TY - JOUR
T1 - Does the timing of deinfibulation for women with type 3 female genital mutilation affect labour outcomes?
AU - Albert, Juliet
AU - Bailey, Elizabeth
AU - Duaso, Maria
PY - 2015/6/4
Y1 - 2015/6/4
N2 - Objective:
To determine whether timing of deinfibulation influences obstetric outcomes for women with type 3 female genital mutilation (FGM).
Design:
A retrospective observational study comprising 94 women with type 3 FGM who gave birth from 2008–2012.
Method:
Outcomes described in maternity notes of women with deinfibulation performed prior to labour (n=62) compared with ‘not deinfibulated before labour’ (n=32). Secondary analysis was then performed excluding women who had caesarean sections.
Findings:
Women who were ‘not deinfibulated before labour’ had a significantly greater risk of episiotomy (RR 1.67, P<0.05) and prolonged hospital stay of >2 days (RR 1.33, P<0.05). They also had non-significant increased risk of a postpartum haemorrhage (RR 1.15, P=0.58); prolonged second stage (RR 1.77, P=0.16); and required vaginal packing in theatre (RR 2.6, P =0.17). Apgar scores were no different, and both groups had higher than the national average rates for emergency caesarean section and instrumental birth.
Conclusion:
Type 3 FGM is associated with morbidity in childbirth. When deinfibulation is deferred until labour the risk of morbidity increases.
AB - Objective:
To determine whether timing of deinfibulation influences obstetric outcomes for women with type 3 female genital mutilation (FGM).
Design:
A retrospective observational study comprising 94 women with type 3 FGM who gave birth from 2008–2012.
Method:
Outcomes described in maternity notes of women with deinfibulation performed prior to labour (n=62) compared with ‘not deinfibulated before labour’ (n=32). Secondary analysis was then performed excluding women who had caesarean sections.
Findings:
Women who were ‘not deinfibulated before labour’ had a significantly greater risk of episiotomy (RR 1.67, P<0.05) and prolonged hospital stay of >2 days (RR 1.33, P<0.05). They also had non-significant increased risk of a postpartum haemorrhage (RR 1.15, P=0.58); prolonged second stage (RR 1.77, P=0.16); and required vaginal packing in theatre (RR 2.6, P =0.17). Apgar scores were no different, and both groups had higher than the national average rates for emergency caesarean section and instrumental birth.
Conclusion:
Type 3 FGM is associated with morbidity in childbirth. When deinfibulation is deferred until labour the risk of morbidity increases.
U2 - 10.12968/bjom.2015.23.6.430
DO - 10.12968/bjom.2015.23.6.430
M3 - Article
SN - 0969-4900
VL - 23
SP - 430
EP - 437
JO - British Journal of Midwifery
JF - British Journal of Midwifery
IS - 6
ER -
