8B) Antenatal Care - Female Genital Mutilation

Question 1

Types of FGM

Answer 1

Type 1: Clitoris +/- prepuce
Type 2: Clitoris+labia minora +/- majora
Type 3: Narrowing of vagina
Type 4: All other

Question 2

How common is FGM?

Answer 2

• Worldwide 125 million with 3 million at risk each year
• UK 137,000 affected
• 1.5% of women giving birth in UK

Question 3

Countries with more than 80% of women affected

Answer 3

Somalia
Sudan
Sierra Leone
Eritrea
Egypt
Guinea
Djibouti
Mali

Question 4

What percentage of FGM is type 3?

Answer 4

10%

Question 5

What infections are people at risk of after FGM?

Answer 5

UTI
Bacterial vaginosis
Type 2 Herpes Simplex

Question 6

Law on FGM

Answer 6

1. ILLEGAL to do or procure unless necessary for physical/mental health or associated with labour/childbirth
2. ILLEGAL to arrange for UK national/resident to be taken out of country for FGM
3. ILLEGAL for parents to fail to protect child from FGM
4. If FGM confirmed in < 18 years must be reported to police within 1 month

Question 7

Who should have FGM recording?

Answer 7

EVERYONE with FGM should have non-anonymised data recorded and submitted to HSCIC.

Question 8

Who should have FGM reporting?

Answer 8

Any child with confirmed/suspected/at risk FGM.
Any pregnant woman who is high risk on risk assessment.

Reporting is to police or social services.

Question 9

When is deinfibulation done?

Answer 9

Ideally at 20 weeks gestation but can be done in first stage labour, time of delivery or peri-operatively after CS