Title : Prevalence of female genital mutilation and its difficulties birth impact in tertiary somali hospital
Introduction: The removal of the external female genitalia completely or partially for non-medical purposes is known as female genital mutilation (FGM). FGM is mostly performed by elderly women who have no medical training. Mutilation is increasingly being done by doctors or midwives in several nations (medicalization of FGM). Unsterilized blades, razors, scalpels, shards of shattered glass, and other devices are used for FGM In this study, we wanted to assess the effects of FGM, which is often practiced in Somalia, on the outcomes of delivery.
Methods: A cross-sectional observational study was carried out among all female patients attending the department of gynaecology of Mogadishu Somali Turkish Training and Research Hospital due to various medical conditions. Female participants aged 18– 50 years old who had a history of mutilation were included in the study. The sample of the study was 255 women, using a convenient sampling technique, and the study period was over one year
Results: Our study reveals that traditional midwives (56.4 percent) conducted the majority of FGM operations, even though nurses, midwives, and doctors are less likely to do FGM(p>0.05) Regarding status as a prim gravida, there was no difference between groups. The FGM group was shown to have considerably higher rates of stillbirth, outlet obstruction, perineal tear, need for essay surgery, the requirement for neonatal intensive care unit, and newborns with an Apgar score below 7. we demonstrated how obstetric and neonatal outcomes at birth and subsequently change. (p<0.001)
Conclusion: These studies showed that FGM causes the second stage of labor to last longer, and increases the likelihood of perineal tears emphasizing the risks of female genital mutilation to unborn children. It indicates a greater likelihood that these females had vaginal lacerations and episiotomies. To help prevent the potential complications of PPH