Deinfibulation for preventing or treating complications in women living with type III female genital mutilation: A systematic review and meta-analysis

dc.contributor.authorOkusanya, BO
dc.contributor.authorOduwole, O
dc.contributor.authorNwachuckwu, N
dc.contributor.authorMeremikwu, MM
dc.date.accessioned2022-01-20T08:20:41Z
dc.date.available2022-01-20T08:20:41Z
dc.date.issued2017
dc.descriptionScholarly articlesen_US
dc.description.abstractBackground: Deinfibulation is a surgical procedure carried out to re-open the vaginal introitus of women living with type III female genital mutilation (FGM). Objectives: To assess the impact of deinfibulation on gynecologic or obstetric outcomes by comparing women who were deinfibulated with women with type III FGM or women without FGM. Search strategy: Major databases including CENTRAL, MEDLINE, and Scopus were searched until August 2015. Selection criteria: We included nonrandomized studies that compared obstetric outcomes of women with deinfibulation, type III FGM (not deinfibulated during labor), and no FGM. Data collection and analysis: Quality of evidence was determined following the GRADE methodology. Summary measures were calculated using odds ratios at 95% confidence intervals. Results: We found no randomized controlled trials. We included four case–control studies. The quality of evidence was very low. Compared with women with type III FGM at delivery, deinfibulated women had a significant reduction in the risk of having a cesarean delivery or postpartum hemorrhage. Compared with women without FGM, deinfibulated women had a similar risk of episiotomy, cesarean delivery, vaginal lacerations, postpartum hemorrhage, and blood loss at vaginal delivery. The length of second stage of labor, mean maternal hospital stay, and Apgar scores less than 7 were also comparable. Conclusions: Low-quality evidence suggests deinfibulation improves birth outcomes for women with type III FGM. PROSPERO registration: CRD42015024466en_US
dc.identifier.citationOkusanya BO, Oduwole O, Nwachuku N, Meremikwu MM. Deinfibulation for preventing or treating complications in women living with type III female genital mutilation: A systematic review and meta-analysis. Int J Gynaecol Obstet. 2017;136 Suppl1:13-20.en_US
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/10613
dc.language.isoenen_US
dc.subjectDeinfibulationen_US
dc.subjectFemale genital mutilationen_US
dc.subjectInfibulationen_US
dc.subjectObstetric complicationsen_US
dc.subjectResearch Subject Categories::MEDICINE::Surgery::Obstetrics and women's diseases::Obstetrics and gynaecologyen_US
dc.titleDeinfibulation for preventing or treating complications in women living with type III female genital mutilation: A systematic review and meta-analysisen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Deinfibulation for preventin or treating complications in women living with type III FGM.pdf
Size:
1.22 MB
Format:
Adobe Portable Document Format
Description:
License bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description: