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[PMID]:28796892
[Au] Autor:Moaddab A; McCullough LB; Chervenak FA; Stark L; Schulkin J; Dildy GA; Raine SP; Shamshirsaz AA
[Ad] Endereço:Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.
[Ti] Título:A survey of honor-related practices among US obstetricians and gynecologists.
[So] Source:Int J Gynaecol Obstet;139(2):164-169, 2017 Nov.
[Is] ISSN:1879-3479
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To assess patterns of honor-related practices-including virginity testing, virginity restoration, and female genital mutilation (FGM)-among US obstetrician-gynecologists (OBGYNs). METHODS: Between June 1 and August 31, 2016, 1000 members of the American College of Obstetricians and Gynecologists were invited by email to complete an anonymous online survey. The survey comprised 42 questions evaluating the demographic and practice characteristics of the respondents. RESULTS: Overall, 288 of the 909 practicing US OBGYNs with functioning email addresses completed the survey (31.7% response rate). In the 12 months before the survey, 168 (58.3%) respondents had provided care to one or more patients who had previously undergone FGM. Care was also provided for patients who requested virginity testing or virginity restoration by 29 (10.1%) and 16 (5.6%) respondents, respectively. Ten (3.5%) respondents performed virginity testing on request, whereas 3 (1.0%) performed virginity restoration. CONCLUSION: Some respondents performed honor-related practices, which indicated a need to educate all practicing US OBGYNs about their ethical and legal obligations in the care of such patients.
[Mh] Termos MeSH primário: Circuncisão Feminina/estatística & dados numéricos
Características Culturais
Ginecologia
Hímen
Obstetrícia
Padrões de Prática Médica
[Mh] Termos MeSH secundário: Adolescente
Adulto
Circuncisão Feminina/ética
Circuncisão Feminina/etnologia
Ética Médica
Feminino
Seres Humanos
Masculino
Inquéritos e Questionários
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170811
[St] Status:MEDLINE
[do] DOI:10.1002/ijgo.12294


  2 / 1113 MEDLINE  
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[PMID]:28602042
[Au] Autor:Rodriguez MI; Say L; Abdulcadir J; Hindin MJ
[Ad] Endereço:Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, OR, USA.
[Ti] Título:Clinical indications for cesarean delivery among women living with female genital mutilation.
[So] Source:Int J Gynaecol Obstet;139(1):21-27, 2017 Oct.
[Is] ISSN:1879-3479
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To compare primary indications for cesarean delivery among patients with different female genital mutilation (FGM) status. METHODS: The present secondary analysis included data from women who underwent trial of labor resulting in cesarean delivery at 28 obstetric centers in six African countries between November 1, 2001, and March 31, 2003. Associations between cesarean delivery indications and FGM status were assessed using descriptive statistics and multivariable multinomial logistic regression. RESULTS: Data from 1659 women (480 patients with no type of FGM and 1179 patients with FGM [any type]) were included; cesarean delivery indications were collapsed into five categories (fetal indications, maternal factors, stage 1 arrest, stage 2 arrest, and other). The incidence of a clear medical indication for cesarean delivery did not differ between the groups (P=0.320). Among patients without a clear indication for cesarean delivery, women with FGM were more likely to have undergone cesarean delivery for maternal factors (adjusted relative risk ratio [aRRR] 3.92, 95% confidence interval [CI] 1.3-11.71), stage 1 arrest (aRRR 7.74, 95% CI 1.33-45.07), stage 2 arrest (aRRR 6.63, 95% CI 3.74-11.73), or other factors (aRRR 2.41, 95% CI 1.04-5.60) rather than fetal factors compared with women who had no type of FGM. CONCLUSION: Among women with unclear medical indications, FGM was associated with cesarean delivery being performed for maternal factors or arrest disorders.
[Mh] Termos MeSH primário: Cesárea/estatística & dados numéricos
Circuncisão Feminina
Técnicas de Apoio para a Decisão
Complicações do Trabalho de Parto/epidemiologia
[Mh] Termos MeSH secundário: Adulto
África/epidemiologia
Feminino
Seres Humanos
Serviços de Saúde Materna
Complicações do Trabalho de Parto/prevenção & controle
Gravidez
Resultado da Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170612
[St] Status:MEDLINE
[do] DOI:10.1002/ijgo.12234


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[PMID]:28501717
[Au] Autor:McKenzie KC; Thomas A
[Ad] Endereço:Yale Center for Asylum Medicine, Yale School of Medicine, United States. Electronic address: katherine.mckenzie@yale.edu.
[Ti] Título:Assisting asylum seekers in a time of global forced displacement: Five clinical cases.
[So] Source:J Forensic Leg Med;49:37-41, 2017 Jul.
[Is] ISSN:1878-7487
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:According to the United Nations High Commissioner on Refugees, over 65 million people were displaced from their homes due to conflict and persecution in 2015. Many physicians express an interest in human rights and a desire to assist this group of refugees and asylum seekers. Physicians are able to use their unique skills by performing medical forensic evaluations of individuals seeking asylum. Some asylum seekers have psychological or physical scars or functional abnormalities relating to injuries or ill-treatment they experience due to persecution. Documenting these findings can significantly improve the likelihood that they will be granted asylum. This manuscript outlines the historical and legal background of asylum. Each of the individuals presented in this paper experienced persecution in different forms. One person was tortured due to his political opinion and one was assaulted because he was gay. One woman sought asylum due to domestic violence, another woman because she had been subjected to female genital mutilation/cutting (FGM/C) and the last suffered severe psychological trauma related to a forced marriage. Five typical clinical cases of medical forensic evaluations are outlined, each with different forms of persecution and physical or psychological findings. Physicians have an interest in using their expertise to help this underserved population. They report that working with asylum seekers is rewarding, intellectually stimulating and a novel way to use their training and skills.
[Mh] Termos MeSH primário: Refugiados
[Mh] Termos MeSH secundário: Circuncisão Feminina
Violência Doméstica
Feminino
Homossexualidade Masculina
Direitos Humanos
Seres Humanos
Masculino
Casamento
Preconceito
Refugiados/legislação & jurisprudência
Estresse Psicológico
Tortura
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170515
[St] Status:MEDLINE


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[PMID]:28335771
[Au] Autor:Doucet MH; Pallitto C; Groleau D
[Ad] Endereço:Division of Social and Transcultural Psychiatry, McGill University, 1033, Des Pins West, Montreal, QC, H3A 1A1, Canada. marie-helene.doucet@mail.mcgill.ca.
[Ti] Título:Understanding the motivations of health-care providers in performing female genital mutilation: an integrative review of the literature.
[So] Source:Reprod Health;14(1):46, 2017 Mar 23.
[Is] ISSN:1742-4755
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Female genital mutilation (FGM) is a traditional harmful practice that can cause severe physical and psychological damages to girls and women. Increasingly, trained health-care providers carry out the practice at the request of families. It is important to understand the motivations of providers in order to reduce the medicalization of FGM. This integrative review identifies, appraises and summarizes qualitative and quantitative literature exploring the factors that are associated with the medicalization of FGM and/or re-infibulation. METHODS: Literature searches were conducted in PubMed, CINAHL and grey literature databases. Hand searches of identified studies were also examined. The "CASP Qualitative Research Checklist" and the "STROBE Statement" were used to assess the methodological quality of the qualitative and quantitative studies respectively. A total of 354 articles were reviewed for inclusion. RESULTS: Fourteen (14) studies, conducted in countries where FGM is largely practiced as well as in countries hosting migrants from these regions, were included. The main findings about the motivations of health-care providers to practice FGM were: (1) the belief that performing FGM would be less harmful for girls or women than the procedure being performed by a traditional practitioner (the so-called "harm reduction" perspective); (2) the belief that the practice was justified for cultural reasons; (3) the financial gains of performing the procedure; (4) responding to requests of the community or feeling pressured by the community to perform FGM. The main reasons given by health-care providers for not performing FGM were that they (1) are concerned about the risks that FGM can cause for girls' and women's health; (2) are preoccupied by the legal sanctions that might result from performing FGM; and (3) consider FGM to be a "bad practice". CONCLUSION: The findings of this review can inform public health program planners, policy makers and researchers to adapt or create strategies to end medicalization of FGM in countries with high prevalence of this practice, as well as in countries hosting immigrants from these regions. Given the methodological limitations in the included studies, it is clear that more robust in-depth qualitative studies are needed, in order to better tackle the complexity of this phenomenon and contribute to eradicating FGM throughout the world.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Circuncisão Feminina/psicologia
Pessoal de Saúde/psicologia
[Mh] Termos MeSH secundário: Países em Desenvolvimento
Feminino
Seres Humanos
Motivação
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170614
[Lr] Data última revisão:
170614
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170325
[St] Status:MEDLINE
[do] DOI:10.1186/s12978-017-0306-5


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[PMID]:28288664
[Au] Autor:Mwanri L; Gatwiri GJ
[Ad] Endereço:Discipline of Public Health, Faculty of Medicine, Nursing and Health Sciences, Flinders University, Level 2, Health Sciences Building, Registry Road, Bedford Park, South Australia, 5042, Australia. lillian.mwanri@flinders.edu.au.
[Ti] Título:Injured bodies, damaged lives: experiences and narratives of Kenyan women with obstetric fistula and Female Genital Mutilation/Cutting.
[So] Source:Reprod Health;14(1):38, 2017 Mar 14.
[Is] ISSN:1742-4755
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: It is well acknowledged that Female Genital Mutilation/Cutting (FGM/C/C) leads to medical, psychological and sociocultural sequels. Over 200 million cases of FGM/C exist globally, and in Kenya alone, a total of 12,418,000 (28%) of women have undergone FGM/C, making the practice not only a significant national, but also a global health catastrophe. FGM/C is rooted in patriarchal and traditional cultures as a communal experience signifying a transition from girlhood to womanhood. The conversations surrounding FGM/C have been complicated by the involvement of women themselves in perpetuating the practice. METHODS: A qualitative inquiry employing face-to-face, one-on-one, in-depth semi-structured interviews was used in a study that included 30 women living with obstetric fistulas in Kenya. Using the Social Network Framework and a feminist analysis we present stories of Kenyan women who had developed obstetric fistulas following prolonged and obstructed childbirth. RESULTS: Of the 30 participants, three women reported that health care workers informed them that FGM/C was one of the contributing factors to their prolonged and obstructed childbirth. They reported serious obstetric complications including: the development of obstetric fistulas, lowered libido, poor quality of life and maternal and child health outcomes, including death. Fistula and subsequent loss of bodily functionalities such as uncontrollable leakage of body wastes, was reported by the women to result in rejection by spouses, families, friends and communities. Rejection further led to depression, loss of work, increased sense of apathy, lowered self-esteem and image, as well as loss of identity and communal sociocultural cohesion. CONCLUSION: FGM/C is practised in traditional, patriarchal communities across Africa. Although the practice aims to bind community members and to celebrate a rite of passage; it may lead to harmful health and social consequences. Some women with fistula report their fistula was caused by FGM/C. Concerted efforts which embrace feminist understandings of society, as well as multi-sectoral, multidisciplinary and community development approaches need to be employed to address FGM/C, and to possibly reduce cases of obstetric fistulas in Kenya and beyond. Both government and non-government organisations need to be involved in making legislative, gender sensitive policies that protect women from FGM/C. In addition, the policy makers need to be in the front line to improve the lives of women who endured the consequences of FGM/C.
[Mh] Termos MeSH primário: Circuncisão Feminina/efeitos adversos
Conhecimentos, Atitudes e Prática em Saúde
Procedimentos Cirúrgicos Obstétricos/efeitos adversos
Qualidade de Vida
Fístula Vaginal/etiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Seres Humanos
Quênia
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170504
[Lr] Data última revisão:
170504
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170315
[St] Status:MEDLINE
[do] DOI:10.1186/s12978-017-0300-y


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[PMID]:28278022
[Au] Autor:Akinsulure-Smith AM; Chu T
[Ad] Endereço:a Department of Psychology , The Colin Powell School of Civic and Global Service, City College, City University of New York , New York , New York , USA.
[Ti] Título:Knowledge and attitudes toward female genital cutting among West African male immigrants in New York City.
[So] Source:Health Care Women Int;38(5):463-477, 2017 May.
[Is] ISSN:1096-4665
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:In this project, we explored knowledge and attitudes toward female genital cutting (FGC) in a survey of 107 West African immigrants, including 36 men. Men in this study were as knowledgeable about the health consequences of FGC as women, though with a less nuanced understanding. They also rejected the practice at rates comparable to women. Despite this knowledge and rejection of FGC, most men did not express a personal preference for women with or without FGC in intimate relationships. Future research and interventions must explore men's opposition to FGC and emphasize the impact of FGC on their partners' gynecological and reproductive health.
[Mh] Termos MeSH primário: Grupo com Ancestrais do Continente Africano/etnologia
Circuncisão Feminina/etnologia
Emigrantes e Imigrantes/psicologia
Conhecimentos, Atitudes e Prática em Saúde
Saúde da Mulher
[Mh] Termos MeSH secundário: Adulto
África Ocidental/etnologia
Grupo com Ancestrais do Continente Africano/psicologia
Circuncisão Feminina/psicologia
Características Culturais
Cultura
Feminino
Seres Humanos
Masculino
Meia-Idade
Cidade de Nova Iorque/epidemiologia
Religião
Fatores Socioeconômicos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170424
[Lr] Data última revisão:
170424
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170310
[St] Status:MEDLINE
[do] DOI:10.1080/07399332.2017.1294593


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[PMID]:28267442
[Au] Autor:Rouzi AA; Berg RC; Sahly N; Alkafy S; Alzaban F; Abduljabbar H
[Ad] Endereço:Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi Arabia. Electronic address: aarouzi@gmail.com.
[Ti] Título:Effects of female genital mutilation/cutting on the sexual function of Sudanese women: a cross-sectional study.
[So] Source:Am J Obstet Gynecol;217(1):62.e1-62.e6, 2017 Jul.
[Is] ISSN:1097-6868
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Female genital mutilation/cutting (FGM/C) is a cultural practice that involves several types of removal or other injury to the external female genitalia for nonmedical reasons. Although much international research has focused on the health consequences of the practice, little is known about sexual functioning among women with various types of FGM/C. OBJECTIVE: To assess the impact of FGM/C on the sexual functioning of Sudanese women. STUDY DESIGN: This is a cross-sectional study conducted at Doctor Erfan and Bagedo Hospital, Jeddah, Saudi Arabia. Eligible women completed a survey and a clinical examination, which documented and verified women's type of FGM/C. The main outcome measure was female sexual function, as assessed by the Arabic Female Sexual Function Index. RESULTS: A total of 107 eligible women completed the survey and the gynecological examination, which revealed that 39% of the women had FGM/C Type I, 25% had Type II, and 36% had Type III. Reliability of self-report of the type of FGM/C was low, with underreporting of the extent of the procedure. The results showed that 92.5% of the women scored lower than the Arabic Female Sexual Function Index cut-off point for sexual dysfunction. The multivariable regression analyses showed that sexual dysfunction was significantly greater with more extensive type of FGM/C, across all sexual function domains (desire, arousal, lubrication, orgasm, satisfaction, and pain) and overall. CONCLUSION: The study documents that a substantial proportion of women subjected to FGM/C experience sexual dysfunction. It shows that the anatomical extent of FGM/C is related to the severity of sexual dysfunction.
[Mh] Termos MeSH primário: Circuncisão Feminina/efeitos adversos
Disfunções Sexuais Fisiológicas/epidemiologia
Disfunções Sexuais Psicogênicas/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Circuncisão Feminina/métodos
Estudos Transversais
Feminino
Genitália Feminina
Seres Humanos
Meia-Idade
Orgasmo
Dor
Reprodutibilidade dos Testes
Arábia Saudita
Autorrelato
Comportamento Sexual
Sudão/etnologia
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170308
[St] Status:MEDLINE


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[PMID]:28187741
[Au] Autor:Johansen RE
[Ad] Endereço:Norwegian Center for Violence and Traumatic Stress Studies, NKVTS, PB: 181 Nydalen, 0409, Oslo, Norway. r.e.johansen@nkvts.no.
[Ti] Título:Virility, pleasure and female genital mutilation/cutting. A qualitative study of perceptions and experiences of medicalized defibulation among Somali and Sudanese migrants in Norway.
[So] Source:Reprod Health;14(1):25, 2017 Feb 10.
[Is] ISSN:1742-4755
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The most pervasive form of female genital mutilation/cutting-infibulation-involves the almost complete closure of the vaginal orifice by cutting and closing the labia to create a skin seal. A small opening remains for the passage of urine and menstrual blood. This physical closure has to be re-opened-defibulated-later in life. When they marry, a partial opening is made to enable sexual intercourse. The husband commonly uses his penis to create this opening. In some settings, a circumciser or traditional midwife opens the infibulated scar with a knife or razor blade. Later, during childbirth, a further opening is necessary to make room for the child's passage. In Norway, public health services provide surgical defibulation, which is less risky and painful than traditional forms of defibulation. This paper explores the perceptions and experiences of surgical defibulation among migrants in Norway and investigates whether surgical defibulation is an accepted medicalization of a traditional procedure or instead challenges the cultural underpinnings of infibulation. METHODS: Data derived from in-depth interviews with 36 women and men of Somali and Sudanese origin and with 30 service providers, as well as participant observations in various settings from 2014-15, were thematically analyzed. RESULTS: The study findings indicate that, despite negative attitudes towards infibulation, its cultural meaning in relation to virility and sexual pleasure constitutes a barrier to the acceptance of medicalized defibulation. CONCLUSIONS: As sexual concerns regarding virility and male sexual pleasure constitute a barrier to the uptake of medicalized defibulation, health care providers need to address sexual concerns when discussing treatment for complications in infibulated women. Furthermore, campaigns and counselling against this practice also need to tackle these sexual concerns.
[Mh] Termos MeSH primário: Circuncisão Feminina/psicologia
Prazer
Comportamento Sexual
Migrantes/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Circuncisão Feminina/efeitos adversos
Circuncisão Feminina/reabilitação
Feminino
Seres Humanos
Masculino
Noruega
Percepção
Pesquisa Qualitativa
Somália
Sudão
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170614
[Lr] Data última revisão:
170614
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170212
[St] Status:MEDLINE
[do] DOI:10.1186/s12978-017-0287-4


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[PMID]:28178983
[Au] Autor:Abdulcadir J; Tille JC; Petignat P
[Ad] Endereço:Department of Obstetrics and Gynecology, Geneva University Hospitals, 30 Bld de la Cluse, 30 Bld de la Cluse, 1211, Geneva, Switzerland. jasmine.abdulcadir@hcuge.ch.
[Ti] Título:Management of painful clitoral neuroma after female genital mutilation/cutting.
[So] Source:Reprod Health;14(1):22, 2017 Feb 08.
[Is] ISSN:1742-4755
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Traumatic neuromas are the result of regenerative disorganized proliferation of the proximal portion of lesioned nerves. They can exist in any anatomical site and are responsible for neuropathic pain. Post-traumatic neuromas of the clitoris have been described as an uncommon consequence of female genital mutilation/cutting (FGM/C). FGM/C involves partial or total removal of the female genital organs for non-therapeutic reasons. It can involve cutting of the clitoris and can cause psychological, sexual, and physical complications. We aimed to evaluate the symptoms and management of women presenting with a clitoral neuroma after female genital mutilation/cutting (FGM/C). METHODS: We identified women who attended our specialized clinic for women with FGM/C who were diagnosed with a traumatic neuroma of the clitoris between April 1, 2010 and June 30, 2016. We reviewed their medical files and collected socio-demographic, clinical, surgical, and histopathological information. RESULTS: Seven women were diagnosed with clitoral neuroma. Six attended our clinic to undergo clitoral reconstruction, and three of these suffered from clitoral pain. The peri-clitoral fibrosis was removed during clitoral reconstruction, which revealed neuroma of the clitoris in all six subjects. Pain was ameliorated after surgery. The seventh woman presented with a visible and palpable painful clitoral mass diagnosed as a neuroma. Excision of the mass ameliorated the pain. Sexual function improved in five women. One was not sexually active, and one had not yet resumed sex. CONCLUSION: Post-traumatic clitoral neuroma can be a consequence of FGM/C. It can cause clitoral pain or be asymptomatic. In the case of pain symptoms, effective treatment is neuroma surgical excision, which can be performed during clitoral reconstruction. Surgery should be considered as part of multidisciplinary care. The efficacy of neuroma excision alone or during clitoral reconstruction to treat clitoral pain should be further assessed among symptomatic women.
[Mh] Termos MeSH primário: Circuncisão Feminina/reabilitação
Clitóris/cirurgia
Neuroma/cirurgia
[Mh] Termos MeSH secundário: Adulto
Circuncisão Feminina/efeitos adversos
Clitóris/lesões
Gerenciamento Clínico
Feminino
Seres Humanos
Meia-Idade
Neuroma/etiologia
Dor/complicações
Manejo da Dor
Procedimentos Cirúrgicos Reconstrutivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170504
[Lr] Data última revisão:
170504
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170210
[St] Status:MEDLINE
[do] DOI:10.1186/s12978-017-0288-3


  10 / 1113 MEDLINE  
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[PMID]:28164298
[Au] Autor:Smith H; Stein K
[Ad] Endereço:Centre for Maternal and Newborn Health, Liverpool School of Tropical Medicine, Liverpool, UK.
[Ti] Título:Psychological and counselling interventions for female genital mutilation.
[So] Source:Int J Gynaecol Obstet;136 Suppl 1:60-64, 2017 Feb.
[Is] ISSN:1879-3479
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Women and girls living with female genital mutilation (FGM) are more likely to experience psychological problems than women without FGM. As well as psychological support, this population may need additional care when seeking surgical interventions to correct complications of FGM. Recent WHO guidelines recommend cognitive behavioral therapy for women and girls experiencing anxiety disorders, depression, or post-traumatic stress disorder. The guidelines also suggest that preoperative counselling for deinfibulation, and psychological support alongside surgical interventions, can help women manage the physiological and psychological changes following surgery. This synthesis summarizes evidence on women's values and preferences, and the context and conditions that may be required to provide psychological and counselling interventions. Understanding women's views, their own ways of coping, as well social and cultural factors that influence women's mental well-being, may help identify the types of interventions this population needs at different times and stages of their lives.
[Mh] Termos MeSH primário: Circuncisão Feminina/efeitos adversos
Circuncisão Feminina/psicologia
Aconselhamento/métodos
Saúde Mental/normas
[Mh] Termos MeSH secundário: Adaptação Psicológica
Transtornos de Ansiedade/terapia
Depressão/terapia
Feminino
Seres Humanos
Guias de Prática Clínica como Assunto
Transtornos de Estresse Pós-Traumáticos/terapia
Organização Mundial da Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170524
[Lr] Data última revisão:
170524
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170207
[St] Status:MEDLINE
[do] DOI:10.1002/ijgo.12051



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