Australian Centre for Public and Population Health Research, Faculty of Health, University of Technology Sydney, Ultimo, NSW 2007, Australia.
Maternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, VIC 3004, Australia.
Int J Environ Res Public Health. 2020 Feb 26;17(5):1491. doi: 10.3390/ijerph17051491.
Female genital mutilation (FGM) is a cultural practice defined as the partial or total removal of the external female genitalia for non-therapeutic reasons. Changing patterns of migration in Australia and other high-income countries has meant that maternity care providers and health systems are caring for more pregnant women affected by this practice. The aim of the study was to identify strategies to inform culturally safe and quality woman-centred maternity care for women affected by FGM who have migrated to Australia. An Appreciative Inquiry approach was used to engage women with FGM. We conducted 23 semi-structured interviews and three focus group discussions. There were four themes identified: (1) appreciating the best in their experiences; (2) achieving their dreams; (3) planning together; and (4) acting, modifying, improving and sustaining. Women could articulate their health and cultural needs, but they were not engaged in all aspects of their maternity care or considered active partners. Partnering and involving women in the design and delivery of their maternity care would improve quality care. A conceptual model, underpinned by women's cultural values and physical, emotional needs, is presented as a framework to guide maternity services.
女性外阴残割（FGM）是一种文化习俗，指的是出于非治疗原因部分或全部切除女性外生殖器。由于澳大利亚和其他高收入国家的移民模式发生了变化，这意味着产妇保健提供者和卫生系统需要为更多受这种习俗影响的孕妇提供服务。本研究旨在确定为移民到澳大利亚的受女性外阴残割影响的妇女提供文化安全和以妇女为中心的优质产妇保健的策略。我们采用欣赏式探询方法来了解受女性外阴残割影响的妇女的情况。我们进行了 23 次半结构式访谈和 3 次焦点小组讨论。确定了以下 4 个主题：（1）欣赏她们经历中的最好部分；（2）实现梦想；（3）共同规划；（4）行动、改进和维持。妇女可以表达她们的健康和文化需求，但她们并未参与其产妇保健的所有方面，也未被视为积极的参与者。让妇女参与到其产妇保健的设计和实施中，可以提高保健质量。本文提出了一个概念模型，该模型以妇女的文化价值观和身体、情感需求为基础，作为指导产妇服务的框架。
