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