Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain.
ENFERAVANZA, Murcia Institute for BioHealth Research (IMIB-Arrixaca), Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain.
Int J Environ Res Public Health. 2022 Aug 16;19(16):10101. doi: 10.3390/ijerph191610101.
The aim of this study was to identify and compare birthing complications in women originating from countries where they are at risk (may become victims) of FGM with those of Spanish women, all having given birth from 2012 to 2015 at the "Virgen de la Arrixaca" University Clinical Hospital in Murcia, Spain.
A transversal, observational, quantitative study was carried out, retrospectively, comparing 245 sub-Saharan women originating from countries where FGM is practiced with 490 Spanish women, in terms of obstetric complications. Data collection was performed via electronic clinical records.
The sub-Saharan women presented higher rates of intrapartum and emergency caesareans, intense postpartum haemorrhages, concurrent episiotomies and tears (2nd and 3rd degree), failed inductions, and non-progressive labours, and a more severe risk of foetal distress when compared with Spanish women.
The fact that the sub-Saharan women originating from countries where FGM is practiced presented a greater number of birthing complications than the Spanish women proves the need for Spanish healthcare professionals to receive training towards cultural competency acquisition, in order to provide a multidisciplinary approach, with standardized action protocols focused fundamentally on prevention.
本研究旨在识别和比较来自存在女性割礼风险（可能成为受害者）的国家的女性与西班牙女性的分娩并发症，所有这些女性均于 2012 年至 2015 年在西班牙穆尔西亚的“Virgen de la Arrixaca”大学附属医院分娩。
进行了一项横断面、观察性、定量研究，回顾性地比较了 245 名来自实行女性割礼国家的撒哈拉以南非洲妇女和 490 名西班牙妇女的产科并发症。通过电子临床记录进行数据收集。
与西班牙妇女相比，撒哈拉以南非洲妇女的分娩时剖宫产和紧急剖宫产、产后大出血、同时行会阴切开术和撕裂（2 度和 3 度）、引产失败和产程进展不良、胎儿窘迫的风险更高。
来自实行女性割礼国家的撒哈拉以南非洲妇女比西班牙妇女分娩并发症更多，这证明西班牙医疗保健专业人员需要接受文化能力获取方面的培训，以提供多学科方法，并制定以预防为重点的标准化行动方案。
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