FGM

Question 1

Countries where FGM occurs?

Answer 1

Somalia

Indonesia

Question 2

Classification of FGM

Answer 2

Type 1: Excision of clitoral hood
Type 2: clit removed and labia minora
Type 3: clit, labia minor and majora and infundibulation (sewing of the intriotus) (more common in east Africa)
Type 4: other: burning, piercing, corrosive inside

Question 3

Spotting it

Answer 3

Family members had it
Member of community less intergrated and country of origin where it occurs
Going away to become a women

Question 4

Signs FGM has occurred in girl at school

Answer 4

Problems sitting
Spending long time in bathroom
Changing nappies 
Menstrual problems 
Repeated absence from school 
Reluctant to talk about procedure or have a medical.

Question 5

Long term complications of FGM

Answer 5

Dysuria 
Recurrent UTI
Dysmenorrhoea 
Dyspareunia 
Vaginal examination poorly tolerated 
Obstructed labour 
Mental health

Question 6

What are the prison sentence for:
Commit FGM
Failure to protect FGM

Answer 6

14 years
7 years
+ fines

Question 7

Ask appropriate questions

Answer 7

• cutting or operations (not mutilation) down below
• be clear
• who’s are risk, who supports it, where they going, when
• where is their country of origin
• risks & illegal

Question 8

Can you break confidentiality to report it?

Answer 8

Yes

Question 9

How to report FGM

Answer 9

101: non-urgent police phone line
- local safe guarding procedure
- refer to social services

If at immediate risk
999

Question 10

OSCE

Answer 10

Risks
Illegal in U.K.
Reporting it
Ask about other children or future children

Question 11

What is the surgical management for women with FGM in pregnancy

Answer 11

20 w anterior episiotomy

Caution if deliver girl: need to tell social services.