Labour outcomes with defibulation at delivery in immigrant Somali and Sudanese women with type III female genital mutilation/cutting
INTRODUCTION There is a scarcity of studies on labour outcomes with defibulation. This study assessed the outcomes of labour with defibulation at delivery in women with type III female genital mutilation/cutting (FGM/C) compared to labour without defibulation....
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| Format: | Article |
| Language: | English |
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SMW supporting association (Trägerverein Swiss Medical Weekly SMW)
2020-08-01
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| Series: | Swiss Medical Weekly |
| Subjects: | |
| Online Access: | https://www.smw.ch/index.php/smw/article/view/2862 |
| _version_ | 1797974819388522496 |
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| author | Abdulrahim A. Rouzi Rigmor C Berg Heidi Al-Wassia Rana Alamoudi Wajeh Hariri Ghazi Sindi Nisma Almansouri Nora Sahly |
| author_facet | Abdulrahim A. Rouzi Rigmor C Berg Heidi Al-Wassia Rana Alamoudi Wajeh Hariri Ghazi Sindi Nisma Almansouri Nora Sahly |
| author_sort | Abdulrahim A. Rouzi |
| collection | DOAJ |
| description |
INTRODUCTION
There is a scarcity of studies on labour outcomes with defibulation. This study assessed the outcomes of labour with defibulation at delivery in women with type III female genital mutilation/cutting (FGM/C) compared to labour without defibulation.
METHODS
We identified and reviewed the records of all Somali and Sudanese women who delivered at King Abdulaziz University Hospital, Jeddah, Saudi Arabia, between January 2012 and December 2016. Labour outcomes of women with type III FGM/C who delivered vaginally with defibulation at delivery were compared to the outcomes of women without type III FGM/C who delivered vaginally without defibulation. Data extracted from the records included demographics, registration status, and labour outcomes.
RESULTS
During the study period, 1086 Somali and Sudanese women delivered at our institution, with 42% delivering by caesarean section. Among the 631 women with vaginal delivery, 27% had type III FGM/C and delivered with defibulation while 73% did not have type III FGM/C and delivered without defibulation. Demographic and clinical factors were similar between the two groups who delivered vaginally. The outcomes of labour with defibulation at delivery in women with type III FGM/C were not different from women without defibulation, except in regards to instrumental delivery and maternal blood loss. There were also no statistically significant differences between the two groups in neonatal outcomes.
CONCLUSIONS
Defibulation at delivery is an effective minor surgical procedure that should be in the armamentarium of the healthcare providers managing women with type III FGM/C.
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| first_indexed | 2024-04-11T04:25:44Z |
| format | Article |
| id | doaj.art-2f0927e622b540e6995dc43c52fa5243 |
| institution | Directory Open Access Journal |
| issn | 1424-3997 |
| language | English |
| last_indexed | 2024-04-11T04:25:44Z |
| publishDate | 2020-08-01 |
| publisher | SMW supporting association (Trägerverein Swiss Medical Weekly SMW) |
| record_format | Article |
| series | Swiss Medical Weekly |
| spelling | doaj.art-2f0927e622b540e6995dc43c52fa52432022-12-29T16:02:32ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972020-08-01150353610.4414/smw.2020.20326Labour outcomes with defibulation at delivery in immigrant Somali and Sudanese women with type III female genital mutilation/cuttingAbdulrahim A. Rouzi0Rigmor C Berg1Heidi Al-Wassia2Rana Alamoudi3Wajeh Hariri4Ghazi Sindi5Nisma Almansouri6Nora Sahly7Department of Obstetrics and Gynaecology, King Abdulaziz University, Jeddah, Saudi ArabiaDepartment of Health Services, Norwegian Institute of Public Health, and Tromso University, NorwayDepartment of Paediatrics, King Abdulaziz University, Jeddah, Saudi ArabiaDepartment of Obstetrics and Gynaecology, King Abdulaziz University, Jeddah, Saudi ArabiaDepartment of Obstetrics and Gynaecology, King Abdulaziz University, Jeddah, Saudi ArabiaDepartment of Obstetrics and Gynaecology, King Abdulaziz University, Jeddah, Saudi ArabiaDepartment of Obstetrics and Gynaecology, King Abdulaziz University, Jeddah, Saudi ArabiaDepartment of Obstetrics and Gynaecology, King Abdulaziz University, Jeddah, Saudi Arabia INTRODUCTION There is a scarcity of studies on labour outcomes with defibulation. This study assessed the outcomes of labour with defibulation at delivery in women with type III female genital mutilation/cutting (FGM/C) compared to labour without defibulation. METHODS We identified and reviewed the records of all Somali and Sudanese women who delivered at King Abdulaziz University Hospital, Jeddah, Saudi Arabia, between January 2012 and December 2016. Labour outcomes of women with type III FGM/C who delivered vaginally with defibulation at delivery were compared to the outcomes of women without type III FGM/C who delivered vaginally without defibulation. Data extracted from the records included demographics, registration status, and labour outcomes. RESULTS During the study period, 1086 Somali and Sudanese women delivered at our institution, with 42% delivering by caesarean section. Among the 631 women with vaginal delivery, 27% had type III FGM/C and delivered with defibulation while 73% did not have type III FGM/C and delivered without defibulation. Demographic and clinical factors were similar between the two groups who delivered vaginally. The outcomes of labour with defibulation at delivery in women with type III FGM/C were not different from women without defibulation, except in regards to instrumental delivery and maternal blood loss. There were also no statistically significant differences between the two groups in neonatal outcomes. CONCLUSIONS Defibulation at delivery is an effective minor surgical procedure that should be in the armamentarium of the healthcare providers managing women with type III FGM/C. https://www.smw.ch/index.php/smw/article/view/2862labouroutcomesdefibulation at delivery |
| spellingShingle | Abdulrahim A. Rouzi Rigmor C Berg Heidi Al-Wassia Rana Alamoudi Wajeh Hariri Ghazi Sindi Nisma Almansouri Nora Sahly Labour outcomes with defibulation at delivery in immigrant Somali and Sudanese women with type III female genital mutilation/cutting Swiss Medical Weekly labour outcomes defibulation at delivery |
| title | Labour outcomes with defibulation at delivery in immigrant Somali and Sudanese women with type III female genital mutilation/cutting |
| title_full | Labour outcomes with defibulation at delivery in immigrant Somali and Sudanese women with type III female genital mutilation/cutting |
| title_fullStr | Labour outcomes with defibulation at delivery in immigrant Somali and Sudanese women with type III female genital mutilation/cutting |
| title_full_unstemmed | Labour outcomes with defibulation at delivery in immigrant Somali and Sudanese women with type III female genital mutilation/cutting |
| title_short | Labour outcomes with defibulation at delivery in immigrant Somali and Sudanese women with type III female genital mutilation/cutting |
| title_sort | labour outcomes with defibulation at delivery in immigrant somali and sudanese women with type iii female genital mutilation cutting |
| topic | labour outcomes defibulation at delivery |
| url | https://www.smw.ch/index.php/smw/article/view/2862 |
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