Marques Serge, Dufayet Laurène, Deguette Céline
Pédiatrie, Centre Hospitalier de Saint Palais – Saint Palais – France.
Pédiatrie, Centre Hospitalier de la Côte Basque – Bayonne – France.
Sante Publique. 2023 Aug 10;35(2):115-126. doi: 10.3917/spub.232.0115.
Female Genital Mutilation (FGM) is an intervention on the female genital organs for non-medical reasons. In France, asylum is possible for girls at risk of FGM in their country of origin. The procedure includes a forensic examination of the child.
To describe the prevalence of FGM and the sociodemographic characteristics of girls and their mothers examined at the Department of Forensic Medicine of Paris.
Between 2018 and 2021, 2422 family interviews were conducted. The mothers were mainly from Côte d’Ivoire, Mali, and Guinea Conakry. A FGM was found in 84.4% of the 1838 women examined, mostly of type IIb. The mothers reported immediate complications (21.2%: hemorrhage, pain) and long-term complications (31.8%: sexual disorders, obstetrical complications) due to these FGM. The families often included several children, and 3307 girls were examined. They were mostly born in France (72.0%). An FGM was identified in 61 of these girls (1.8%, mostly type IIb); it was already known by the family in half of the cases. Three of these girls were born in Europe.
FGM is a public health problem on a global scale, but also in France due to migratory pathways. This descriptive study carried out an initial medical assessment of FSM in female asylum seekers examined at the Department of Forensic Medicine of Paris, and difficulties in the diagnosis of FSM. Other studies are useful to corroborate and compare our results.
女性生殖器切割（FGM）是出于非医疗原因对女性生殖器官进行的干预。在法国，面临在原籍国遭受女性生殖器切割风险的女孩有可能获得庇护。该程序包括对儿童进行法医检查。
描述在巴黎法医学部接受检查的女孩及其母亲中女性生殖器切割的患病率以及社会人口学特征。
2018年至2021年期间，进行了2422次家庭访谈。母亲主要来自科特迪瓦、马里和几内亚科纳克里。在接受检查的1838名女性中，84.4%被发现有女性生殖器切割情况，大多为IIb型。母亲们报告了因这些女性生殖器切割导致的即时并发症（21.2%：出血、疼痛）和长期并发症（31.8%：性功能障碍、产科并发症）。这些家庭通常有几个孩子，共对3307名女孩进行了检查。她们大多在法国出生（72.0%）。在这些女孩中有61人（1.8%，大多为IIb型）被发现有女性生殖器切割情况；其中一半的情况家庭已经知晓。这些女孩中有三人出生在欧洲。
女性生殖器切割在全球范围内是一个公共卫生问题，在法国由于移民途径也是如此。这项描述性研究对在巴黎法医学部接受检查的女性寻求庇护者中的女性生殖器切割进行了初步医学评估以及女性生殖器切割诊断方面的困难。其他研究对于证实和比较我们的结果很有用。
