RANZCOG FGM

Question 1

Describe type 1 FGM

Answer 1

partial or total removal of the clitoris

Question 2

Describe type 2 FGM

Answer 2

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

Question 3

Describe type 3 FGM

Answer 3

Narrowing of the vaginal opening with creation of a covering seal - by cutting and appositioning the labia minora and majora, with or without excision of the clitoris

Question 4

Describe type 4 FGM?

Answer 4

all other harmful procedures to the female genitalia for non medical purposes

Question 5

Describe the medical issues associated with FGM particularly type 3

Answer 5

difficulty with VE in pregnancy and labour
difficulty with VE for routine examinations such as cervical smear screening
difficulty with intrapartum procedures (FSE, amniotomy)
difficulty with catheterisation
increased risk of perineal trauma
increased risk of episiotomy
increased risk of C/s