Characteristics of female sexual dysfunctions and obstetric complications related to female genital mutilation in Omdurman maternity hospital, Sudan
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Authors
Yassin, Khalid
Idris, Hadeel A.
Ali, AbdelAziem A.
Issue Date
2018-01-08
Type
Article
Language
en_US
Keywords
Characteristics of Female Sexual Dysfunctions , Obstetric Complications , Female Genital Mutilation , Omdurman Maternity Hospital , Sudan
Alternative Title
Abstract
Background: Female genital mutilation (FGM) is a major public health problem, especially in developing countries.
Method: This was a prospective observational cohort study conducted over six months duration (1st July-31st
December 2015) at Omdurman Maternity Hospital, Khartoum, Sudan, primarily to determine whether exposure to
FGM/C (exposed Vs. non-exposed) and degree of exposure (type III Vs. type I) are associated with impaired sexual
function or not?. As secondary objective, the study also investigated the association between FGM/C and
postpartum complications (eg: difficulties in cervical examination, episiotomy wound infection, postpartum
bleeding) by following the participants from the time of admission at the hospital, through vaginal delivery
and until the 6th post-partum week.
Results: A total of 230 (subjected to FGM/C) and 190 (not subjected to FGM/C) women were approached.
The clinical examinations evidenced that the majority (67.8%) had FGM type 3, while the remainder (32.2%)
had type 1. The most common reported sexual complication was dyspareunia (76%). Bleeding following first
attempt of sexual intercourse was reported in 35.2% followed by reduced sexual desire 62.6%, reduced sexual
satisfaction 40.9% and need for surgery to release labial adhesions at first attempt of sexual intercourse 30.4%.
With regard to FGM- related complications that occurred during labor 76.5% required an episiotomy, 61.7%
experienced difficulties in cervical examination, 57.8% needed defibulations during second stage of labor,
26.5% complicated by episiotomy wound infection and 2.2% developed obstetric hemorrhage. In this study
FGM/C was a significant factor increasing the risk of sexual complications. Interestingly when using logistic
regression analysis the FGM-related complications were not significantly varied by FGM/C types.
Conclusion: Our observations indicate that FGM/C is a serious public health problem and there should be an
urgent intervention such as planned health education campaigns to end FGM/C practice
Description
Citation
Yassin, K., Idris, H. A., & Ali, A. A. (2018). Characteristics of female sexual dysfunctions and obstetric complications related to female genital mutilation in Omdurman maternity hospital, Sudan. Reproductive health, 15(1), 7. https://doi.org/10.1186/s12978-017-0442-y
Publisher
Reproductive Health