Cappon Sien, L'Ecluse Charlotte, Clays Els, Tency Inge, Leye Els
Ghent University, Faculty of Medicine, International Centre for Reproductive Health, De Pintelaan 185 UZP114, 9000 Gent, Belgium.
Ghent University, Department Public Health, De Pintelaan 185, 9000 Gent, Belgium.
Midwifery. 2015 Mar;31(3):e29-35. doi: 10.1016/j.midw.2014.11.012. Epub 2014 Dec 8.
health professionals in Belgium are confronted with female genital mutilation (FGM). To date, no survey to assess knowledge, attitudes and practices on FGM was conducted among midwives in the Northern region of Belgium.
the objective of this study was to assess the knowledge, attitude and practices of Flemish midwives regarding female genital mutilation (FGM).
we used a quantitative design, using KAP study (semi-structured questionnaire).
labour wards, maternity wards and maternal intensive care units (MIC) in 56 hospitals in Flemish region of Belgium.
820 midwives, actively working in labour wards, maternity wards and maternal intensive care units (MIC).
820 valid questionnaires (40.9%) were returned. More than 15% of the respondents were recently confronted with FGM. They were mostly faced with the psychological and sexual complications caused by FGM. Few respondents were aware of existing guidelines regarding FGM in their hospitals (3.5%). The results also showed that only 20.2% was aware of the exact content of the law. The majority of midwives condemned the harmful traditional practice: FGM was experienced as a form of violence against women or a violation of human rights. Only 25.9% declared that FGM forms a part of their midwifery program. The vast majority of respondents (92.5%) indicated a need for more information on the subject.
this study indicated that midwives in Flanders are confronted with FGM and its complications and highlighted the gaps in the knowledge of Flemish midwives regarding FGM. This may interfere with the provision of adequate care and prevention of FGM for the new-born daughter.
there is an important need for appropriate training of (student)midwives concerning FGM as well as for the development and dissemination of clear guidelines in Flemish hospitals.
比利时的医疗专业人员面临女性生殖器切割（FGM）问题。迄今为止，比利时北部地区尚未对助产士进行过评估其对女性生殖器切割的知识、态度和做法的调查。
本研究的目的是评估弗拉芒助产士对女性生殖器切割（FGM）的知识、态度和做法。
我们采用定量设计，使用KAP研究（半结构化问卷）。
比利时弗拉芒地区56家医院的产房、产科病房和孕产妇重症监护病房（MIC）。
820名活跃在产房、产科病房和孕产妇重症监护病房（MIC）工作的助产士。
共收回820份有效问卷（40.9%）。超过15%的受访者最近遇到过女性生殖器切割问题。他们大多面对的是女性生殖器切割引起的心理和性方面的并发症。很少有受访者知道他们医院关于女性生殖器切割的现有指南（3.5%）。结果还表明，只有20.2%的人知道法律的确切内容。大多数助产士谴责这种有害的传统做法：女性生殖器切割被视为一种暴力侵害妇女行为或侵犯人权行为。只有25.9%的人表示女性生殖器切割是其助产士课程的一部分。绝大多数受访者（92.5%）表示需要更多关于该主题的信息。
本研究表明，弗拉芒的助产士面临女性生殖器切割及其并发症问题，并突出了弗拉芒助产士在女性生殖器切割知识方面的差距。这可能会影响为新生女婴提供充分护理和预防女性生殖器切割。
迫切需要对（学生）助产士进行关于女性生殖器切割的适当培训，并在弗拉芒医院制定和传播明确的指南。
