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Article Dans Une Revue International Journal of Gynecology and Obstetrics Année : 2024

Female genital mutilation/cutting in women delivering in France: An observational national study

Résumé

Abstract Objective International migration from source countries has meant that clinicians in high income countries, that is, receiving countries, are increasingly caring for affected women affected by female genital mutilation/cutting (FGM/C). The aim of the present study was to assess the prevalence of FGM/C among women at childbirth, and its association with pregnancy outcomes. Methods This was an observational study using data from a cross‐sectional population‐based study from the French National Perinatal Survey of 2021 (ENP) conducted in all maternity units in mainland France and including all women delivering a live birth during 1 week in March 2021 ( N = 10 928). We estimated the FGM/C prevalence using (i) the diagnosed cases and (ii) the indirect prevalence estimated by UNICEF in each source country. We compared population characteristics and perinatal outcomes between women diagnosed with FGM/C and two groups: (i) women originating in source countries and diagnosed as without FGM/C and (ii) all women without diagnosis of FGM/C whatever the country of birth. Results Diagnosed prevalence of FGM/C was 95% (95% CI: 0.78–1.14] and the indirect computed estimation prevalence was estimated at 1.53% (95% CI: 1.31–1.77) in 113 and 183 women, respectively. Labor and delivery outcomes were globally similar in women with FGM/C and the other two groups. Only episiotomy was more frequently performed in women with FGM/C than in the other two groups. Conclusion In receiving countries, obstetric outcomes of women with FGM/C can be similar to those of other women, which does not preclude need of further research and training to provide the most appropriate care, including enhanced attention to diagnosis.

Dates et versions

hal-04681504 , version 1 (29-08-2024)

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Hélène Cinelli, Nathalie Lelong, Marie Lesclingand, Sophie Alexander, Béatrice Blondel, et al.. Female genital mutilation/cutting in women delivering in France: An observational national study. International Journal of Gynecology and Obstetrics, 2024, ⟨10.1002/ijgo.15880⟩. ⟨hal-04681504⟩
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