Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
Mother and Child Care Research Center, Midwifery Department, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Curr Pediatr Rev. 2021;17(2):145-160. doi: 10.2174/1573396317666210224143714.
The present study was conducted to investigate the complications of circumcision and determine its prevalence in the studied areas.
In this study, the electronic databases of Scopus, PubMed, SID, Web of Science and Magiran were selected to search the total population of observational studies published in Persian and English on the prevalence and circumcision complications in girls. The keywords searched for this purpose were as follows: female genital mutilation, Infibulations, Epidemiologic Methods, Clitorectomies, Female Circumcision, Clitorectomy, Clitoridectomy Complications, Prevalence, associated disease, coexistent conditions, and sequels associated with concomitant conditions, and coexistent disease and their Persian equivalent words. Prevalence estimates of all studies were pooled using a random-effects model at a confidence level of 95%. The bias in the published results of the studies and any reporting errors were examined using Begg and Egger's statistical tests. Out of 3756 studies, 45 articles were included in the study after excluding irrelevant and repetitive articles.
After reviewing the articles in this field, it was determined that female genital mutilation has sexual complications, problems during childbirth, physical and psychological complications. The prevalence of female genital circumcision in the world and Iran in the study areas was obtained using the random effect model, which was estimated to be 61% (95%, CI = 0.49, 0.73) and 61% (95%, CI = 0.52, 0.70), respectively. In other areas, the prevalence was reported to be close to zero. In total, among different countries of the world, of the 207,709 participants surveyed, 110,596 had undergone female genital circumcision (110,596 of 207,709).
The effects of female genital mutilation on girls are high and require government intervention in various countries.
本研究旨在调查割礼的并发症，并确定其在研究地区的流行率。
本研究通过检索 Scopus、PubMed、SID、Web of Science 和 Magiran 电子数据库，检索了以波斯语和英语发表的关于女孩割礼流行率和并发症的观察性研究的总人口。为此目的，搜索的关键词如下：女性生殖器切割、会阴切开术、流行病学方法、阴蒂切除术、女性割礼、阴蒂切除术、阴蒂切除术并发症、流行率、相关疾病、并存疾病、与并存疾病相关的后遗症，以及与并存疾病相关的后遗症及其波斯语等效词。使用置信水平为 95%的随机效应模型对所有研究的患病率估计值进行汇总。使用 Begg 和 Egger 的统计检验检查研究发表结果的偏倚和任何报告错误。在 3756 项研究中，排除不相关和重复的文章后，有 45 篇文章被纳入研究。
在审查了该领域的文章后，确定女性生殖器切割术存在性并发症、分娩问题、身体和心理并发症。使用随机效应模型获得了世界和伊朗研究地区女性生殖器割礼的流行率，估计值分别为 61%（95%CI=0.49，0.73）和 61%（95%CI=0.52，0.70）。在其他地区，流行率接近零。在全球不同国家中，共有 207709 名参与者接受了调查，其中 110596 人接受了女性生殖器切割术（207709 人中的 110596 人）。
女性生殖器切割术对女孩的影响很大，需要各国政府进行干预。
