FGM (Vulval Cyst). Objective: To discuss the clinical presentation,MRI findings,surgical treatment and outcome of a massive epidermal cyst in a patient with FGM. Study Population: Patient with FGM comlication Findings: FGM has late complications of FGM including pain, chronic infections,dermoid cysts within the line of the scar,keloids, obstetric complications and importantly psychological ill health. The psychological burden of FGM is difficult to ascertain and as always women in this setting must be treated with utmost sensitivity and a non-judgmental attitude to achieve mutual trust Geographical coverage Region(s):Northern Europe Country(ies):United Kingdom Source

Maternal and foetal prognostic in excised women delivery (2007)

This study is a Correlation research regarding All FGM/C with the following characteristics: Author(s): Millogo-Traore F, Kaba ST, Thieba B, Akotionga M, Lankoande J FGM/C Type(s): All Health area of focus: Obstetrics. Objective: To compare the maternal land fetal complications of the spontaneous vaginal delivery in the excised women and non-excised women Study Population: Women Findings: The study found that Islam appeared to be a factor of exposure to the practice of the excision with 67.40% of women excised that practise it against 41.90% at the non-excised group. The maternal complications were dominated by the duration of fetal expulsion prolonged and perineal tears. The duration of fetal expulsion was superior to 30 minutes for 34.56% of excised woman childbirths 9 times more frequently than women non-excised. The frequency of perineal tears was 10.13% in the group of women excised against 5.73% in the group of the non-excised (P=0.008). In the group of excised women the rate of mortality was 22.03 for 1000 births,against 8.81 for 1000 births in the group of the non-excised (P=0.22). Geographical coverage Region(s):Western Africa Country(ies):Burkina Faso Source