Knowledge of Female Genital Cutting and Experience With Women Who Are Circumcised: A Survey of Nurse‐Midwives in the United States

Hess, Rosanna F.; Weinland, JoAnn; Saalinger, Natalie M.

doi:10.1016/j.jmwh.2009.01.005

Cited by 63 publications

(84 citation statements)

References 26 publications

(111 reference statements)

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“…Knowledge of the legal aspect of FGM were noted in studies in this review (Hess, 2010). The RCM survey of UK midwives also found a number of gaps in this area with 71% of midwives surveyed reporting knowledge of the UK law with respect to FGM.…”

Section: Improving Technical Reporting and Legal Knowledgementioning

confidence: 65%

“…Table 2 indicates the themes by paper. (Berggren, et al, 2004) 3 3 3 (Hess, 2010) 3 3 (Isman, et al, 2013) 3 3 3 (Jacoby & Smith, 2013) 3 (Korfker, et al, 2012) 3 (Lazar, et al, 2013) 3 3 (Leval, et al, 2004) 3 (Tamaddon, et al, 2006) 3 3 3 (Widmark, et al, 2002) 3 3 3 (Zaidi, et al, 2007) 3…”

Section: Resultsmentioning

confidence: 99%

“…A study of 243 American certified nurse midwives by Hess et al (2010) revealed that they had better technical knowledge on FGM types and complication than knowledge of cultural and legal issues. A lack of cultural knowledge was also reported by midwives in another US study by Lazar et al (2013).…”

Section: Resultsmentioning

confidence: 99%

“…A number of studies in the review from HIC noted that midwives had a poor understanding of the culture of the women they were caring for (Hess, 2010;Lazar, et al, 2013;Leval, et al, 2004;Widmark, et al, 2002). Culturally competent midwives and nurses are critical to the provision of quality maternal and child health care (Callister, 2005), which involves midwives working effectively within the cultural context of the women and their families.…”

Section: Cultural Competencies For Midwivesmentioning

confidence: 99%

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Evidence to inform education, training and supportive work environments for midwives involved in the care of women with female genital mutilation: A review of global experience

et al. 2015

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Objective: to identify how midwives in low and middle income countries (LMIC) and high income countries (HIC) care for women with female genital mutilation (FGM), their perceived challenges and what professional development and workplace strategies might better support midwives to provide appropriate quality care.Design: an integrative review involving a narrative synthesis of the literature was undertaken to include peer reviewed research literature published between 2004 and 2014.Findings: ten papers were included in the review, two from LMIC and eight from HIC. A lack of technical knowledge and limited cultural competency was identified, as well as socioͲcultural challenges in the abandonment process of the practice, particularly in LMIC settings. Training in the area of FGM was limited. One study reported the outcomes of an education initiative that was found to be beneficial.Key conclusions: professional education and training, a working environment supported by guidelines and responsive policy and community education, are necessary to enable midwives to improve the care of women with FGM and advocate against the practice.Implications for practice: Improved opportunities for midwives to learn about FGM and receive advice and support, alongside opportunities for collaborative practice in contexts that enable the effective reporting of FGM to authorities, may be beneficial and require further investigation.

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Section: Improving Technical Reporting and Legal Knowledgementioning

confidence: 65%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Cultural Competencies For Midwivesmentioning

confidence: 99%

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Evidence to inform education, training and supportive work environments for midwives involved in the care of women with female genital mutilation: A review of global experience

et al. 2015

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“…[35] (2004)SudanTo explore motives, perceptions and experiences of re-infibulation after birth and to elucidate its context and determinantsQualitative study (focussed ethnography)Explorative open-ended interviewsMidwives17Re-infibulationChristof-fersen-Deb [48] (2005)KenyaTo examine medicalized circumcision from the perspective of Gusii community members and health care workers in western KenyaQualitative studyStructured interviewsMedical doctors4FGMNurses7Hess & al. [45] (2010)Unites-States of AmericaTo assess certified nurse-midwives’ knowledge of FGM and to explore their experiences caring for African immigrant women with a history of genital cuttingDescriptive studyClosed and open-ended questionnaireNurse-midwives243Mainly re-infibulationIbrahim & al. [42] (2013)NigeriaTo determine the knowledge, attitude and practice of FGM among doctors and nurses/midwives practising in public secondary and tertiary hospitalsCross-sectional descriptive studySelf-administered structured questionnairesMedical doctors66FGMNurses52Kaplan & al.…”

Section: Methodsmentioning

confidence: 99%

Understanding the motivations of health-care providers in performing female genital mutilation: an integrative review of the literature

2017

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BackgroundFemale genital mutilation (FGM) is a traditional harmful practice that can cause severe physical and psychological damages to girls and women. Increasingly, trained health-care providers carry out the practice at the request of families. It is important to understand the motivations of providers in order to reduce the medicalization of FGM. This integrative review identifies, appraises and summarizes qualitative and quantitative literature exploring the factors that are associated with the medicalization of FGM and/or re-infibulation.MethodsLiterature searches were conducted in PubMed, CINAHL and grey literature databases. Hand searches of identified studies were also examined. The “CASP Qualitative Research Checklist” and the “STROBE Statement” were used to assess the methodological quality of the qualitative and quantitative studies respectively. A total of 354 articles were reviewed for inclusion.ResultsFourteen (14) studies, conducted in countries where FGM is largely practiced as well as in countries hosting migrants from these regions, were included. The main findings about the motivations of health-care providers to practice FGM were: (1) the belief that performing FGM would be less harmful for girls or women than the procedure being performed by a traditional practitioner (the so-called “harm reduction” perspective); (2) the belief that the practice was justified for cultural reasons; (3) the financial gains of performing the procedure; (4) responding to requests of the community or feeling pressured by the community to perform FGM. The main reasons given by health-care providers for not performing FGM were that they (1) are concerned about the risks that FGM can cause for girls’ and women’s health; (2) are preoccupied by the legal sanctions that might result from performing FGM; and (3) consider FGM to be a “bad practice”.ConclusionThe findings of this review can inform public health program planners, policy makers and researchers to adapt or create strategies to end medicalization of FGM in countries with high prevalence of this practice, as well as in countries hosting immigrants from these regions. Given the methodological limitations in the included studies, it is clear that more robust in-depth qualitative studies are needed, in order to better tackle the complexity of this phenomenon and contribute to eradicating FGM throughout the world.Electronic supplementary materialThe online version of this article (doi:10.1186/s12978-017-0306-5) contains supplementary material, which is available to authorized users.

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Providing information about the consequences of female genital mutilation to healthcare providers caring for women and girls living with female genital mutilation: A systematic review

Oringanje

Okoro

Nwankwo

et al. 2017

Intl J Gynecology & Obste

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Knowledge of Female Genital Cutting and Experience With Women Who Are Circumcised: A Survey of Nurse‐Midwives in the United States

Cited by 63 publications

References 26 publications

Evidence to inform education, training and supportive work environments for midwives involved in the care of women with female genital mutilation: A review of global experience

Evidence to inform education, training and supportive work environments for midwives involved in the care of women with female genital mutilation: A review of global experience

Understanding the motivations of health-care providers in performing female genital mutilation: an integrative review of the literature

Providing information about the consequences of female genital mutilation to healthcare providers caring for women and girls living with female genital mutilation: A systematic review

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