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2017 ; 14
(1
): 38
Nephropedia Template TP
gab.com Text
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English Wikipedia
Injured bodies, damaged lives: experiences and narratives of Kenyan women with
obstetric fistula and Female Genital Mutilation/Cutting
#MMPMID28288664
Mwanri L
; Gatwiri GJ
Reprod Health
2017[Mar]; 14
(1
): 38
PMID28288664
show ga
BACKGROUND: It is well acknowledged that Female Genital Mutilation/Cutting
(FGM/C/C) leads to medical, psychological and sociocultural sequels. Over 200
million cases of FGM/C exist globally, and in Kenya alone, a total of 12,418,000
(28%) of women have undergone FGM/C, making the practice not only a significant
national, but also a global health catastrophe. FGM/C is rooted in patriarchal
and traditional cultures as a communal experience signifying a transition from
girlhood to womanhood. The conversations surrounding FGM/C have been complicated
by the involvement of women themselves in perpetuating the practice. METHODS: A
qualitative inquiry employing face-to-face, one-on-one, in-depth semi-structured
interviews was used in a study that included 30 women living with obstetric
fistulas in Kenya. Using the Social Network Framework and a feminist analysis we
present stories of Kenyan women who had developed obstetric fistulas following
prolonged and obstructed childbirth. RESULTS: Of the 30 participants, three women
reported that health care workers informed them that FGM/C was one of the
contributing factors to their prolonged and obstructed childbirth. They reported
serious obstetric complications including: the development of obstetric fistulas,
lowered libido, poor quality of life and maternal and child health outcomes,
including death. Fistula and subsequent loss of bodily functionalities such as
uncontrollable leakage of body wastes, was reported by the women to result in
rejection by spouses, families, friends and communities. Rejection further led to
depression, loss of work, increased sense of apathy, lowered self-esteem and
image, as well as loss of identity and communal sociocultural cohesion.
CONCLUSION: FGM/C is practised in traditional, patriarchal communities across
Africa. Although the practice aims to bind community members and to celebrate a
rite of passage; it may lead to harmful health and social consequences. Some
women with fistula report their fistula was caused by FGM/C. Concerted efforts
which embrace feminist understandings of society, as well as multi-sectoral,
multidisciplinary and community development approaches need to be employed to
address FGM/C, and to possibly reduce cases of obstetric fistulas in Kenya and
beyond. Both government and non-government organisations need to be involved in
making legislative, gender sensitive policies that protect women from FGM/C. In
addition, the policy makers need to be in the front line to improve the lives of
women who endured the consequences of FGM/C.