Department of Obstetrics and Gynecology, Royal Derby Hospitals NHS Foundation Trust, Derby, UK.
Int J Gynaecol Obstet. 2011 May;113(2):141-3. doi: 10.1016/j.ijgo.2010.10.028.
To record and compare obstetric and neonatal complication rates in women with reversed and non-reversed type III female genital mutilation (FGM).
A retrospective observational study comparing cesarean delivery rates and neonatal outcomes of primiparous and multiparous women who had or had not undergone reversal of FGM III.
Of the 250 women, 230 (92%) had an FGM reversal. Of these, 50 (21.7%) were primiparous (cesarean delivery rate 17/50; 34%) and 180 (78.3%) were multiparous (cesarean delivery rate 28/180; 15.6%). Of the 20 women who had not had an FGM reversal, 7 (35%) were primiparous (cesarean delivery rate 5/7; 71.4%) and 13 (65%) were multiparous (cesarean delivery rate 7/13; 53.8%). The cesarean delivery rates for primiparae and multiparae were 32.9% and 25%, respectively. Multiparous women with FGM III reversal had a lower possibility of cesarean delivery compared with the hospital multiparous population (P=0.003) and multiparae who had not undergone FGM III reversal (P=0.007). There was no significant association between Apgar scores or blood loss at vaginal delivery and FGM reversal.
Reversal of FGM III significantly reduced the increased risk of cesarean delivery seen with multiparae who have FGM III.
记录和比较行反转型和非反转型 III 型女性外阴残割（FGM）的产妇和新生儿并发症发生率。
这是一项回顾性观察性研究，比较了行或未行 III 型 FGM 反转术的初产妇和经产妇的剖宫产率和新生儿结局。
在 250 名妇女中，230 名（92%）行 FGM 反转术。其中，50 名（21.7%）为初产妇（剖宫产率 17/50；34%），180 名（78.3%）为经产妇（剖宫产率 28/180；15.6%）。20 名未行 FGM 反转术的妇女中，7 名（35%）为初产妇（剖宫产率 5/7；71.4%），13 名（65%）为经产妇（剖宫产率 7/13；53.8%）。初产妇和经产妇的剖宫产率分别为 32.9%和 25%。与医院经产妇人群（P=0.003）和未行 III 型 FGM 反转术的经产妇（P=0.007）相比，行 III 型 FGM 反转术的经产妇剖宫产的可能性较低。阴道分娩时的 Apgar 评分或出血量与 FGM 反转术之间无显著关联。
行 III 型 FGM 反转术显著降低了行 III 型 FGM 的经产妇剖宫产风险增加的可能性。
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