FGM

Question 1

What act makes it FGM illegal

Answer 1

FGM act 2003

Question 2

Why is FGM done

Answer 2

Cultural practise

Question 2

Why is FGM done

Answer 2

Cultural practise

Question 3

Where is FGM practised

Answer 3

African countries - somalia has highest rates
Ethiopia, sudan, eritrea
Yemen, kurdistan, indonesia, parts of south and western asia

Question 3

Where is FGM practised

Answer 3

African countries - somalia has highest rates
Ethiopia, sudan, eritrea
Yemen, kurdistan, indonesia, parts of south and western asia

Question 4

Type 1 FGM

Answer 4

Removal of part or all of clitoris

Question 5

Type 2 FGM

Answer 5

Removal of part of all clitoris, labia minora, labia majora may also be removed

Question 6

Type 3 FGM

Answer 6

Narrowing or closing vaginal orifice - infibulation

Question 7

Type 4 FGM

Answer 7

All other unneccessary procedures to female genitalia

Question 8

Two key risk factors FGM

Answer 8

Community that practise FGM
Relatives affected by FGM

Question 9

Scenarios where need to consider the risk of FGM

Answer 9

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

Question 10

Immediate complications of FGM

Answer 10

Pain
Bleeding
Infection
Swelling
Urinary retention
Urethral damage and incontinence

Question 11

Long term complications of FGM

Answer 11

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

Question 12

Complications in labour of FGM

Answer 12

Prolonged obstructed labour
Perineal trauma and episiotomy
Operateive vaginal delivery and Csection
70% greater chacne of PPH
Increased pre natal deaths

Question 13

Who should be contacted if FGM case under 18

Answer 13

POLICE
social services and safeguarding
Paeds
Specialist gynaecology or FGM services
Counselling

Question 14

When should patients over 18 be reported with FGM

Answer 14

RCOG - gov.uk risk assessment tool
Whether patient has female relatives at risk
Unborn child of pregnant women affected by FGM

Question 14

When should patients over 18 be reported with FGM

Answer 14

RCOG - gov.uk risk assessment tool
Whether patient has female relatives at risk
Unborn child of pregnant women affected by FGM

Question 15

How cna type 3 FGM be treated

Answer 15

De-infibulation
Surgical procedure by speicalist
Correct narrowing or closure of vaginal orifice, improve symptoms and restore normal function

Question 16

What should be done when a woman with FGM is identified

Answer 16

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

Question 16

What should be done when a woman with FGM is identified

Answer 16

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

Question 17

What are fibroids