Effect of female genital cutting performed by health care professionals on labor complications in Egyptian women: a prospective cohort study

Saleh, Wael Fayek; Torky, Haitham; Youssef, Mohamed; Ragab, Wael S.; Ahmed, Mohamed A Sayed; Eldaly, Ashraf

doi:10.1515/jpm-2016-0429

Cited by 5 publications

(2 citation statements)

References 20 publications

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“…Healthcare utilisation associated with FGM was based on a review and meta-analysis of the literature on clinical complications associated with FGM 19–109. All complications for which a significant association with FGM was found, and for which corresponding interventions could be identified, were included in the healthcare utilisation calculations.…”

Section: Methodsmentioning

confidence: 99%

Economic burden of female genital mutilation in 27 high-prevalence countries

et al. 2022

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BackgroundFemale genital mutilation (FGM) is a traditional harmful practice affecting 200 million women and girls globally. Health complications of FGM occur immediately and over time, and are associated with healthcare costs that are poorly understood. Quantifying the global FGM-related burden is essential for supporting programmes and policies for prevention and mitigation.MethodsHealth complications of FGM are derived from a meta-analysis and stratified by acute, uro-gynaecological, obstetric and psychological/sexual. Treatment costs are calculated from national cohort models of 27 high-burden countries over 30 years. Savings associated with full/partial abandonment are compared with a current incidence reference scenario, assuming no changes in FGM practices.ResultsOur model projects an increasing burden of FGM due to population growth. As a reference scenario assuming no change in practices, prevalent cases in 27 countries will rise from 119.4 million (2018) to 205.8 million (2047). Full abandonment could reduce this to 80.0 million (2047), while partial abandonment is insufficient to reduce cases. Current incidence economic burden is US$1.4 billion/year, rising to US$2.1 billion/year in 2047. Full abandonment would reduce the future burden to US$0.8 billion/year by 2047.ConclusionFGM is a human rights violation, a public health issue and a substantial economic burden that can be avoided through effective prevention strategies. While decreasing trends are observed in some countries, these trends are variable and not consistently observed across settings. Additional resources are needed to prevent FGM to avoid human suffering and growing costs. The findings of this study warrant increased political commitment and investment in the abandonment of FGM.

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Section: Methodsmentioning

confidence: 99%

Economic burden of female genital mutilation in 27 high-prevalence countries

et al. 2022

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“…Episiotomy is the commonest operating procedure performed by obstetricians in their lifetime. In hospital deliveries, episiotomy became the rule rather than the exception [1], especially in Egypt as the prevalence of female genital cutting is unfortunately high [2], which increases the risk of genital tract laceration [3].…”

Section: Introductionmentioning

confidence: 99%

Skin-Adhesive Tape versus Interrupted Suture in Episiotomy Skin Repair: Randomized Control Trial

Sherif¹,

El-Shourbagy²

2020

OJOG

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Introduction: The ideal method for perineal repair should be quick, easy to perform and preferably, with minimal pain. Aim: To compare skin adhesive tape and interrupted absorbable subcuticular suture for episiotomy repair after birth as regard postoperative pain, skin closure time and wound infection. Design: Prospective double-blinded randomized controlled trial. Methods: Three-hundred qualified patients were equally distributed between two groups. Group 1 underwent skin repair with skin adhesive tape, while group 2 underwent the currently traditional method for perineal repair by interrupted suture. Pain was evaluated at 2, 4, 6 and 12 hours after birth then daily until one week using Wong-Baker faces pain rating scale with verbal expression for pain intensity as primary outcome. Skin closure time and wound infection were also evaluated as secondary outcomes. Results: Statistically significant difference in pain was found at 4 and 6 hours, and 3, 4, 5 and 7 days after perineal repair in favor of the adhesive tape group (p = 0.04 and 0.02 respectively) (p = 0.002, 0.002, 0.003 and 0.001 respectively). No statistically significant difference was found in skin closure time between both groups, and no cases of wound infection occurred in both groups (p = 0.3). Conclusion: Skin adhesive tape may be superior to skin suturing in decreasing pain resulting from perineal repair after birth; however, further studies are needed to assess long-term effects, calculate costs and accurately measure patients' satisfaction, which were not addressed in this study.

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Systematic Review of Obstetric and Neonatal Complications Associated With Female Genital Mutilation

Bertuit¹,

Nzinga²,

Jaouan³

et al. 2023

Nursing for Women's Health

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Effect of female genital cutting performed by health care professionals on labor complications in Egyptian women: a prospective cohort study

Abstract: The study strengthens the evidence that FGC increases the risk of tears in spite of medicalization of the practice.

Cited by 5 publications

References 20 publications

Economic burden of female genital mutilation in 27 high-prevalence countries

Economic burden of female genital mutilation in 27 high-prevalence countries

Skin-Adhesive Tape versus Interrupted Suture in Episiotomy Skin Repair: Randomized Control Trial

Systematic Review of Obstetric and Neonatal Complications Associated With Female Genital Mutilation

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