FGM Flashcards
What act makes it FGM illegal
FGM act 2003
Why is FGM done
Cultural practise
Why is FGM done
Cultural practise
Where is FGM practised
African countries - somalia has highest rates
Ethiopia, sudan, eritrea
Yemen, kurdistan, indonesia, parts of south and western asia
Where is FGM practised
African countries - somalia has highest rates
Ethiopia, sudan, eritrea
Yemen, kurdistan, indonesia, parts of south and western asia
Type 1 FGM
Removal of part or all of clitoris
Type 2 FGM
Removal of part of all clitoris, labia minora, labia majora may also be removed
Type 3 FGM
Narrowing or closing vaginal orifice - infibulation
Type 4 FGM
All other unneccessary procedures to female genitalia
Two key risk factors FGM
Community that practise FGM
Relatives affected by FGM
Scenarios where need to consider the risk of FGM
Pregnant women with FGM and possible female child
Siblings or daughters of women or girls affected by FGM
Extended trips with infants or children to areas where FGM practised
Women that decline exam or cervical screening
New patients from communities that practise FGM
Immediate complications of FGM
Pain
Bleeding
Infection
Swelling
Urinary retention
Urethral damage and incontinence
Long term complications of FGM
Vaginal infections eg BV
Pelvic infections
UTIs
Dysmenorrhea
Sexual dysfunction and dyspareunia
Infertility and pregnancy related complications
Signifcant psychological issues and depression
Reduced engagement with healthcare and screening
Complications in labour of FGM
Prolonged obstructed labour
Perineal trauma and episiotomy
Operateive vaginal delivery and Csection
70% greater chacne of PPH
Increased pre natal deaths
Who should be contacted if FGM case under 18
POLICE
social services and safeguarding
Paeds
Specialist gynaecology or FGM services
Counselling
When should patients over 18 be reported with FGM
RCOG - gov.uk risk assessment tool
Whether patient has female relatives at risk
Unborn child of pregnant women affected by FGM
When should patients over 18 be reported with FGM
RCOG - gov.uk risk assessment tool
Whether patient has female relatives at risk
Unborn child of pregnant women affected by FGM
How cna type 3 FGM be treated
De-infibulation
Surgical procedure by speicalist
Correct narrowing or closure of vaginal orifice, improve symptoms and restore normal function
What should be done when a woman with FGM is identified
Consultant led care is recommended
Professional interpreters should be used
Health professional must explain law on FGM
Sensitivity - physical and psychological trauma
Info leaflet
Vulva inspeted - type FGM, if de-infibulation needed
Psycholofical assessment and treatemnt
Sexual health screening incl hep C
Individual risk assessment by midwife or obstetrician using FGM safeguarding risk assessment tool
What should be done when a woman with FGM is identified
Consultant led care is recommended
Professional interpreters should be used
Health professional must explain law on FGM
Sensitivity - physical and psychological trauma
Info leaflet
Vulva inspeted - type FGM, if de-infibulation needed
Psycholofical assessment and treatemnt
Sexual health screening incl hep C
Individual risk assessment by midwife or obstetrician using FGM safeguarding risk assessment tool
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