LABOR, DELIVERY AND POSTPARTUM COMPLICATIONS IN NULLIPAROUS WOMEN WITH FEMALE GENITAL MUTILATION ADMITTED TO KARAMARA HOSPITAL.

Q3 Medicine

Ethiopian Medical Journal Pub Date : 2017-01-01

Wondimu Gudu, Mutasim Abdulahi

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引用次数: 0

Abstract

Objectives: To assess labor, delivery and postpartum complications in nulliparous women with FGM/C and evaluate the attitude of mothers towards elimination of FGM.

Methods: A prospective hospital based study using structured questionnaire was conducted between January to March 2015 at Karamara hospital, Jijiga, Ethiopia. All nulliparous women admitted for labor and delivery were included. Data were collected regarding circumcision status, events of labor, delivery; postpartum and neonatal outcomes as well as attitude of mothers towards elimination of FGM/C.

Results: Two hundred sixty four (92.0%) of the women had FGM/C with most (93.0%) undergoing Type III FGM. The mean age of the women was 22 yr. Failure to progress in 1st stage and prolonged 2nd stage of labor occurred in 165 (57.0%) and189 (65.6%) of the cases respectively. Caesarean section was performed in 17.0% and instrumental delivery in 23.0%. 64.5% required episiotomies, 83.3% had an anterior episiotomy, 29 % had perineal tears, 25.7%% experienced post-partum hemorrhage and 24% postpartum infection. Among the newborns, there were 6.4% perinatal deaths; 18.8 % low birth weight and 1.5% birth injuries. Almost all complications were more frequently seen in circumcised compared to non-circumcised women.

Conclusions: The prevalence of FGM is high and it substantially increases the risk of many maternal complications. Health professionals should be aware of these complications and support/care of women with FGM should be integrated at all levels of reproductive health care provision. Capacity building of responsible health professional should be initiated in the area with intensification of FGM eradication activities.

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卡拉马拉医院收治的切割女性生殖器官的未产妇女的分娩、分娩和产后并发症。

目的:评价未产女性生殖器切割术后的分娩、分娩及产后并发症，并评价产妇对消除女性生殖器切割的态度。方法:2015年1 - 3月在埃塞俄比亚吉吉加卡拉马拉医院采用结构化问卷进行前瞻性医院研究。所有因分娩和分娩而入院的产妇均包括在内。收集的数据包括包皮环切状况、分娩事件、分娩;产后和新生儿结局以及母亲对消除女性生殖器切割的态度。结果:264名(92.0%)女性接受了女性生殖器切割/切割，其中大多数(93.0%)接受了III型女性生殖器切割。产妇平均年龄22岁，第一产程失败165例(57.0%)，第二产程延长189例(65.6%)。剖宫产占17.0%，器械分娩占23.0%。64.5%行会阴切开术，83.3%会阴前切开术，29%会阴撕裂，25.7%发生产后出血，24%发生产后感染。在新生儿中，围产期死亡率为6.4%;18.8%为低出生体重，1.5%为出生损伤。几乎所有的并发症在包皮环切术的妇女比未包皮环切术的妇女更常见。结论:女性生殖器切割的流行率很高，大大增加了许多产妇并发症的风险。保健专业人员应了解这些并发症，并应将对残割女性生殖器的妇女的支助/护理纳入各级生殖保健服务。应在该地区开展负责任的卫生专业人员的能力建设，加强消除女性生殖器切割的活动。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ethiopian Medical Journal Medicine-Medicine (all)

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： The Ethiopian Medical Journal (EMJ) is the official Journal of the Ethiopian Medical Association (EMA) and devoted to the advancement and dissemination of knowledge pertaining to the broad field of medicine in Ethiopia and other developing countries. Prospective contributors to the Journal should take note of the instructions of Manuscript preparation and submission to EMJ as outlined below.