King's College London, Guy's & St Thomas' Hospital, NHS Trust, United Kingdom.
Midwifery. 2013 Feb;29(2):154-8. doi: 10.1016/j.midw.2011.12.005. Epub 2012 Oct 17.
to explore women's experiences of deinfibulation and its aftermath.
a qualitative study using semi-structured interviews with data collection via audio-recording and field notes. The audio-recorded interviews were transcribed verbatim and analysed using Interpretive Phenomenological Analysis (IPA) method for qualitative data analysis.
recruitment for the study was carried out in an African Well Women Clinic in London, United Kingdom.
there were nine women participants of Somali and Eritrean origin who had Female Genital Mutilation (FGM) type III previously and underwent deinfibulation between January 2008 and September 2009.
key themes identified were the cultural meaning and social acceptability of deinfibulation; the consequences of deinfibulation within marital relationships; feelings about the appearance of genitalia post deinfibulation and thoughts on reinfibulation.
marital factors and stability of the relationship influence the experience of deinfibulation. Those women who said they had discussed deinfibulation with their husband in advance, and that he had agreed to the procedure, reported less problems afterwards. Single women who had deinfibulation before marriage may face more difficulties in terms of social acceptability within their community.
sensitivity to social consequences of deinfibulation is important as well as recognition that these consequences vary. When deinfibulation is carried out for medical purposes some women may appreciate the offer of an official letter from a health-care practitioner confirming the medical nature of the procedure. The data suggests that deinfibulated women may dislike the new appearance of their genitalia; therefore, the practicality of performing a concurrent minor cosmetic surgery with deinfibulation procedure may need to be examined. The need for further research conducted in women's primary language is pressing and should explore issues such as the situation of single women, men's knowledge of the complications associated with FGM and the benefits of deinfibulation for infibulated women.
探索女性行切开术（deinfibulation）及其后果的经历。
使用半结构化访谈的定性研究，通过录音和现场记录收集数据。对录音访谈进行逐字转录，并使用解释现象学分析（IPA）方法进行定性数据分析。
该研究的招募工作在英国伦敦的一家非洲女性健康诊所进行。
有 9 名参与者为索马里和厄立特里亚血统，之前曾进行过 III 型女性生殖器切割（Female Genital Mutilation，FGM），并于 2008 年 1 月至 2009 年 9 月之间进行了切开术。
确定的主要主题包括切开术的文化意义和社会可接受性；切开术对婚姻关系的影响；切开术后生殖器外观的感受以及对再切开术的看法。
婚姻因素和关系的稳定性会影响切开术的体验。那些事先与丈夫讨论过切开术并得到他同意的女性，术后报告的问题较少。未婚时就进行切开术的单身女性，在其社区中可能会面临更大的社会接受度问题。
对切开术的社会后果保持敏感性很重要，同时也应认识到这些后果因人而异。当切开术是出于医疗目的而进行时，一些女性可能会欣赏由医疗保健从业者提供的确认该程序医疗性质的官方信函。数据表明，切开术后的女性可能不喜欢她们生殖器的新外观；因此，在切开术过程中同时进行轻微美容手术的实用性可能需要进一步检查。迫切需要以女性的母语进行进一步的研究，并应探讨单身女性的情况、男性对与 FGM 相关的并发症的了解以及切开术对切开术后女性的益处等问题。
