SUBMIT MANUSCRIPT

Donnish Journal of Medicine and Medical Sciences

October 2016 Vol. 3(5), pp. 019-022

ISSN: 2984-8660

Copyright 2016 Donnish Journals




Original Research Article


Female Genital Mutilation (FGM), Cultural Challenges and Complications during Delivery at Omdurman Maternity Hospital (OMH), Sudan 2015


Umbeli T Ahmed1*, Salah Ismail2, Abd Allah ALmahgoub2, Kunna A3, Rabaa Abd Alwahab4, Seham A Habeeb Allah5 and Murwan I Omer6

1Consultant Obstetrician and Gynecologist and Community Physician, Omdurman Maternity Hospital (OMH), Omdurman, Sudan.
2Associate Professor, Department of Obstetrics and Gynecology, Omdurman Islamic University (OIU), Omdurman, Sudan.
3Associate Professor, Department of Obstetrics and Gynecology, University of Bahri, Khartoum, Sudan.
4Associate Professor, Department of Anesthesia, Omdurman Islamic University (OIU), Omdurman, Sudan.
5Federal Ministry of Health (FMOH), National Reproductive Health Programme (NRHP) Director, Sudan.
6Director General, Omdurman Maternity Hospital (OMH), Omdurman, Sudan.

Corresponding Author's Email: umbeli_taha@hotmail.com, umbeli2010@gmail.com

Accepted 24th September, 2016.



Abstract


Objective: To determine the prevalence, socio-cultural factors behind the persistence of FGM and its associated complications during labour among primigravidae at Omdurman maternity hospital (OMH), Sudan, during 2015. Methodology: A descriptive study, conducted at OMH, for primigravidae delivered during 2015. After an informed consent, circumcised women, delivered vaginally, were included for the study and uncircumcised were the control. Data was collected by trained data collectors and resident registrars using a structured format. Results: A total of 2434 primigravidae, delivered vaginally during 2015 at OMH were studied, 791 (32.5%) were circumcised and 1643 (67.5%) were uncircumcised. Out of the circumcised women, 570 (72.1%) were type II, 190 (24.0%) type I and only 031 (03.9%) were type III (infibulated). Characteristics of the second stage of labour were compared between the two, where women with FGM were significantly affected. They differ significantly in duration of second stage, PPH, Perineal tear, birth asphyxia, neonatal death and hospital stay (P.V = 0.004, 0.003, 0.002, 0.006, 0.003 and 0.005 respectively). There was no significant difference in the mode of delivery. Conclusion: Persistence of FGM is due to many socio-cultural reasons deeply rooted in the community. There is a significant reduction in the rate of FGM and shifting from severe to the milder types. However, FGM places women at a greater risk during childbirth, endangering their health and their babies compared to uncircumcised.

Keywords: Female Genital Mutilation, Cultural challenges, Delivery, Sudan.

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Cite This Article:

Umbeli T Ahmed, Salah Ismail, Abd Allah ALmahgoub, Kunna A, Rabaa Abd Alwahab, Seham A Habeeb Allah and Murwan I Omer. Female Genital Mutilation (FGM), Cultural Challenges and Complications during Delivery at Omdurman Maternity Hospital (OMH), Sudan 2015. Donnish Journal of Medicine and Medical Sciences 3(5) 2016 pp. 019-022.


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