I111 SURGICAL OUTCOMES AND THE CLIENTS' SATISFACTION FOR RECONSTRUCTIVE SURGERY FOR FEMALE GENITAL MUTILATION

Abstract

Results: The clients reported that they were accepted of the issue of reconstructive surgery. The majority were very satisfied (86%), the rest (14%) of the group were satisfied with the results of the surgery in regards the healing & its duration, shape of the vulva, disappearance of vaginal discharge and the regaining or starting of the sexual activity and the interest. Conclusion: This study confirmed that the reconstructive surgery for the female genital mutilation victims (RCFGM) can be performed to restore some of the genital anatomy with a high degree of clients’ acceptance and satisfaction. Lucky enough the study proves the clients’ refusal to perform FGM for their girls in the future, which gives an excellent chance for the health promotion and education initiative to stand against FGM. I112 CURRENT MANAGEMENT OF PERINEAL TRAUMA AFTER VAGINAL DELIVERY R. Fernando Over 60% of women suffer perineal trauma caused either by perineal tear or episiotomy following vaginal delivery. Perineal trauma sustained during childbirth is a major aetiological factor in the development of perineal pain, sexual dysfunction, pelvic organ prolapse, urinary and faecal incontinence. Preferential use of the vacuum extractor, restricting the use of episiotomy, perineal repair with continuous non locking polyglactin sutures, repair of anal sphincter injury by a trained doctor and selective caesarean section in these women has been shown to be beneficial in preventing complications. More focused training of midwives and doctors in perineal and anal sphincter anatomy and repair technique has also been shown to minimize the morbidity associated with inadequate repair and missed tears. At present there is limited evidence available to predict and prevent perineal trauma and how to manage subsequent pregnancy following anal sphincter injuries and further research need to be focused in these areas. I113