Female Genital Mutilation GTG Flashcards
Type 1 FGM
Partial or total removal of clitoris/prepuce
Type 2 GFM
Partial or total removal of clitoris and labia minors, without or without excision of labial major
Type 3 FGM
Narrowing of vaignal orifice with creation of a covering seal by cutting or apportioning the labia minora/majora +/- excision of clitoris
Type 4 FGM
All other harmful procedure to female genitalia for non medical purposed - pricking, piercing, incision, scraping, cauterization
Which country has highest rates in world?
Somalia 98%
What age is FGM mostly practivecd
Infancy to age 15
> 50% before age 5
How many women in UK are born in countries where FGM practiced?
137,000
10,000 <15yrs
Short term complications of FGM
Haemorrhage
Urinary retention
Genital swelling
Infection
Long term complication of FGM
Genital scarring - 3% keloid, epidermoid inclusion cyst
Urinary tract complications
Dyspareunia
Psychological
Menstral difficulties
Genital infection/PID
FGM is illegal unless…
surgical operation irrespective of age
a) Necessary for physical mental health or
b) Any stage of labour/postpartum for purposes connect to birth/labour
Parental legal responsiblity
Offence of those with parental responsibility to fail to protect a girl from risk of FGM
When must FGM be reported to the police?
If FGM confirmed on a girl < 18yrs within 1 month of confirmation
If re-infibulation llegal?
No, always illegal
What should happen if FGM identified on pregnant woman?
Explain UK law
Document findings
HSCIC FGM enhanced data set
Only need to report if >18yrs to police, if think unborn child at risk, or related child at risk
If de-infibulation is required, when should it take place?
2nd trimester around 20 weeks
Can be done at ELCS
If in labour need experienced professional
