Yosef Yirgalem, Borsamo Abebe, Abeje Seblework
Department of Midwifery, College of Health Science, Wolkite University, Wolkite, Ethiopia.
School of Medicine, College of Health Science, Dilla University, Dilla, Ethiopia.
SAGE Open Med. 2023 Jan 10;11:20503121221144243. doi: 10.1177/20503121221144243. eCollection 2023.
Female genital cutting is a genital operation for a nonmedical reason and involves the cutting away of a part or whole of the female external genitals. Postnatal women with genital cutting could be more vulnerable to circumcision-associated birth complications, and it is still a major health problem during childbirth and the postnatal period in Ethiopia. This study aimed to assess complications associated with female genital cutting among postnatal women in Chuko Primary Hospital, Sidama region, Southern Ethiopia.
An institutional-based quantitative cross-sectional study design was conducted from 01 May 2021 to 15 June 2021. A systematic random sampling technique was used to select study participants. Data were collected by using a structured pretested questionnaire and reviewing medical records. The data were analyzed using SPSS version 23.0. Logistic regression analysis was computed to identify birth complications associated with female genital cutting from independent variables, and significance was declared at < 0.05 with 95% CI.
The proportion of female genital cutting among the participants was 76.8% (95% confidence interval: 71.1, 81.2). Prolonged labor and birth asphyxia were statistically significant female genital cutting-associated birth complications.
This study revealed a high proportion of complications associated with female genital cutting. Birth complications such as prolonged labor and birth asphyxia have a statistically significant association with it. Illiteracy and early marriage were the predominant reasons for female genital cutting. Therefore, healthcare providers should educate the rural communities to prevent early marriage and female genital cutting to prevent its complications.
女性生殖器切割是一种出于非医学原因的生殖器手术,涉及切除部分或全部女性外生殖器。接受过生殖器切割的产后妇女可能更容易出现与切割相关的分娩并发症,在埃塞俄比亚,这仍是分娩和产后期间的一个主要健康问题。本研究旨在评估埃塞俄比亚南部锡达马地区楚科初级医院产后妇女中与女性生殖器切割相关的并发症。
于2021年5月1日至2021年6月15日进行了一项基于机构的定量横断面研究设计。采用系统随机抽样技术选择研究参与者。通过使用经过预测试的结构化问卷和查阅病历收集数据。使用SPSS 23.0版对数据进行分析。计算逻辑回归分析以从自变量中识别与女性生殖器切割相关的分娩并发症,显著性水平设定为<0.05,置信区间为95%。
参与者中女性生殖器切割的比例为76.8%(95%置信区间:71.1, 81.2)。产程延长和出生窒息是与女性生殖器切割相关的具有统计学意义的分娩并发症。
本研究揭示了与女性生殖器切割相关的并发症比例很高。产程延长和出生窒息等分娩并发症与之具有统计学意义的关联。文盲和早婚是女性生殖器切割的主要原因。因此,医疗保健提供者应教育农村社区预防早婚和女性生殖器切割,以防止其并发症。