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女性生殖器切割与产科结局

Female Genital Mutilation and Cutting and Obstetric Outcomes.

作者信息

Bonavina Giulia, Kaltoud Randa, Ruffolo Alessandro Ferdinando, Candiani Massimo, Salvatore Stefano

机构信息

Port Sudan Maternity Teaching Hospital, Port Sudan, Red Sea State, Sudan; and the Department of Obstetrics and Gynecology and the Division of Urogynecology, IRCCS San Raffaele Scientific Institute, University Vita and Salute, Milan, Italy.

出版信息

Obstet Gynecol. 2022 Jul 1;140(1):87-90. doi: 10.1097/AOG.0000000000004830. Epub 2022 Jun 7.

DOI:10.1097/AOG.0000000000004830
PMID:35849461
Abstract

The aim of this prospective study was to investigate the association of type III female genital mutilation/cutting (FGM/C) and de-infibulation with immediate maternal and neonatal outcomes. Women with type III FGM/C were compared with women with type I or II FGM/C or no FGM/C. Only uncomplicated singleton, full-term pregnancies with the fetus in vertex presentation were included. There was a greater frequency of postpartum hemorrhage and the use of mediolateral episiotomy in women with type III FGM/C. Mediolateral episiotomy was associated with a reduced rate of any spontaneous perineal laceration as well as third-degree and fourth-degree lacerations in women with type III FGM/C who underwent de-infibulation.

摘要

这项前瞻性研究的目的是调查III型女性生殖器切割(FGM/C)及去纤维化与产妇和新生儿近期结局之间的关联。将患有III型FGM/C的女性与患有I型或II型FGM/C或未进行FGM/C的女性进行比较。仅纳入单胎、足月、胎儿为头先露的无并发症妊娠。III型FGM/C的女性产后出血及采用会阴中侧切术的频率更高。会阴中侧切术与接受去纤维化的III型FGM/C女性的任何自发性会阴裂伤以及三度和四度裂伤发生率降低相关。

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