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Female circumcision: obstetrical and psychological sequelae continues unabated in the 21st century.
J Matern Fetal Neonatal Med 2011; 24(6):833-6JM

Abstract

OBJECTIVES

To assess the incidence of female circumcision/female genital cutting (FGC) among pregnant women and describe the obstetrical and psychological sequelae of female circumcision.

METHOD

Four thousand eight hundred pregnant women over a 4-year period were assessed for female circumcision. Odd ration (OR) and 95% confidence interval (CI) were calculated to measure association between female circumcision, maternal morbidity, and birth outcome. Variables included prolonged maternal hospitalization, low birth weight, prolonged labor, obstructed labor, cesarean section, and fetal outcome. Assessment measures to determine cognitive and emotional effects included the Mini international Neuro-psychiatric interview and Rey memory test.

RESULTS

The prevalence of female circumcision was 38%; women who were circumcised were more likely have extended hospital stay. There was a positive association between such women and prolonged labor, cesarean section, post-partum hemorrhage, early neonatal death, and hepatitis C infection. Psychiatric sequelae included: 80% continued to have flashbacks to the FGC event; 58% had a psychiatric disorder (affective disorder); 38% had other anxiety disorders, and 30% had post-traumatic stress disorder.

CONCLUSION

Female circumcision is associated with adverse materno-fetal outcome and psychiatric sequelae. Many will need psychiatric as well as gynecological care.

Authors+Show Affiliations

Department of Obstetrics and Gynaecology, College Of Medicine Kuwait University/King Faisal University Dammam, Safat 13110, Kuwait.No affiliation info availableNo affiliation info available

Pub Type(s)

Historical Article
Journal Article

Language

eng

PubMed ID

21121711

Citation

Chibber, Rachana, et al. "Female Circumcision: Obstetrical and Psychological Sequelae Continues Unabated in the 21st Century." The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, vol. 24, no. 6, 2011, pp. 833-6.
Chibber R, El-Saleh E, El Harmi J. Female circumcision: obstetrical and psychological sequelae continues unabated in the 21st century. J Matern Fetal Neonatal Med. 2011;24(6):833-6.
Chibber, R., El-Saleh, E., & El Harmi, J. (2011). Female circumcision: obstetrical and psychological sequelae continues unabated in the 21st century. The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 24(6), pp. 833-6. doi:10.3109/14767058.2010.531318.
Chibber R, El-Saleh E, El Harmi J. Female Circumcision: Obstetrical and Psychological Sequelae Continues Unabated in the 21st Century. J Matern Fetal Neonatal Med. 2011;24(6):833-6. PubMed PMID: 21121711.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Female circumcision: obstetrical and psychological sequelae continues unabated in the 21st century. AU - Chibber,Rachana, AU - El-Saleh,Eyad, AU - El Harmi,Jihad, Y1 - 2010/12/01/ PY - 2010/12/3/entrez PY - 2010/12/3/pubmed PY - 2011/9/7/medline SP - 833 EP - 6 JF - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians JO - J. Matern. Fetal. Neonatal. Med. VL - 24 IS - 6 N2 - OBJECTIVES: To assess the incidence of female circumcision/female genital cutting (FGC) among pregnant women and describe the obstetrical and psychological sequelae of female circumcision. METHOD: Four thousand eight hundred pregnant women over a 4-year period were assessed for female circumcision. Odd ration (OR) and 95% confidence interval (CI) were calculated to measure association between female circumcision, maternal morbidity, and birth outcome. Variables included prolonged maternal hospitalization, low birth weight, prolonged labor, obstructed labor, cesarean section, and fetal outcome. Assessment measures to determine cognitive and emotional effects included the Mini international Neuro-psychiatric interview and Rey memory test. RESULTS: The prevalence of female circumcision was 38%; women who were circumcised were more likely have extended hospital stay. There was a positive association between such women and prolonged labor, cesarean section, post-partum hemorrhage, early neonatal death, and hepatitis C infection. Psychiatric sequelae included: 80% continued to have flashbacks to the FGC event; 58% had a psychiatric disorder (affective disorder); 38% had other anxiety disorders, and 30% had post-traumatic stress disorder. CONCLUSION: Female circumcision is associated with adverse materno-fetal outcome and psychiatric sequelae. Many will need psychiatric as well as gynecological care. SN - 1476-4954 UR - https://www.unboundmedicine.com/medline/citation/21121711/Female_circumcision:_obstetrical_and_psychological_sequelae_continues_unabated_in_the_21st_century_ L2 - http://www.tandfonline.com/doi/full/10.3109/14767058.2010.531318 DB - PRIME DP - Unbound Medicine ER -