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dc.contributor.authorBerg, Rigmor
dc.contributor.authorTaraldsen, Sølvi
dc.contributor.authorSaid, Maryan
dc.contributor.authorSørbye, Ingvil
dc.contributor.authorVangen, Siri
dc.date.accessioned2018-07-27T12:05:04Z
dc.date.available2018-07-27T12:05:04Z
dc.date.issued2017-07-29
dc.description.abstract<p><i>Background</i><br> Female genital mutilation/cutting (FGM/C) changes normal genital functionality and can cause complications. There is an increasing demand for treatment of FGM/C‐related complications.</p> <p><i>Objectives</i><br> We conducted a systematic review of empirical quantitative research on the outcomes of interventions for women with FGM/C‐related complications.</p> <p><i>Search strategy</i><br> A search specialist searched 16 electronic databases.</p> <p><i>Selection criteria</i><br> Selection was performed independently by two researchers. We accepted quantitative studies that examined the outcome of an intervention for an FGM/C‐related concern.</p> <p><i>Data collection and analysis</i><br> We extracted data into a pre‐designed form, calculated effect estimates, and performed meta‐analyses.</p> <p><i>Main results</i><br> We included 62 studies (5829 women), which investigated the effect of defibulation, excision of cysts, and clitoral reconstruction. Meta‐analyses of defibulation versus no defibulation showed a significantly lower risk of caesarean section (relative risk, RR: 0.33; 95% confidence interval, 95% CI: 0.25–0.45) and perineal tears with defibulation: second‐degree tear (RR: 0.44, 95% CI: 0.24–0.79), third‐degree tear (RR: 0.21, 95% CI: 0.05–0.94), fourth‐degree tear (RR: 0.06, 95% CI: 0.01–0.41). The meta‐analyses detected no significant differences in obstetric outcomes of antenatal versus intrapartum defibulation. Except for one study, none of the studies on the excision of cysts indicated any complications, and the results were deemed favourable. Reconstructive surgery resulted in a visible clitoris in about 77% of women. Most women self‐reported improvements in their sexual life, but up to 22% experienced a worsening in sexuality‐related outcomes after reconstruction.</p> <p><i>Conclusions</i><br> Women with FGM/C who seek therapeutic surgery should be informed about the scarcity of evidence for benefits and the potential harms of the available procedures.en_US
dc.descriptionThis is the peer reviewed version of the following article: Berg, R., Taraldsen, S., Said, M., Sørbye, I. & Vangen, S. (2017). The effectiveness of surgical interventions for women with FGM/C: a systematic review. BJOG: an International Journal of Obstetrics and Gynaecology, 125(3), 278-287. https://doi.org/10.1111/1471-0528.14839, which has been published in final form at <a href=https://doi.org/10.1111/1471-0528.14839> https://doi.org/10.1111/1471-0528.14839</a>. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.en_US
dc.identifier.citationBerg, R., Taraldsen, S., Said, M., Sørbye, I. & Vangen, S. (2017). The effectiveness of surgical interventions for women with FGM/C: a systematic review. BJOG: an International Journal of Obstetrics and Gynaecology, 125(3), 278-287. https://doi.org/10.1111/1471-0528.14839en_US
dc.identifier.cristinIDFRIDAID 1499878
dc.identifier.doi10.1111/1471-0528.14839
dc.identifier.issn1470-0328
dc.identifier.issn1471-0528
dc.identifier.urihttps://hdl.handle.net/10037/13296
dc.language.isoengen_US
dc.publisherWileyen_US
dc.relation.journalBJOG: an International Journal of Obstetrics and Gynaecology
dc.relation.urihttp://onlinelibrary.wiley.com/doi/10.1111/1471-0528.14839/epdf
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756en_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756en_US
dc.subjectDefibulationen_US
dc.subjectexcision of cysten_US
dc.subjectfemale genital mutilation/cuttingen_US
dc.subjectobstetricen_US
dc.subjectreconstructive surgeryen_US
dc.subjectsystematic reviewen_US
dc.titleThe effectiveness of surgical interventions for women with FGM/C: a systematic reviewen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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