Clinical indications for cesarean delivery among women living with female genital mutilation
Loading...
Authors
Rodriguez, Maria I.
Say, Lale
Abdulcadir, Jasmine
Hindin, Michelle J.
Issue Date
2017-07-20
Type
Article
Language
en_US
Keywords
Cesarean Delivery , Female Genital Mutilation
Alternative Title
Abstract
Objective:
To compare primary indications for cesarean delivery among patients with different female genital mutilation (FGM) status.
Methods:
The present secondary analysis included data from women who underwent trial of labor resulting in cesarean delivery at 28 obstetric centers in six African countries between November 1, 2001, and March 31, 2003. Associations between cesarean delivery indications and FGM status were assessed using descriptive statistics and multivariable multinomial logistic regression.
Results:
Data from 1659 women (480 patients with no type of FGM and 1179 patients with FGM [any type]) were included; cesarean delivery indications were collapsed into five categories (fetal indications, maternal factors, stage 1 arrest, stage 2 arrest, and other). The incidence of a clear medical indication for cesarean delivery did not differ between the groups (P=0.320). Among patients without a clear indication for cesarean delivery, women with FGM were more likely to have undergone cesarean delivery for maternal factors (adjusted relative risk ratio [aRRR] 3.92, 95% confidence interval [CI] 1.3–11.71), stage 1 arrest (aRRR 7.74, 95% CI 1.33–45.07), stage 2 arrest (aRRR 6.63, 95% CI 3.74–11.73), or other factors (aRRR 2.41, 95% CI 1.04–5.60) rather than fetal factors compared with women who had no type of FGM.
Conclusion:
Among women with unclear medical indications, FGM was associated with cesarean delivery being performed for maternal factors or arrest disorders.
Description
Citation
Rodriguez, M. I., Say, L., Abdulcadir, J., & Hindin, M. J. (2017). Clinical indications for cesarean delivery among women living with female genital mutilation. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 139(1), 21–27. https://doi.org/10.1002/ijgo.12234
Publisher
International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics