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The experiences and psychological outcomes for pregnant women who have had FGM: A systematic review

Wood, R, Richens, Y and Lavender, Tina (2021) 'The experiences and psychological outcomes for pregnant women who have had FGM: A systematic review'. Sexual and Reproductive HealthCare Journal, Vol 2021, Issue 100639.

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Abstract

Female genital mutilation (FGM) is a global issue, with 200 million women and girls thought to be affected. FGM is defined as removal of female external genitalia, either partial or total, for non-medical purposes. FGM is embedded in tradition, including cultural beliefs about sexual behaviour. Associated risks include haemorrhage, infection, death, dyspareunia, childbirth complications and psychological issues. Although FGM negatively impacts on women’s psychological wellbeing, little is known about the impact on pregnancy experiences. Psychological consequences of FGM are likely to be intensified during pregnancy when women have concerns about their own and their baby’s wellbeing. This mixed-method systematic review aimed to provide insight into the psychological impact of FGM on women who subsequently become pregnant. Nine electronic databases were searched, using a search strategy to identify relevant studies. Studies were considered for inclusion if they were primary studies (qualitative, quantitative or mixed-method) involving pregnant women of any age who have previously undergone FGM. Relevant studies were evaluated using the MMAT appraisal tool. Analysis was guided by the review questions and the evidence identified. One quantitative and 9 qualitative papers were included. Qualitative data were analysed using meta-ethnography. Narrative analysis of the quantitative study was conducted. Findings relate to power of choice linked to reinfibulation, deinfibulation, birth procedures and pain management; importance of knowledgeable and sensitive health care professionals; and relived trauma experienced during childbirth. These findings could inform the development of supportive interventions for women with FGM within maternity services.

Keywords: systematic review, FGM, pregnancy, mental health

Item Type: Article
Subjects: QS Anatomy > QS 4 General works. Classify here works on regional anatomy
W General Medicine. Health Professions > W 20.5 Biomedical research
WA Public Health > Health Problems of Special Population Groups > WA 309 Women's health
WA Public Health > Health Problems of Special Population Groups > WA 310 Maternal welfare
WM Psychiatry > WM 100 General works
WP Gynecology > Anatomy. Diseases. Injuries > WP 400 General works
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.1016/j.srhc.2021.100639
Depositing User: Rachel Dominguez
Date Deposited: 01 Jun 2021 13:25
Last Modified: 01 Jun 2021 13:25
URI: https://archive.lstmed.ac.uk/id/eprint/17919

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