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The effectiveness of surgical interventions for women with FGM/C: a systematic review

Berg, RC ; Taraldsen, S ; Said, MA ; Sørbye, IK ; Vangen, S

BJOG : an international journal of obstetrics and gynaecology, 2018-02, Vol.125 (3), p.278-287 [Periódico revisado por pares]

England: Wiley Subscription Services, Inc

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Título:
The effectiveness of surgical interventions for women with FGM/C: a systematic review
Autor: Berg, RC ; Taraldsen, S ; Said, MA ; Sørbye, IK ; Vangen, S
Assuntos: Adult ; Cesarean Section - methods ; Circumcision, Female - adverse effects ; Circumcision, Female - rehabilitation ; Clinical medical disciplines: 750 ; Clitoris - anatomy & histology ; Clitoris - physiopathology ; Clitoris - surgery ; Cysts ; Defibulation ; Delivery, Obstetric - methods ; Evidence-based medicine ; excision of cyst ; Female ; Female circumcision ; female genital mutilation/cutting ; Female Urogenital Diseases - etiology ; Female Urogenital Diseases - physiopathology ; Gynecology and obstetrics: 756 ; Gynekologi og obstetrikk: 756 ; Humans ; Injuries ; Klinisk medisinske fag: 750 ; Medical disciplines: 700 ; Medisinske Fag: 700 ; obstetric ; Obstetric Labor Complications - etiology ; Obstetrics ; Pregnancy ; Pregnancy Outcome ; Professional-Patient Relations ; Qualitative research ; Reconstructive surgery ; Reconstructive Surgical Procedures - statistics & numerical data ; Sexuality ; Surgery ; Surgical outcomes ; Systematic review ; Vagina - anatomy & histology ; Vagina - physiopathology ; Vagina - surgery ; VDP ; Womens health
É parte de: BJOG : an international journal of obstetrics and gynaecology, 2018-02, Vol.125 (3), p.278-287
Notas: https://vimeo.com/rcog/authorinsights14839
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This article includes Author Insights, a video abstract available at
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BJOG: an International Journal of Obstetrics and Gynaecology
Descrição: Background Female genital mutilation/cutting (FGM/C) changes normal genital functionality and can cause complications. There is an increasing demand for treatment of FGM/C‐related complications. Objectives We conducted a systematic review of empirical quantitative research on the outcomes of interventions for women with FGM/C‐related complications. Search strategy A search specialist searched 16 electronic databases. Selection criteria Selection was performed independently by two researchers. We accepted quantitative studies that examined the outcome of an intervention for an FGM/C‐related concern. Data collection and analysis We extracted data into a pre‐designed form, calculated effect estimates, and performed meta‐analyses. Main results We included 62 studies (5829 women), which investigated the effect of defibulation, excision of cysts, and clitoral reconstruction. Meta‐analyses of defibulation versus no defibulation showed a significantly lower risk of caesarean section (relative risk, RR: 0.33; 95% confidence interval, 95% CI: 0.25–0.45) and perineal tears with defibulation: second‐degree tear (RR: 0.44, 95% CI: 0.24–0.79), third‐degree tear (RR: 0.21, 95% CI: 0.05–0.94), fourth‐degree tear (RR: 0.06, 95% CI: 0.01–0.41). The meta‐analyses detected no significant differences in obstetric outcomes of antenatal versus intrapartum defibulation. Except for one study, none of the studies on the excision of cysts indicated any complications, and the results were deemed favourable. Reconstructive surgery resulted in a visible clitoris in about 77% of women. Most women self‐reported improvements in their sexual life, but up to 22% experienced a worsening in sexuality‐related outcomes after reconstruction. Conclusions Women with FGM/C who seek therapeutic surgery should be informed about the scarcity of evidence for benefits and the potential harms of the available procedures. Tweetable Systematic review shows defibulation after FGM/C has obstetric benefits; effect of reconstruction is uncertain. Tweetable Systematic review shows defibulation after FGM/C has obstetric benefits; effect of reconstruction is uncertain. This article includes Author Insights, a video available at https://vimeo.com/rcog/authorinsights14839.
Editor: England: Wiley Subscription Services, Inc
Idioma: Inglês

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The effectiveness of surgical interventions for women with FGM/C: a systematic review

Berg, RC ; Taraldsen, S ; Said, MA ; Sørbye, IK ; Vangen, S

England: Wiley Subscription Services, Inc

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