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