Effect of female genital cutting performed by health care professionals on labor complications in Egyptian women: a prospective cohort study
| Autor: | Wael S. Ragab, Mohamed A. Youssef, Haitham A. Torky, Wael F. Saleh, Mohamed Abdel-Ghafar Sayed Ahmed, Ashraf Eldaly |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Episiotomy medicine.medical_specialty medicine.medical_treatment Labor Complication 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Humans Prospective Studies 030212 general & internal medicine Family history Prospective cohort study Gynecology 030219 obstetrics & reproductive medicine Obstetrics business.industry Incidence (epidemiology) Obstetrics and Gynecology Odds ratio Delivery Obstetric Delivery mode Obstetric Labor Complications Medicalization Circumcision Female Pediatrics Perinatology and Child Health Cohort Egypt Female business |
| Zdroj: | Journal of Perinatal Medicine. 46:419-424 |
| ISSN: | 1619-3997 0300-5577 2016-0429 |
| DOI: | 10.1515/jpm-2016-0429 |
| Popis: | Aim:To examine the effect of the degree of female genital cutting (FGC) performed by health-care professionals on perineal scarring; delivery mode; duration of second stage of labor; incidence of perineal tears and episiotomy in a cohort of uncircumcised versus circumcised (types I and II) women.Methods:A prospective cohort study included 450 primigravida women in active labor attending the Faculty of Medicine Cairo University Hospital between January 2013 and August 2014. Women were divided into three groups based on medical examination upon admission. Group I (Control) included 150 uncut women, Group II included 150 women with type I FGC and Group III included 150 women with type II FGC. A structured questionnaire elicited the information on women’s socio-demographic characteristics including age, residence, occupation, educational level, age of marriage and FGC circumstances. Association between FGC and labor complications was examined. Main outcomes: risk of perineal scarring; delivery mode; duration of second stage of labor; incidence of perineal tears and episiotomy.Results:Family history of genitally cut mother/sister was the most significant socio-demographic factor associated with FGC. FGC especially type II was associated with significantly higher incidence of vulvar scar (PConclusion:The study strengthens the evidence that FGC increases the risk of tears in spite of medicalization of the practice. |
| Databáze: | OpenAIRE |
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