Knowledge of health personnel about female genital mutilation
DOI:
https://doi.org/10.51481/amc.v50i4.9Keywords:
female genital mutilation, obstetric complications, medical managementAbstract
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.
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References
Casellas S, Mayoral J, Ruíz R, De las Heras M, Martí S, Negre R et al. Protocolo de la prevención de la mutilación genital femenina de la demarcación de Girona. España. Julio 2002. Actualización Enero 2004. En http://www.gencat.net/justicia/doc/doc_43846160_1.pdf.
Consultado el 02 de noviembre de 2006
Elmusharaf S, Elkhidir I, Hoffmann S, Almroth L. A case-control study on the association between female genital mutilation and sexually transmitted infections in Sudan. BJOG: Intl J Obstet Gynecol 2006; 113:469-474.
Momoh C, Ladhani S, Lochrie D, Rymer J. Female genital mutilation: analysis of the first twelve months of a southeast London specialist clinic. Br J Obstet Gynaecol 2001;108:186-91.
Morrone A, Hercogova J, Lotti T. Stop female genital mutilation: appeal to the international dermatologic community. Int J Dermatol 2002; 41: 253-263.
Nour NM. Female genital cutting: clinical and cultural guidelines. Obstet Gynecol Sur 2004;59:272-279.
Saeed, M. Defective sexuality and female circumcision: The cause and the possible management. J. Obstet. Gynaecol. Res. 2003; 29: 12-19.
Snow RC, Slanger TE, Okonofua FE, Oronsaye F, Wacker J. Female genital cutting in southern urban and peri-urban Nigeria: self-reported validity, social determinants and secular decline. Trop Med Int Health 2002; 7:91-100.
Jones SD, Ehiri J, Anyanwu E. Female genital mutilation in developing countries: an agenda for public health response. Eur J Obstet Gynecol 2004;116:144-151.
Prácticas tradicionales nocivas que afectan a los derechos reproductivos: circuncisión femenina/mutilación genital femenina (CF/MGF). En: Derechos Reproductivos 2000: Hacia Adelante. Programa Internacional del Centro Legal de Derechos Reproductivos y Políticas Públicas (CRLP). Washington D.C. 2000.
Hopkins, S. A discussion of legal aspects of female genital mutilation. JAN 1999; 30: 926-933.
Cook RJ, Dickens BM, Fathalla MF. Female genital cutting
(mutilation/circumcision): ethical and legal dimensions. Intl J Gynecol Obstet. 2002;79:281-287.
Makhlouf, C. The consequences of female circumcision for health and sexuality: An update on the evidence. Culture, Health & Sexuality 2005; 7: 443-461.
Hosken FP. Female genital mutilation in the world today: a global review. Int J Health Serv 1991;11: 415-430.
Manji MF, Al Badawi I, El Enbaby A, Al Bareedy N. Female circumcision (female genital mutilation): a problem for brachytherapy in cervical cancer. Int J Gynecol Cancer 2006; 16: 675-680.
Morison L, Scherf C, Ekpo G, Paine K, West B, Coleman R et al. The long-term reproductive health consequences of female genital cutting in rural Gambia: a community-based survey. Trop Med Int Health 2001; 6:643-653.
World Health Organization (WHO). Female genital mutilation: an overview. Geneva: WHO, 1998
World Health Organization (WHO). Female Genital Mutilation: Integrating the prevention and the management of the health complications into the curricula of nursing and midwifery - A student's manual. Geneva: WHO, 2001.
Behrendt A, Moritz S. Posttraumatic stress disorder and memory problems after female genital mutilation. Am J Psychiatry 2005;162: 1000-1002.
Eke N. Genital self-mutilation: there is no method in this madness. BJU International 2000; 85: 295-298.
Larsen U, Okonofua FE. Female circumcision and obstetric complications. Int J Gynecol Obstet 2002; 77: 255-65.
Rushwan H. Female genital mutilation (FGM) management during pregnancy, childbirth and the postpartum period. Int J Gynaecol Obstet 2000; 70:99-104.
Hakim LY. Impact of female genital mutilation on maternal and neonatal outcomes during parturition. E Afr Med J 2001; 78: 255-58.
Cabal L. La aplicación de los derechos reproductivos de los/las adolescentes a partir de la Convención sobre los Derechos del Niño y la Niña. Enero 2000. En: http://www.reproductiverights.org/esp_pub_ art_adolescentes.html. Consultado el 02 de noviembre de 2006.
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