FGM Flashcards

1
Q

FGM

A

All procedures that involve partial or total removal of the external female genitalia or other injury to female genital organs for cultural or non-medical reasons

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2
Q

Type 1 of FGM is

A

clitoridectomy

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3
Q

clitoridectomy

A

partial or total removal of the clitoris and in very rare cases also the prepuce

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4
Q

Type 2 of FGM is

A

excision

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5
Q

Excision

A

partial or total removal of clitoris and labia minora with or without the excision of the labia majora

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6
Q

Type 3 of FGM is

A

infibulation

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7
Q

infibulation

A

narrowing of vaginal opening by forming seal by cutting labia - pharaonic circumcision

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8
Q

Type 4 FGM

A

All other harmful procedures to female genitalia for non-medical purposes eg piercing, pricking, incising, cauterising

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9
Q

Deinfibulation

A

procedure to open up closed vagina of FGM type 3

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10
Q

re-infibulation

A

re-stitching of FGM type 3 to reclose vagina after childbirth

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11
Q

Is re-infibulation legal in UK?

A

NO

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12
Q

Justifications for FGM

A
increase sexual pleasure for male 
family honour 
preserve virginity 
religion?
improve marriage prospects 
social acceptance 
fear of social exclusion 
hygiene and cleanliness 
enhance fertility
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13
Q

Who is FGM mostly carrier out on?

A

girls from birth to 15 but mostly girls 4-10yrs

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14
Q

Who performs the cutting?

A

women who have respected role in community

healthcare providers

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15
Q

Prevalence of FGM

A

atleast 200M - 3M each year

137 000 in England and Wales

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16
Q

short term health impacts

A
severe pain and shock 
blood borne virus 
infection 
injury to adjacent tissues
sprain, broken bone from restraint
immediate fatal haemorrhage
17
Q

Long term health impacts

A
PTSD 
sexual dysfunction 
urine retention and problems menstruating 
uterine, vaginal and pelvic infection 
cysts and neuromas
pregnancy and childbirth 
fistula
18
Q

psychological effects

A

depression - anxiety - PTSD - nightmares - flashbacks - loss of trust - fear of intimacy - unresolved anger

19
Q

What are flashbacks usually associated with?

A

pregnancy and childbirth

20
Q

When has FGM been offence in UK from?

A

1985

21
Q

FGM and law affects…

A

those who perform cutting

those who aid the cutting

22
Q

Key risk factor for FGM

A

mother had FGM

23
Q

other risk factors for FGM

A

sister or cousins had FGM
mother requested re-infibulation
less integrated into British society
withdrawn from education

24
Q

Possible signs of imminent risk

A

withdrawn from school
elderly female relative from country of origin visiting
forced marriage

25
Q

Accessing support

A

health visitor - midwife - doctor - sexual health - health services