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2015 ; 15
(ä): 32
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Female genital mutilation and cutting: a systematic literature review of health
professionals knowledge, attitudes and clinical practice
#MMPMID26652275
Zurynski Y
; Sureshkumar P
; Phu A
; Elliott E
BMC Int Health Hum Rights
2015[Dec]; 15
(ä): 32
PMID26652275
show ga
BACKGROUND: The World Health Organisation (WHO) estimates that 100-140 million
girls and women have undergone female genital mutilation or cutting (FGM/C).
FGM/C is an ancient cultural practice prevalent in 26 countries in Africa, the
Middle East and Asia. With increased immigration, health professionals in high
income countries including UK, Europe, North America and Australia care for women
and girls with FGM/C. FGM/C is relevant to paediatric practice as it is usually
performed in children, however, health professionals' knowledge, clinical
practice, and attitudes to FGM/C have not been systematically described. We aimed
to conduct a systematic review of the literature to address this gap. METHODS:
The review was conducted according to guidelines of the Preferred Reporting Items
for Systematic Reviews and Meta-Analyses (PRISMA) statement and registered with
the PROSPERO International Prospective Register of Systematic Reviews
(CRD42015015540, http://www.crd.york.ac.uk/PROSPERO/). Articles published in
English 2000-2014 which used quantitative methods were reviewed. RESULTS: Of 159
unique articles, 18 met inclusion criteria. The methodological quality was poor -
six studies met seven of the eight quality criteria. Study participants included
mainly obstetricians, gynaecologists and midwives (15 studies). We found no
papers that studied paediatricians specifically, but two papers reported on
subgroups of paediatricians within a mixed sample of health professionals. The 18
articles covered 13 different countries: eight from Africa and 10 from high
income countries. Most health professionals were aware of the practice of FGM/C,
but few correctly identified the four FGM/C categories defined by WHO. Knowledge
about FGM/C legislation varied: 25% of professionals in a Sudanese study, 46 % of
Belgian labour ward staff and 94 % of health professionals from the UK knew that
FGM/C was illegal in their country. Health professionals from high income
countries had cared for women or girls with FGM/C. The need to report children
with FGM/C, or at risk of FGM/C, to child protection authorities was mentioned by
only two studies. CONCLUSION: Further research is needed to determine health
professionals' attitudes, knowledge and practice to support the development of
educational materials and policy to raise awareness and to prevent this harmful
practice.