[Show abstract][Hide abstract] ABSTRACT: The practice of female "circumcision," or traditional fe male genital surgery, is simultaneously complex and controversial, Although some consider it a human rights infringement, others view it as an integral part of cultures in which it remained unchallenged for centuries, With more than 30.000 Africmls entering the United States in the last decade, American clinicians are challenged with meeting Africml women's health needs, as they are barraged with a debate about the ethics and politics of circumcision, There are significant medical sequelae and public health ramifications of female circumcision: therefore most U, S. physicians probably would agree that programs to abolish it should continue. However, although there is ample media and political attention to this volatile issue. there is a relative dearth of practical, clinical information available to providers who care for circumcised women and their families. As African communities and advocates grapple with how to stop this practice, circumcised women need clinicians familiar with these surgeries, who
Journal of General Internal Medicine 09/1997; 12(8):491-9. DOI:10.1046/j.1525-1497.1997.00088.x · 3.45 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Female circumcision is a cultural tradition that includes cutting of female genitals without medical necessity. Over 130 million girls and women have been circumcised globally. This article reports on partial findings from a qualitative study that examined the lives of Somali Muslim women who were circumcised. A reoccurring theme of resentment toward North American health care practitioners who condemn the women for having experienced the practice of circumcision in their birth country was found. Discussion will include the physical and social stigma, the complex legal aspects, and ways to deal with female circumcision in a culturally competent manner.
Health Care For Women International 08/2010; 31(8):686-99. DOI:10.1080/07399332.2010.490313 · 0.63 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: The United States has more than 1.5 million immigrants from countries in Africa and the Middle East where female genital cutting (FGC) is known to occur. Often, FGC occurs in infancy and childhood in the countries where it is practiced, but patients of any age can present with complications. Lack of understanding of this common problem can potentially alienate and lower quality of care for this patient population. We provide an introduction to the practice of FGC and practice guidelines for the primary care physician. We reviewed original research, population-based studies, and legal research from PubMed, Scopus, CINAHL plus, PsycINFO, and Legal Trac. The terms searched included female genital cutting, female genital circumcision, and female genital mutilation alone and with the term complications or health consequences; no limit on date published. Legal databases were searched using the above terms, as well as international law and immigration law. Editorials and review articles were excluded. This review discusses the different types of FGC, important cultural considerations for physicians caring for patients with FGC, the common early and late medical complications and their management, and psychosocial issues associated with FGC. Current laws pertaining to FGC are briefly reviewed, as well as implications for patients seeking asylum status in the United States because of FGC. Finally, the article presents evidence-based, culturally sensitive approaches to discussions of FGC with girls and women for whom this is an issue.
Mayo Clinic Proceedings 06/2013; 88(6):618-629. DOI:10.1016/j.mayocp.2013.04.004 · 6.26 Impact Factor
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Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.