Department of Obstetrics and Gynecology at Mogadishu Somali Turkish Training and Research Hospital, Mogadishu, Somalia.
Sci Rep. 2024 Sep 4;14(1):20560. doi: 10.1038/s41598-024-71727-2.
Numerous traditional practices are both beneficial and harmful. Traditional harmful practices, such as female genital mutilation and traditional cervical cauterization, are carried out for a number of reasons but can have negative health and social effects. In addition to deeply held beliefs, a lack of knowledge and awareness of the consequences of these practices contributes to the persistence of these issues. The objective of this study is to examine whether traditional cervical cauterizations were associated with preterm births in Somalia. This prospective cohort study was conducted at our hospital over a one-year period. Seven hundred and two patients were included in this study; these patients were divided into two groups, cauterized and non-cauterized groups, and the two groups were compared on pregnancy outcomes. We examined whether traditional cervical cauterizations were associated with adverse pregnancy outcomes, including preterm births. According to the findings of this study, traditional cervical cauterization was prevalent among patients visiting MSTREH (n = 328, 46.7%). Infections of the uterine cervix and infertility were the two main indications for cauterization, 44.8%, and 34.8%, respectively.Being older, uneducated, and poverty were significantly associated with traditional cauterization (P < 0.001). There was a significant correlation between prior traditional cervical cauterization and the risk of preterm births. Women with prior cauterization were two and half times more likely to deliver a preterm fetus (OR: 2.64, 95% CI 2.15-3.33) compared to non-cauterized mothers. Our findings show that women who have previously undergone traditional cervical cauterization have a significantly higher risk of preterm birth and negative pregnancy outcomes than non-cauterized women. Health professionals, particularly those who are close to the community, are crucial in developing and putting into practice plans to end harmful traditions in Somalia.
许多传统习俗既有好处也有坏处。传统的有害习俗，如女性生殖器切割和传统的宫颈烧灼，出于多种原因而存在，但会对健康和社会产生负面影响。除了根深蒂固的信仰外，对这些做法后果的了解和认识的缺乏也导致这些问题的持续存在。本研究的目的是检验索马里的传统宫颈烧灼是否与早产有关。这是一项为期一年的前瞻性队列研究，在我们医院进行。这项研究纳入了 702 名患者；将这些患者分为烧灼组和非烧灼组，并比较两组的妊娠结局。我们检验了传统宫颈烧灼是否与不良妊娠结局（包括早产）有关。根据这项研究的结果，传统宫颈烧灼在到 MSTREH 就诊的患者中很常见（n=328，46.7%）。宫颈感染和不孕是烧灼的两个主要指征，分别占 44.8%和 34.8%。年龄较大、未受教育和贫困与传统烧灼显著相关（P<0.001）。既往传统宫颈烧灼与早产风险之间存在显著相关性。与未烧灼的母亲相比，有既往烧灼史的妇女早产的风险增加了两倍半（OR：2.64，95%CI 2.15-3.33）。我们的研究结果表明，与未接受烧灼的妇女相比，既往接受过传统宫颈烧灼的妇女早产和不良妊娠结局的风险显著更高。卫生专业人员，尤其是那些接近社区的卫生专业人员，在制定和实施结束索马里有害传统的计划方面发挥着至关重要的作用。
