Al-Hussaini Tarek K
Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University Hospital, Assiut, Egypt.
Med Princ Pract. 2003 Apr-Jun;12(2):123-8. doi: 10.1159/000069119.
To study the prevalence of female genital cutting (FGC) in a nulliparous population admitted for childbirth. In addition, the type of FGC, the motives supporting FGC and perineal damage associated with this practice were evaluated.
A prospective cross-sectional study was conducted in the labor ward, Department of Obstetrics and Gynecology, Assiut University Hospital, Assiut, Egypt. Two hundred and fifty-four primigravid women in active labor were recruited over a period of 20 months. The subjects responded to a questionnaire and obstetric and pelvic examinations were carried out. The type of cut (circumcision) and extent of tissue removal were recorded. Data was gathered concerning possible motives for FGC, rates of episiotomy and incidence of perineal tears.
All women recruited had been circumcised; 51% had type I cut and 49% had type II. Adherence to tradition was the most common motive for the operation (46.5%). Ninety-five percent of the study population had an episiotomy. The incidence of perineal tears was 1.6%.
Female genital cutting (only types I and II) was confirmed in all patients in the study. There was a low incidence of perineal tears and a high episiotomy rate (95%). Episiotomy should be performed in all cases where FGC has made the vulva/vagina inelastic.
研究因分娩入院的未生育女性群体中女性生殖器切割（FGC）的流行情况。此外，还对FGC的类型、支持FGC的动机以及与这种做法相关的会阴损伤进行了评估。
在埃及阿斯尤特阿斯尤特大学医院妇产科分娩病房进行了一项前瞻性横断面研究。在20个月的时间里招募了254名活跃期初产妇。研究对象回答了一份问卷，并进行了产科和盆腔检查。记录切割（环切）类型和组织切除范围。收集了有关FGC可能动机、会阴切开术发生率和会阴撕裂发生率的数据。
所有招募的女性都接受过环切术；51%为I型切割，49%为II型。遵循传统是手术最常见的动机（46.5%）。95%的研究人群进行了会阴切开术。会阴撕裂发生率为1.6%。
本研究中所有患者均证实存在女性生殖器切割（仅I型和II型）。会阴撕裂发生率低，会阴切开术率高（95%）。在FGC导致外阴/阴道弹性丧失的所有病例中均应进行会阴切开术。
