Abstract
Female genital mutilation and obstetric outcomes: flawed systematic review and meta-analysis does not accurately reflect the available evidence.
Highlights
The first problem is that the review did not distinguish between studies of fundamentally differing designs and combined their results to reach summary estimates
The second is that crude results were used to calculate summary estimates of the relationship of female genital mutilation (FGM) to obstetric outcomes, even when appropriately adjusted results were available
A range of confounding factors are likely to be important in assessing the relationship of FGM to obstetric outcome in the data used for this systemic review and meta-analysis
Summary
The first problem is that the review did not distinguish between studies of fundamentally differing designs and combined their results to reach summary estimates. The second is that crude results were used to calculate summary estimates of the relationship of FGM to obstetric outcomes, even when appropriately adjusted results were available.
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