Health education and clinical care of immigrant women with female genital mutilation/cutting who request postpartum reinfibulation.

International journal of gynaecology and obstetrics : the official organ of the International Federation of Gynaecology and Obstetrics

PubMedID: 27350225

Abdulcadir J, McLaren S, Boulvain M, Irion O. Health education and clinical care of immigrant women with female genital mutilation/cutting who request postpartum reinfibulation. Int J Gynaecol Obstet. 2016;.
OBJECTIVE
To evaluate the percentage of women with female genital mutilation/cutting who request postpartum reinfibulation, and to assess outcomes after specific care and counseling.

METHODS
A retrospective review was undertaken of consecutive medical files of immigrant women with FGM/C who attended a center in Geneva, Switzerland, between April 1, 2010, and January 8, 2014. The number of postpartum reinfibulation requests and outcomes were assessed. If a patient requests postpartum reinfibulation despite receiving detailed information and counseling, a longer follow-up is arranged for further counseling.

RESULTS
Among 196 women with FGM/C, 8 (4.1%) requested postpartum reinfibulation. All eight were of East African origin, had FGM/C type III, and received a longer and more targeted follow-up than did those who did not request reinfibulation. After at least 1year of follow-up, none of the eight was willing to undergo reinfibulation. One woman who attended the clinic only once during her first pregnancy consulted the emergency ward of the study center 3years later because of postcoital bleeding following infibulation performed in her home country a few months after her second delivery in Switzerland.

CONCLUSION
Specific care and counseling for women with FGM/C type III can improve the acceptability of defibulation without reinfibulation.