Perception and attitude of pregnant women in a rural community north-west Nigeria to female genital mutilation

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• 作者：Adewale O. Ashimi ; Taiwo G. Amole
• 关键词：Female genital mutilation ; Female genital cutting ; Pregnant women ; Rural ; Northern Nigeria ; Perception
• 刊名：Archives of Gynecology and Obstetrics
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：291
• 期：3
• 页码：695-700
• 全文大小：173 KB
• 参考文献：1. Department of Women’s Health, family and community health, World health Organization. A systematic review of the health complications of female genital mutilation including sequelae in childbirth. Geneva: World Health Organization, 2000 p 11
  2. UNICEF Innocent Research Centre, “Changing a harmful social convention: female genital mutilation/cutting,-2005. Accessed on 7th April 2014. Available at: http://www.unicef-irc.org/publications/pdf/fgm_eng.pdf
  3. Johnsdotter S, Essen B (2010) Genitals and ethnicity: the politics of genital modifications. Reprod Health Matters 18(35):29-7 CrossRef
  4. WHO Eliminating female genital mutilation an interagency statement - OHCHR, UNAIDS, UNDP, UNECA, UNESCO, UNFPA, UNHCR, UNICEF, UNIFEM, WHO. WHO, Geneva 2008
  5. UNICEF Children’s and Women’s right in Nigeria: A wake up call. Situation Assessment and Analysis. Harmful traditional practice (FGM) Abuja NPC and UNICEF Nigeria 2001:195-00
  6. National Population Commission and ICF Macro. 2009: National Demographic Health Survey 2008. Abuja, Nigeria chapter 18 p 299-14
  7. Okeke TC, Anyaehie USB, Ezenyeaku CCK (2012) An overview of female genital mutilation in Nigeria. Ann Med Health Sci Res 2:70-3 CrossRef
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  9. Garba ID, Muhammad Z, Abubakar IS, Yakasai IA (2012) Prevalence of female genital mutilation among female infants in Kano Northern Nigeria. Arch Gynecol Obstet 86:423-28 CrossRef
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  13. Abubakar I, Iliyasu Z, Kabir M, Uzoho CC, Abdulkadir MB (2004) Knowledge attitude and practice of female genital cutting among antenatal patients in Aminu Kano Teaching Hospital Kano. Niger J Med 13(3):254-58
  14. Jeremiah I, Kalio DGB, Akani C (2014) The pattern of female genital mutilation in port Harcourt southern Nigeria. Int J Trop Dis Health. 4(4):469-76 CrossRef
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  17. Ashimi AO, Aliyu LD, Shittu MA, Amole TG (2014) A multicentre study on knowledge and attitude of nurses in northern Nigeria concerning female genital mutilation. Eur J Obstet Gynaecol Contracept Reprod Health Care 19(2):134-40. doi:10.3109/13625187.2014.885940 Epub 2014 Mar 6 CrossRef
  18. Ashimi AO, Omole-ohonsi A, Ugwa AE, Amole TG (2014) A prospective surveillance of ruptured uterus in a rural tertiary health facility northwest Nigeria. J Matern Fetal and Neonatal Med (in press)
  19. Owolabi B, Donald SG, Vanja B, Heli B, Lars A. Female Genital Mutilation in Sierra Leone: Forms, Reliability of reported states and accuracy of related demographic and health survey questions. Obstet Gynaecol Int 2013. Accessed on 7th April 2014, 2014. Available at: www.hindawi.com/journals/ogi/2013/680925
  20. Egyptian Fertility Care Society, Clinic-based investigation of the typology and self-reporting of FGM in Egypt, Tech. Rep.,Popu
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Gynecology
  Obstetrics and Perinatology
  Endocrinology
  Human Genetics
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-0711

文摘

Purpose Nigeria has the highest absolute number of residents who have undergone female genital mutilation (FGM) and most are carried out during infancy; however most reports on FGM are from urban based facilities hence we sought to know the perception and attitude of pregnant women residing in a rural community in northern Nigeria to FGM. Methods A descriptive cross sectional study utilized a pretested structured interviewer administered questionnaire to assess the types of FGM known, reasons for performing it and willingness to support or perform FGM among 323 pregnant women attending antenatal care in two different health facilities. Results Of the 323 respondents, 256 (79.3?%) were aware of the practice and the common varieties of FGM known to them were Gishiri cut in 137 (53.5?%) and Angurya cut 113 (44.1). The notable reasons for carrying out FGM in the community were tradition 88 (34.4?%), to ease difficulty in childbirth 69 (26.9?%) and better marriage prospect in 55 (21.5?%). Of the respondents that were aware of FGM; 100 (39.1?%) have experienced it and 55 (21.5?%) of those aware of it would subject their daughters to the procedure. There was statistically significant association between willingness to mutilate daughters by the respondents type of education (p?=?0.014) and the type of facility they were receiving antenatal care (p?=?0.001). Conclusion FGM is prevalent in this community with Gishiri cut being the commonest variety. It is often associated with difficult childbirth and many women would subject their daughters to this practice. Female education and empowerment is crucial to discontinuation of this practice.