Research gaps in the care of women with female genital mutilation: an analysis

BJOG. 2015 Feb;122(3):294-303. doi: 10.1111/1471-0528.13217. Epub 2014 Dec 17.

Abstract

Female genital mutilation (FGM) includes procedures involving the partial or total removal of the external female genitals for non-therapeutic reasons. They can have negative psychosexual and health consequences that need specific care. In this paper, we review some key knowledge gaps in the clinical care of women with FGM, focusing on obstetric outcomes, surgical interventions (defibulation and clitoral reconstruction), and the skills and training of healthcare professionals involved in the prevention and management of FGM. We identify research priorities to improve the evidence necessary to establish guidelines for the best multidisciplinary care, communication, and prevention, and to improve health-promotion measures for women with FGM.

Keywords: Clitoral reconstruction; defibulation; female genital cutting; female genital mutilation; female genital mutilation/cutting; obstetric outcome.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adolescent
  • Adult
  • Circumcision, Female* / adverse effects
  • Circumcision, Female* / ethnology
  • Circumcision, Female* / statistics & numerical data
  • Communication
  • Counseling
  • Delivery of Health Care* / standards
  • Delivery of Health Care* / trends
  • Female
  • Health Services Needs and Demand / trends
  • Health Services Research
  • Human Rights
  • Humans
  • Obstetric Labor Complications / diagnosis*
  • Obstetric Labor Complications / ethnology
  • Obstetric Labor Complications / etiology
  • Obstetric Labor Complications / prevention & control
  • Plastic Surgery Procedures
  • Practice Guidelines as Topic
  • Pregnancy
  • Pregnancy Outcome*
  • Prevalence
  • Professional-Patient Relations
  • Quality of Life