Cinelli Hélène, Lelong Nathalie, Lesclingand Marie, Alexander Sophie, Blondel Béatrice, Le Ray Camille
Obstetrical, Perinatal, and Pediatric Epidemiology Team (Epopé), Center of Research in Epidemiology and Statistics, Université Paris Cité, INSERM, INRAE, Paris, France.
Unité de Recherche Migrations et Sociétés, URMIS - Université Nice Cote d'Azur, CNRS, IRD, Nice, France.
Int J Gynaecol Obstet. 2025 Feb;168(2):693-700. doi: 10.1002/ijgo.15880. Epub 2024 Aug 29.
International migration from source countries has meant that clinicians in high income countries, that is, receiving countries, are increasingly caring for affected women affected by female genital mutilation/cutting (FGM/C). The aim of the present study was to assess the prevalence of FGM/C among women at childbirth, and its association with pregnancy outcomes.
This was an observational study using data from a cross-sectional population-based study from the French National Perinatal Survey of 2021 (ENP) conducted in all maternity units in mainland France and including all women delivering a live birth during 1 week in March 2021 (N = 10 928). We estimated the FGM/C prevalence using (i) the diagnosed cases and (ii) the indirect prevalence estimated by UNICEF in each source country. We compared population characteristics and perinatal outcomes between women diagnosed with FGM/C and two groups: (i) women originating in source countries and diagnosed as without FGM/C and (ii) all women without diagnosis of FGM/C whatever the country of birth.
Diagnosed prevalence of FGM/C was 0.9% (95% CI: 0.78-1.14] and the indirect computed estimation prevalence was estimated at 1.53% (95% CI: 1.31-1.77) in 113 and 183 women, respectively. Labor and delivery outcomes were globally similar in women with FGM/C and the other two groups. Only episiotomy was more frequently performed in women with FGM/C than in the other two groups.
In receiving countries, obstetric outcomes of women with FGM/C can be similar to those of other women, which does not preclude need of further research and training to provide the most appropriate care, including enhanced attention to diagnosis.
来自来源国的国际移民意味着高收入国家（即接收国）的临床医生越来越多地为受女性生殖器切割/环切术（FGM/C）影响的女性提供护理。本研究的目的是评估分娩女性中FGM/C的患病率及其与妊娠结局的关联。
这是一项观察性研究，使用了来自2021年法国全国围产期调查（ENP）的基于人群的横断面研究数据，该调查在法国大陆的所有产科单位进行，包括2021年3月某一周内所有分娩活产的女性（N = 10928）。我们使用（i）确诊病例和（ii）联合国儿童基金会在每个来源国估计的间接患病率来估计FGM/C的患病率。我们比较了被诊断为FGM/C的女性与两组女性的人口特征和围产期结局：（i）来自来源国且被诊断为未接受FGM/C的女性，以及（ii）所有未被诊断为FGM/C的女性，无论其出生国家。
FGM/C的确诊患病率为0.9%（95%CI：0.78 - 1.14），间接计算估计患病率分别为1.53%（95%CI：1.31 - 1.77），分别涉及113名和183名女性。FGM/C女性与其他两组女性的分娩结局总体相似。只有会阴切开术在FGM/C女性中比在其他两组中更频繁进行。
在接收国，FGM/C女性的产科结局可能与其他女性相似，但这并不排除需要进一步研究和培训以提供最合适的护理，包括加强对诊断的关注。
