Abstract
Introduction: Female Genital Mutilation (FGM) is a public health problem. There are 100 to 140 million girls and women who suffer every year in the world [1]. The aim of this study is to improve the medical care and reduce complications of FGM at the Regionalhospital of N’zérékoré, to determine their frequency, and to evaluate the maternal-fetalprognosis. Methods: The study was conducted at the Regional Hospital of N’zérékoré. This was a cross-sectional, descriptive and analytic study of 6 months, from 1 September 2016 to 28 February 2017, including all pregnant women admitted for childbirth who had a complication of female genital mutilation. Results: A total of 1295 women gave birth in the service, of which 1204 women were women with female genital mutilation. Given a frequency of 92.97%, of these 1204 mutilated women, 223 presented obstetrical complications during their delivery, a proportion of 17.22%. They were mostly young patients, mostly housewives who were not in school. Type II FGM was the most common (53.06%). Obstetric complications were dominated by complicated perinatal tears (54.08%), and hemorrhages (40.81%). The catch was dominated by perineorrhaphy. Conclusion: The frequency of FGM was 92.97% and that of their obstetric complications 17.22%. Most were house-wives, not in school. There was FGM type II. The abandonment of FGM would reduce maternal and perinatal morbidity and mortality.
Highlights
Female Genital Mutilation (FGM) is a public health problem
WHO defines female genital mutilation (FGM) as the partial or total removal of the external genitalia and/or any procedure performed on the female genitalia for cultural reasons, or any other non-therapeutic reason [1]
WHO estimates that 100.000 women die each year from FGM complications most often in childbirth and these mutilations are mainly practiced in sub-Saharan Africa: Senegal, Mali, Mauritania, Côte d’Ivoire, Gambia, Guinea [1]
Summary
Female Genital Mutilation (FGM) is a public health problem. There are 100 to 140 million girls and women who suffer every year in the world [1]. Methods: The study was conducted at the Regional Hospital of N’zérékoré This was a cross-sectional, descriptive and analytic study of 6 months, from 1 September 2016 to 28 February 2017, including all pregnant women admitted for childbirth who had a complication of female genital mutilation. Given a frequency of 92.97%, of these 1204 mutilated women, 223 presented obstetrical complications during their delivery, a proportion of 17.22%. They were mostly young patients, mostly housewives who were not in school. WHO estimates that 100.000 women die each year from FGM complications most often in childbirth and these mutilations are mainly practiced in sub-Saharan Africa: Senegal, Mali, Mauritania, Côte d’Ivoire, Gambia, Guinea [1]. In 2009, it was estimated that about 53,000 adult women residing in France were excised, with a hospital proportion of 4.20%, and two third of them were daughters of immigrants and most of them were in couples [3]
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