Igwegbe A O, Egbuonu I
College of Health Sciences, Nnamdi Azikiwe University, Nnewi, Nigeria.
J Obstet Gynaecol. 2000 Sep;20(5):520-2. doi: 10.1080/014436100434749.
Three hundred and twenty-five consecutive live female deliveries at Nnamdi Azikiwe University Teaching Hospital, Nnewi were followed up for 9 months for evidence of any genital mutilation. Their mothers were examined for genital mutilation and a questionnaire based on face-to-face interview of the mothers was also administered. There was no genital mutilation observed among the 200 female babies whose mothers completed the 9 months follow up, The prevalence of genital mutilation among the mothers was 48%. The prevalence of female genital mutilation among the mothers increased with age. The circumcision index C.I. was zero and 3.0 at 16-20 years and 31-35 years age groups, respectively. Also the prevalence decreased with increasing level of education. The circumcision index was 1.0 for mothers at primary level education and least 0.33 at tertiary level of education. There was no relationship with parity. None of the mothers was willing to allow genital mutilation to be performed on her baby but 36% applied local treatment to the clitoris especially powder (28%). Dystocia was the commonest complication in the mothers and the knowledge about female genital mutilation was acquired informally from fellow women. Female education is paramount in the campaign and advocacy against female genital mutilation.
对在恩泽维的纳姆迪·阿齐克韦大学教学医院连续进行的325例活产女婴进行了为期9个月的随访，以寻找任何女性生殖器切割的证据。对她们的母亲进行了女性生殖器切割检查，并发放了一份基于对母亲面对面访谈的问卷。在其母亲完成9个月随访的200名女婴中，未观察到女性生殖器切割情况。母亲中女性生殖器切割的患病率为48%。母亲中女性生殖器切割的患病率随年龄增长而增加。包皮环切指数在16 - 20岁和31 - 35岁年龄组分别为零和3.0。此外，患病率随着教育水平的提高而降低。小学教育水平的母亲的包皮环切指数为1.0，高等教育水平的母亲的包皮环切指数至少为0.33。与产次无关。没有一位母亲愿意让自己的婴儿接受女性生殖器切割，但36%的母亲对阴蒂进行了局部治疗，尤其是使用粉末（28%）。难产是母亲中最常见的并发症，关于女性生殖器切割的知识是从其他女性那里非正式获得的。女性教育在反对女性生殖器切割的宣传和倡导中至关重要。
