Abdulcadir J, Rodriguez M I, Say L
Department of Obstetrics and Gynaecology, Geneva University Hospitals, Geneva, Switzerland; Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
BJOG. 2015 Feb;122(3):294-303. doi: 10.1111/1471-0528.13217. Epub 2014 Dec 17.
Female genital mutilation (FGM) includes procedures involving the partial or total removal of the external female genitals for non-therapeutic reasons. They can have negative psychosexual and health consequences that need specific care. In this paper, we review some key knowledge gaps in the clinical care of women with FGM, focusing on obstetric outcomes, surgical interventions (defibulation and clitoral reconstruction), and the skills and training of healthcare professionals involved in the prevention and management of FGM. We identify research priorities to improve the evidence necessary to establish guidelines for the best multidisciplinary care, communication, and prevention, and to improve health-promotion measures for women with FGM.
女性生殖器切割(FGM)包括出于非治疗目的而部分或全部切除女性外生殖器的手术。这些手术可能会对心理性健康和身体健康产生负面影响,需要特殊护理。在本文中,我们回顾了女性生殖器切割女性临床护理中的一些关键知识空白,重点关注产科结局、手术干预(解除粘连和阴蒂重建)以及参与女性生殖器切割预防和管理的医疗保健专业人员的技能和培训。我们确定了研究重点,以完善建立最佳多学科护理、沟通和预防指南所需的证据,并改善针对女性生殖器切割女性的健康促进措施。