Background: Female genital mutilation is a real public health problem in developing countries. the consequences of this practice are sometimes obstetric and are responsible for high maternal and perinatal mortality. Objective: To analyse the effect of clitoral re-exposure surgery in patients who have undergone female genital mutilation on obstetric perineal complications. Material and methods: This is a retrospective cohort study, exposed - unexposed, multi-centric, carried out in two university hospitals in Ouagadougou, Burkina Faso: Yalgado-Ouédraogo and Bogodogo. We studied the first delivery of patients operated on for CR (exposed) between March 2006 and March 2019 (over 13 years), compared with a group of unexposed women (victims of unreconstructed FGM). A ratio of two unexposed women to one exposed woman was used. The two groups were comparable according to the matching criteria. Results: We included 44 patients who had given birth after CR and 88 non-operated (unexposed) patients. Patients who had undergone FGM had more perineal lesions during childbirth than patients who had undergone CR. In fact, women not operated on for CR were 2 times more likely to suffer a perineal tear than women operated on for CR (RR = 1.93; 95% CI (1.22-3.07); p = 0.005). The same applies to episiotomy, for which women not operated on for CR were 2.62 times more likely to undergo than women operated on for CR (RR=2.62; 95% CI (1.60-4.28), p=0.000). Conclusion: Clitoral re-exposure is associated with better obstetric perineal adaptation.
| Published in | Journal of Gynecology and Obstetrics (Volume 11, Issue 6) |
| DOI | 10.11648/j.jgo.20231106.18 |
| Page(s) | 168-173 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Clitoral Re-exposure, Perineal Morbidity, CHU-YO, CHU-B, Burkina Faso
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APA Style
Adama, O., Laetitia, B., Yobi Alexi, S., Sibraogo, K., Issa, O., et al. (2023). Obstetric Perineal Morbidity After Clitoral Re-exposure (CR) in Patients Who Have Undergone Genital Mutilation: A Retrospective Study. Journal of Gynecology and Obstetrics, 11(6), 168-173. https://doi.org/10.11648/j.jgo.20231106.18
ACS Style
Adama, O.; Laetitia, B.; Yobi Alexi, S.; Sibraogo, K.; Issa, O., et al. Obstetric Perineal Morbidity After Clitoral Re-exposure (CR) in Patients Who Have Undergone Genital Mutilation: A Retrospective Study. J. Gynecol. Obstet. 2023, 11(6), 168-173. doi: 10.11648/j.jgo.20231106.18
AMA Style
Adama O, Laetitia B, Yobi Alexi S, Sibraogo K, Issa O, et al. Obstetric Perineal Morbidity After Clitoral Re-exposure (CR) in Patients Who Have Undergone Genital Mutilation: A Retrospective Study. J Gynecol Obstet. 2023;11(6):168-173. doi: 10.11648/j.jgo.20231106.18
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Download@article{10.11648/j.jgo.20231106.18,
author = {Ouattara Adama and Bonzi Laetitia and Sawadogo Yobi Alexi and Kiemtore Sibraogo and Ouedraogo Issa and Ouedraogo Charlemagne Marie},
title = {Obstetric Perineal Morbidity After Clitoral Re-exposure (CR) in Patients Who Have Undergone Genital Mutilation: A Retrospective Study},
journal = {Journal of Gynecology and Obstetrics},
volume = {11},
number = {6},
pages = {168-173},
doi = {10.11648/j.jgo.20231106.18},
url = {https://doi.org/10.11648/j.jgo.20231106.18},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231106.18},
abstract = {Background: Female genital mutilation is a real public health problem in developing countries. the consequences of this practice are sometimes obstetric and are responsible for high maternal and perinatal mortality. Objective: To analyse the effect of clitoral re-exposure surgery in patients who have undergone female genital mutilation on obstetric perineal complications. Material and methods: This is a retrospective cohort study, exposed - unexposed, multi-centric, carried out in two university hospitals in Ouagadougou, Burkina Faso: Yalgado-Ouédraogo and Bogodogo. We studied the first delivery of patients operated on for CR (exposed) between March 2006 and March 2019 (over 13 years), compared with a group of unexposed women (victims of unreconstructed FGM). A ratio of two unexposed women to one exposed woman was used. The two groups were comparable according to the matching criteria. Results: We included 44 patients who had given birth after CR and 88 non-operated (unexposed) patients. Patients who had undergone FGM had more perineal lesions during childbirth than patients who had undergone CR. In fact, women not operated on for CR were 2 times more likely to suffer a perineal tear than women operated on for CR (RR = 1.93; 95% CI (1.22-3.07); p = 0.005). The same applies to episiotomy, for which women not operated on for CR were 2.62 times more likely to undergo than women operated on for CR (RR=2.62; 95% CI (1.60-4.28), p=0.000). Conclusion: Clitoral re-exposure is associated with better obstetric perineal adaptation.
},
year = {2023}
}
TY - JOUR T1 - Obstetric Perineal Morbidity After Clitoral Re-exposure (CR) in Patients Who Have Undergone Genital Mutilation: A Retrospective Study AU - Ouattara Adama AU - Bonzi Laetitia AU - Sawadogo Yobi Alexi AU - Kiemtore Sibraogo AU - Ouedraogo Issa AU - Ouedraogo Charlemagne Marie Y1 - 2023/12/11 PY - 2023 N1 - https://doi.org/10.11648/j.jgo.20231106.18 DO - 10.11648/j.jgo.20231106.18 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 168 EP - 173 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20231106.18 AB - Background: Female genital mutilation is a real public health problem in developing countries. the consequences of this practice are sometimes obstetric and are responsible for high maternal and perinatal mortality. Objective: To analyse the effect of clitoral re-exposure surgery in patients who have undergone female genital mutilation on obstetric perineal complications. Material and methods: This is a retrospective cohort study, exposed - unexposed, multi-centric, carried out in two university hospitals in Ouagadougou, Burkina Faso: Yalgado-Ouédraogo and Bogodogo. We studied the first delivery of patients operated on for CR (exposed) between March 2006 and March 2019 (over 13 years), compared with a group of unexposed women (victims of unreconstructed FGM). A ratio of two unexposed women to one exposed woman was used. The two groups were comparable according to the matching criteria. Results: We included 44 patients who had given birth after CR and 88 non-operated (unexposed) patients. Patients who had undergone FGM had more perineal lesions during childbirth than patients who had undergone CR. In fact, women not operated on for CR were 2 times more likely to suffer a perineal tear than women operated on for CR (RR = 1.93; 95% CI (1.22-3.07); p = 0.005). The same applies to episiotomy, for which women not operated on for CR were 2.62 times more likely to undergo than women operated on for CR (RR=2.62; 95% CI (1.60-4.28), p=0.000). Conclusion: Clitoral re-exposure is associated with better obstetric perineal adaptation. VL - 11 IS - 6 ER -
Department of Gynecology-Obstetrics, Joseph KI ZERBO University, Ouagadougou, Burkina Faso
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