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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Obstet+Gynecol+Int
2018 ; 2018
(ä): 5043512
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English Wikipedia
Female Genital Mutilation/Cutting: Innovative Training Approach for
Nurse-Midwives in High Prevalent Settings
#MMPMID29736171
Kimani S
; Esho T
; Kimani V
; Muniu S
; Kamau J
; Kigondu C
; Karanja J
; Guyo J
Obstet Gynecol Int
2018[]; 2018
(ä): 5043512
PMID29736171
show ga
BACKGROUND: Female genital mutilation/cutting (FGM/C) has no medical benefits and
is associated with serious health complications. FGM/C including medicalization
is illegal in Kenya. Capacity building for nurse-midwives to manage and prevent
FGM/C is therefore critical. OBJECTIVE: Determine the current FGM/C knowledge and
effect of training among nurse-midwives using an electronic tool derived from a
paper-based quiz on FGM/C among nurse-midwives. METHODS: Nurse-midwives (n=26)
were assessed pre- and post-FGM/C training using a quiz comprising 12 questions.
The quiz assessed the following factors: definition, classification, determining
factors, epidemiology, medicalization, prevention, health consequences, and
nurse-midwives' roles in FGM/C prevention themes. The scores for individuals and
all the questions were computed and compared using SPSS V22. RESULTS: The mean
scores for the quiz were 64.8%, improving to 96.2% p < 0.05 after training.
Before the training, the following proportions of participants correctly answered
questions demonstrating their knowledge of types of cutting (84.6%), link with
health problems (96.2%), FGM/C-related complications (96.2%), communities that
practice FGM/C (61.5%), medicalization (43.6%), reinfibulation (46.2%),
dissociation from religion (46.2%), and the law as it relates to FGM/C (46.2%).
The participants demonstrated knowledge of FGM/C-related complications with the
proportion of nurse-midwives correctly answering questions relating to physical
impact (69.2%), psychological impact (69.2%), sexual impact (57.7%), and social
impact (38.5%). Additionally, participant awareness of NM roles in managing FGM/C
included the following: knowledge of the nurse-midwife as counselor (69.2%),
advocate (80.8%), leader (26.9%), role model (42.3%), and caregiver (34.6%).
These scores improved significantly after training. CONCLUSION: Substantial
FGM/C-related knowledge was demonstrated by nurse-midwives. They, however, showed
challenges in preventing/rejecting medicalization of FGM/C, and there were
knowledge gaps concerning sexual and social complications, as well as the
specific roles of NM. This underscores the need to implement innovative FGM/C
training interventions to empower health professionals to better respond to its
management and prevention.