Female Genital Mutilation GT53

Question 1

How many women living in England and Wales have undergone FGM?
How many <15yo?

Answer 1

137,000

10000 <15yo

Question 2

How many girls worldwide have undergone FGM?

Answer 2

125 million

Question 3

Where are FGM practices most common?

Answer 3

Somalia 98%
Egypt 91%
Sudan 88%
Sierra Leone 88%
Ethiopia 74%

Uganda 1%

Question 4

Partial or total removal of the clitoris and/or prepuce. Name the grade of FGM?

Answer 4

Type 1

Question 5

Partial or total removal of the clitoris and the labia minora with or without excision of the labia majora. Name the grade of FGM?

Answer 5

Type 2

Question 6

Narrowing of the vaginal orifice with creation of a covering seal by cutting and appositioning the labia minora and/or the labia majora, with or without excision of the clitoris (infibulation). Name the grade of FGM?

Answer 6

Type 3

Question 7

Harmful procedures to the female genitalia for non-medical purposes, for example: pricking, piercing,
incising, scraping and cauterization. Name the grade of FGM?

Answer 7

Type 4

Question 8

What are the short term complications of FGM?

Answer 8

Haemorrhage (5-62%)
Urinary retention (8-53%)
Genital swelling (2-27%)

Question 9

What are the long term complications of FGM?

Answer 9

Genital scarring - keloid in 3%
Urinary tract complications incl recurrent UTI (RR 3.01)
Dyspareunia, apareunia and impaired sexual fx
Psychological sequelae
Menstrual difficulties
Genital infection and PID
?Infertility
?HIV/Hep infection
?Obstetric complications

Question 10

In what year was the FGM act passed?

And the Prohibition of Female Genital Mutilation (Scotland) Act?

Answer 10

2003, 2005 respectively

Question 11

Which law in 2015 introduced mandatory reporting by healthcare workers for FGM?

Answer 11

The Serious Crime Act

Question 12

What is the estimated number of girls in the UK believed to be at risk of FGM?

Answer 12

20,000