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This volume consist of papers which provide an overview of the presentations at the Second International Academic Seminar: Female Genital Mutilation/Cutting at the intersection of qualitative, quantitative and mixed method research. Experiences from Africa and Europe. This seminar took place June 2017, in Brussels. The contributions in this book focus on research's crucial role in abandoning female genital mutilation/ cutting (FGM/C), gaps in the research, the need to integrate an intersectionality perspective in the research and evaluations of current strategies for abandoning the practice.
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This volume consist of papers which provide an overview of the presentations at the Second International Academic Seminar: Female Genital Mutilation/Cutting at the intersection of qualitative, quantitative and mixed method research. Experiences from Africa and Europe. This seminar took place June 2017, in Brussels. The contributions in this book focus on research's crucial role in abandoning female genital mutilation/ cutting (FGM/C), gaps in the research, the need to integrate an intersectionality perspective in the research and evaluations of current strategies for abandoning the practice.
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Female genital mutilation/cutting (FGM/C) has been performed in various forms for millennia and involves the partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons. In this systematic review we addressed harm occurring during the cutting or alteration modification process and the short-term period. We included 56 observational studies that documented immediate complications. There were 14 studies in which two or more groups of girls and women with different types of FGM/C were compared with regards to the occurrence of one or more acute complications. There are three main findings:1. The most common immediate FGM/C complications were: pain, excessive bleeding, swelling, problems with wound healing, urine retention.2. The girls and women undergoing FGM/C often suffered more than one immediate complication.3. There were few differences in risk of immediate complications among different types of FGM/C, but there might be a greater risk of immediate complications for women with FGM/C type III (infibulation) compared to types I-II. There was evidence of under-reporting of complications. However, the findings show that the FGM/C procedure unequivocally causes immediate, and typically several, health complications during the FGM/C procedure and the short-term period. Each of the most common complications occurred in more than one of every ten girls and women who undergo FGM/C. The participants in these studies had FGM/C types I through IV, thus immediate complications such as bleeding and swelling occur in setting with all forms of FGM/C. Even FGM/C type I and type IV 'nick', the forms of FGM/C with least anatomical extent, presented immediate complications. The results document that multiple immediate and quite serious complications can result from FGM/C. These results should be viewed in light of long-term complications, such as obstetric and gynecological problems, and protection of human rights.
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The traditional practice of female genital mutilation or cutting (FGM/C) covers a range of procedures (clitoridectomy, excision, infibulation, and other) performed on the genitals of females of different ages. This systematic review aimed to summarize empirical quantitative research describing the gynecological consequences of FGM/C on girls and women. We included 136 primary studies, 42 of which compared groups of women who had been subjected to FGM/C with women who had no or different types of genital alterations. The main finding is that FGM/C has harmful consequences for a woman's gynecological health. We found that:1. Women with FGM/C seem to be more likely than women without FGM/C to experience urinary tract infection, bacterial vaginosis, and pain during intercourse.2. There seems to be a trend for women with FGM/C to be more likely than women without FGM/C to experience: burning/painful urination, problems with menstruation, vaginal discharge and vaginal itching.3. There seems to be no clear trend for either a greater or lower risk of HIV and sexually transmitted infections among women who have undergone FGM/C.4. There were insufficient data for us to conclude whether the risk of other gynecological complications (tissue damage, vaginal adhesions and obstructions, cysts, infertility) is different among women with FGM/C compared to women without FGM/C, and whether various FGM/C types differentially affect the risk of other gynecological complications (except regarding urinary tract infection). This systematic review found that sufficient evidence exist to conclude that women who have undergone FGM/C suffer a greater risk of gynecological complications than women who have not undergone the procedure. There were no indications of gynecological benefits of FGM/C. Rather, there is a real chance of under-reporting of many of the health issues covered in this systematic review.
Choose an application
Female genital mutilation/cutting (FGM/C) has been performed in various forms for millennia and involves the partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons. In this systematic review we addressed harm occurring during the cutting or alteration modification process and the short-term period. We included 56 observational studies that documented immediate complications. There were 14 studies in which two or more groups of girls and women with different types of FGM/C were compared with regards to the occurrence of one or more acute complications. There are three main findings:1. The most common immediate FGM/C complications were: pain, excessive bleeding, swelling, problems with wound healing, urine retention.2. The girls and women undergoing FGM/C often suffered more than one immediate complication.3. There were few differences in risk of immediate complications among different types of FGM/C, but there might be a greater risk of immediate complications for women with FGM/C type III (infibulation) compared to types I-II. There was evidence of under-reporting of complications. However, the findings show that the FGM/C procedure unequivocally causes immediate, and typically several, health complications during the FGM/C procedure and the short-term period. Each of the most common complications occurred in more than one of every ten girls and women who undergo FGM/C. The participants in these studies had FGM/C types I through IV, thus immediate complications such as bleeding and swelling occur in setting with all forms of FGM/C. Even FGM/C type I and type IV 'nick', the forms of FGM/C with least anatomical extent, presented immediate complications. The results document that multiple immediate and quite serious complications can result from FGM/C. These results should be viewed in light of long-term complications, such as obstetric and gynecological problems, and protection of human rights.
Choose an application
The traditional practice of female genital mutilation or cutting (FGM/C) covers a range of procedures (clitoridectomy, excision, infibulation, and other) performed on the genitals of females of different ages. This systematic review aimed to summarize empirical quantitative research describing the gynecological consequences of FGM/C on girls and women. We included 136 primary studies, 42 of which compared groups of women who had been subjected to FGM/C with women who had no or different types of genital alterations. The main finding is that FGM/C has harmful consequences for a woman's gynecological health. We found that:1. Women with FGM/C seem to be more likely than women without FGM/C to experience urinary tract infection, bacterial vaginosis, and pain during intercourse.2. There seems to be a trend for women with FGM/C to be more likely than women without FGM/C to experience: burning/painful urination, problems with menstruation, vaginal discharge and vaginal itching.3. There seems to be no clear trend for either a greater or lower risk of HIV and sexually transmitted infections among women who have undergone FGM/C.4. There were insufficient data for us to conclude whether the risk of other gynecological complications (tissue damage, vaginal adhesions and obstructions, cysts, infertility) is different among women with FGM/C compared to women without FGM/C, and whether various FGM/C types differentially affect the risk of other gynecological complications (except regarding urinary tract infection). This systematic review found that sufficient evidence exist to conclude that women who have undergone FGM/C suffer a greater risk of gynecological complications than women who have not undergone the procedure. There were no indications of gynecological benefits of FGM/C. Rather, there is a real chance of under-reporting of many of the health issues covered in this systematic review.
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