[Obstetrical complications of genital mutilation in Malian rural environment].
ACTA ACUST UNITED AC 2014;
44:276-9. [PMID:
24461341 DOI:
10.1016/j.jgyn.2013.12.004]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2013] [Revised: 11/24/2013] [Accepted: 12/04/2013] [Indexed: 11/29/2022]
Abstract
OBJECTIVE
To describe maternal and fetal complications during delivery of mutilated women.
MATERIALS AND METHODS
It was a case study, witnesses with matching going from February 1st, 2008 till January 31st, 2009 which took place in Mopti's region. We compared maternal and fetal complications of mutilated and non-mutilated women. Using statistical tests were Chi(2) (P<0.05), Odd-Ratio (OR) and its 95% confident interval (CI95%).
RESULTS
We recorded 410 deliveries among which 280 mutilated women (68%). One hundred and forty excised women were included. There is a significant difference between duration of eviction>30 mm (RC=8.27 [4.66-14.76], P<0.001); simple perennials lacerations (RC=14.54 [4.79-49.56], P<0.001) and full perennials lacerations (RC=8.90 [1.91-57.23], P<0.001) in the two groups. The scores of morbid Apgar (RC=9.70 [4.35-22,29], P<0.001) were more important in groups of cases. Moreover, we recorded 3 neonatal deaths and 4 complicated perennials lacerations in the group of cases only.
CONCLUSION
Maternal and fetal complications are significantly more important for the excised woman's than for the not excised women.
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