Does the timing of deinfibulation for women with type 3 female genital mutilation affect labour outcomes?

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 -