Oduro Ar, Ansah P, Hodgson A, Afful Tm, Baiden F, Adongo P, Koram Ka
Navrongo Health Research Centre, P.O. Box 114, Navrongo, Ghana.
Ghana Med J. 2006 Sep;40(3):87-92. doi: 10.4314/gmj.v40i3.55258.
Summary
Female genital mutilation (FGM) is prevalent in northern Ghana, as the practice is seen as a passage rite to women adulthood and thus undertaken just before marriage.
We determined the changes in trend of FGM in deliveries at the Navrongo War Memorial hospital, and compared the outcomes and FGM status.
Retrospective extraction and analysis of delivery data at the hospital from 1(st) January 1996 to 31(st) December 2003.
Of the 5071 deliveries, about 29% (1466/5071) were associated with FGM. The highest prevalence (95% CI) of 61.5% (50.9, 71.2) was in women aged 40 years and above, and the lowest of 14.4% (11.7, 17.0) was in women below 20 years. The all-age prevalence of FGM showed a significant decline (p-value for linear trend < 0.01) from 35.2% in 1996 to 21.1% in 2003. About 6% (89/1466) of mothers with FGM had stillbirths compared with about 3% (123/3605) of mothers without FGM. Again FGM was associated with 8.2% (120/1466) caesarean section rate compared with 6.7% (241/3605) in mothers without FGM. Mean birth weight and frequency of low birth weights were not significantly associated with FGM status.
Although there is a high rate of FGM among mothers in the district and is associated with a higher proportion of stillbirths and caesarean sections, practice has shown a significant decline in the district in recent years due to the prevailing campaigns and intervention studies. There is therefore the need to sustain the ongoing intervention efforts.
总结
女性生殖器切割在加纳北部很普遍，因为这种做法被视为女性成年的一种仪式，因此通常在婚前进行。
我们确定了纳瓦龙戈战争纪念医院分娩中女性生殖器切割的趋势变化，并比较了结局与女性生殖器切割状况。
对该医院1996年1月1日至2003年12月31日的分娩数据进行回顾性提取和分析。
在5071例分娩中，约29%（1466/5071）与女性生殖器切割有关。40岁及以上女性的患病率最高（95%可信区间），为61.5%（50.9，71.2），20岁以下女性的患病率最低，为14.4%（11.7，17.0）。女性生殖器切割的全年龄患病率从1996年的35.2%显著下降（线性趋势p值<0.01）至2003年的21.1%。约6%（89/1466）接受女性生殖器切割的母亲发生死产，而未接受女性生殖器切割的母亲约为3%（123/3605）。此外，女性生殖器切割与8.2%（120/1466）的剖宫产率相关，而未接受女性生殖器切割的母亲为6.7%（241/3605）。平均出生体重和低出生体重频率与女性生殖器切割状况无显著关联。
尽管该地区母亲中女性生殖器切割率很高，且与较高比例的死产和剖宫产相关，但由于当前的宣传活动和干预研究，近年来该地区的这种做法已显著下降。因此，有必要持续进行当前的干预努力。
