Skip to main content
Erschienen in: Archives of Gynecology and Obstetrics 3/2015

01.03.2015 | Gynecologic Endocrinology and Reproductive Medicine

Perception and attitude of pregnant women in a rural community north-west Nigeria to female genital mutilation

verfasst von: Adewale O. Ashimi, Taiwo G. Amole

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 3/2015

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Nigeria has the highest absolute number of residents who have undergone female genital mutilation (FGM) and most are carried out during infancy; however most reports on FGM are from urban based facilities hence we sought to know the perception and attitude of pregnant women residing in a rural community in northern Nigeria to FGM.

Methods

A descriptive cross sectional study utilized a pretested structured interviewer administered questionnaire to assess the types of FGM known, reasons for performing it and willingness to support or perform FGM among 323 pregnant women attending antenatal care in two different health facilities.

Results

Of the 323 respondents, 256 (79.3 %) were aware of the practice and the common varieties of FGM known to them were Gishiri cut in 137 (53.5 %) and Angurya cut 113 (44.1). The notable reasons for carrying out FGM in the community were tradition 88 (34.4 %), to ease difficulty in childbirth 69 (26.9 %) and better marriage prospect in 55 (21.5 %). Of the respondents that were aware of FGM; 100 (39.1 %) have experienced it and 55 (21.5 %) of those aware of it would subject their daughters to the procedure. There was statistically significant association between willingness to mutilate daughters by the respondents type of education (p = 0.014) and the type of facility they were receiving antenatal care (p = 0.001).

Conclusion

FGM is prevalent in this community with Gishiri cut being the commonest variety. It is often associated with difficult childbirth and many women would subject their daughters to this practice. Female education and empowerment is crucial to discontinuation of this practice.
Literatur
1.
Zurück zum Zitat Department of Women’s Health, family and community health, World health Organization. A systematic review of the health complications of female genital mutilation including sequelae in childbirth. Geneva: World Health Organization, 2000 p 11 Department of Women’s Health, family and community health, World health Organization. A systematic review of the health complications of female genital mutilation including sequelae in childbirth. Geneva: World Health Organization, 2000 p 11
3.
Zurück zum Zitat Johnsdotter S, Essen B (2010) Genitals and ethnicity: the politics of genital modifications. Reprod Health Matters 18(35):29–37PubMedCrossRef Johnsdotter S, Essen B (2010) Genitals and ethnicity: the politics of genital modifications. Reprod Health Matters 18(35):29–37PubMedCrossRef
4.
Zurück zum Zitat WHO Eliminating female genital mutilation an interagency statement - OHCHR, UNAIDS, UNDP, UNECA, UNESCO, UNFPA, UNHCR, UNICEF, UNIFEM, WHO. WHO, Geneva 2008 WHO Eliminating female genital mutilation an interagency statement - OHCHR, UNAIDS, UNDP, UNECA, UNESCO, UNFPA, UNHCR, UNICEF, UNIFEM, WHO. WHO, Geneva 2008
5.
Zurück zum Zitat UNICEF Children’s and Women’s right in Nigeria: A wake up call. Situation Assessment and Analysis. Harmful traditional practice (FGM) Abuja NPC and UNICEF Nigeria 2001:195–200 UNICEF Children’s and Women’s right in Nigeria: A wake up call. Situation Assessment and Analysis. Harmful traditional practice (FGM) Abuja NPC and UNICEF Nigeria 2001:195–200
6.
Zurück zum Zitat National Population Commission and ICF Macro. 2009: National Demographic Health Survey 2008. Abuja, Nigeria chapter 18 p 299–314 National Population Commission and ICF Macro. 2009: National Demographic Health Survey 2008. Abuja, Nigeria chapter 18 p 299–314
8.
Zurück zum Zitat Yola AI (2011) Yankan Gishiri (salt cut). Int J Obstet Trauma 1:2046–2065 Yola AI (2011) Yankan Gishiri (salt cut). Int J Obstet Trauma 1:2046–2065
9.
Zurück zum Zitat Garba ID, Muhammad Z, Abubakar IS, Yakasai IA (2012) Prevalence of female genital mutilation among female infants in Kano Northern Nigeria. Arch Gynecol Obstet 86:423–428CrossRef Garba ID, Muhammad Z, Abubakar IS, Yakasai IA (2012) Prevalence of female genital mutilation among female infants in Kano Northern Nigeria. Arch Gynecol Obstet 86:423–428CrossRef
10.
Zurück zum Zitat Rushwan H (2000) Female genital mutilation management during pregnancy, childbirth and postpartum period. Int J Gynecol Obstet 70:99–104CrossRef Rushwan H (2000) Female genital mutilation management during pregnancy, childbirth and postpartum period. Int J Gynecol Obstet 70:99–104CrossRef
11.
Zurück zum Zitat Mandara MH (2004) Female genital mutilation in Nigeria. Int J Gynecol Obstet 84:291–298CrossRef Mandara MH (2004) Female genital mutilation in Nigeria. Int J Gynecol Obstet 84:291–298CrossRef
12.
Zurück zum Zitat Nkwo PO, Onah HE (2001) Decrease in female Genital mutilation among Nigeria Ibo girls. Int J Gynecol Obstet 75:321–322CrossRef Nkwo PO, Onah HE (2001) Decrease in female Genital mutilation among Nigeria Ibo girls. Int J Gynecol Obstet 75:321–322CrossRef
13.
Zurück zum Zitat Abubakar I, Iliyasu Z, Kabir M, Uzoho CC, Abdulkadir MB (2004) Knowledge attitude and practice of female genital cutting among antenatal patients in Aminu Kano Teaching Hospital Kano. Niger J Med 13(3):254–258PubMed Abubakar I, Iliyasu Z, Kabir M, Uzoho CC, Abdulkadir MB (2004) Knowledge attitude and practice of female genital cutting among antenatal patients in Aminu Kano Teaching Hospital Kano. Niger J Med 13(3):254–258PubMed
14.
Zurück zum Zitat Jeremiah I, Kalio DGB, Akani C (2014) The pattern of female genital mutilation in port Harcourt southern Nigeria. Int J Trop Dis Health. 4(4):469–476CrossRef Jeremiah I, Kalio DGB, Akani C (2014) The pattern of female genital mutilation in port Harcourt southern Nigeria. Int J Trop Dis Health. 4(4):469–476CrossRef
15.
Zurück zum Zitat Ibekwe PC, Onoh RC, Onyebuchi AK, Ezeonu PO, Ibekwe RO (2012) Female Genital Mutilation in southeast Nigeria: a survey of current knowledge and practice. J Public Health Epid 4(5):117–122 Ibekwe PC, Onoh RC, Onyebuchi AK, Ezeonu PO, Ibekwe RO (2012) Female Genital Mutilation in southeast Nigeria: a survey of current knowledge and practice. J Public Health Epid 4(5):117–122
16.
Zurück zum Zitat Dattijo LM, Nyango AD, Osagie OE (2010) Awareness, perception and practice of female genital Mutilation among expectant mothers at Jos University Teaching Hospital, Jos North central Nigeria. Niger J Med 19(3):311–315PubMedCrossRef Dattijo LM, Nyango AD, Osagie OE (2010) Awareness, perception and practice of female genital Mutilation among expectant mothers at Jos University Teaching Hospital, Jos North central Nigeria. Niger J Med 19(3):311–315PubMedCrossRef
17.
Zurück zum Zitat Ashimi AO, Aliyu LD, Shittu MA, Amole TG (2014) A multicentre study on knowledge and attitude of nurses in northern Nigeria concerning female genital mutilation. Eur J Obstet Gynaecol Contracept Reprod Health Care 19(2):134–140. doi:10.3109/13625187.2014.885940 Epub 2014 Mar 6CrossRef Ashimi AO, Aliyu LD, Shittu MA, Amole TG (2014) A multicentre study on knowledge and attitude of nurses in northern Nigeria concerning female genital mutilation. Eur J Obstet Gynaecol Contracept Reprod Health Care 19(2):134–140. doi:10.​3109/​13625187.​2014.​885940 Epub 2014 Mar 6CrossRef
18.
Zurück zum Zitat Ashimi AO, Omole-ohonsi A, Ugwa AE, Amole TG (2014) A prospective surveillance of ruptured uterus in a rural tertiary health facility northwest Nigeria. J Matern Fetal and Neonatal Med (in press) Ashimi AO, Omole-ohonsi A, Ugwa AE, Amole TG (2014) A prospective surveillance of ruptured uterus in a rural tertiary health facility northwest Nigeria. J Matern Fetal and Neonatal Med (in press)
19.
Zurück zum Zitat Owolabi B, Donald SG, Vanja B, Heli B, Lars A. Female Genital Mutilation in Sierra Leone: Forms, Reliability of reported states and accuracy of related demographic and health survey questions. Obstet Gynaecol Int 2013. Accessed on 7th April 2014, 2014. Available at: www.hindawi.com/journals/ogi/2013/680925 Owolabi B, Donald SG, Vanja B, Heli B, Lars A. Female Genital Mutilation in Sierra Leone: Forms, Reliability of reported states and accuracy of related demographic and health survey questions. Obstet Gynaecol Int 2013. Accessed on 7th April 2014, 2014. Available at: www.​hindawi.​com/​journals/​ogi/​2013/​680925
20.
Zurück zum Zitat Egyptian Fertility Care Society, Clinic-based investigation of the typology and self-reporting of FGM in Egypt, Tech. Rep.,Population Council, Egyptian Fertility Care Society, Cairo, Egypt, and Macro International, Calverton, Md, USA, 1996 Egyptian Fertility Care Society, Clinic-based investigation of the typology and self-reporting of FGM in Egypt, Tech. Rep.,Population Council, Egyptian Fertility Care Society, Cairo, Egypt, and Macro International, Calverton, Md, USA, 1996
21.
Zurück zum Zitat Adinma JI (1997) Current status of female circumcision among Nigerian Igbos. West Afr J Med 16(4):227–231PubMed Adinma JI (1997) Current status of female circumcision among Nigerian Igbos. West Afr J Med 16(4):227–231PubMed
22.
Zurück zum Zitat National Population Commission Nigeria and ICF Macro (2009) Nigeria demographic health survey 2008. National Population Commission and ICF Macro, Abuja, pp 156–173 National Population Commission Nigeria and ICF Macro (2009) Nigeria demographic health survey 2008. National Population Commission and ICF Macro, Abuja, pp 156–173
Metadaten
Titel
Perception and attitude of pregnant women in a rural community north-west Nigeria to female genital mutilation
verfasst von
Adewale O. Ashimi
Taiwo G. Amole
Publikationsdatum
01.03.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 3/2015
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-014-3478-z

Weitere Artikel der Ausgabe 3/2015

Archives of Gynecology and Obstetrics 3/2015 Zur Ausgabe

Alter der Mutter beeinflusst Risiko für kongenitale Anomalie

28.05.2024 Kinder- und Jugendgynäkologie Nachrichten

Welchen Einfluss das Alter ihrer Mutter auf das Risiko hat, dass Kinder mit nicht chromosomal bedingter Malformation zur Welt kommen, hat eine ungarische Studie untersucht. Sie zeigt: Nicht nur fortgeschrittenes Alter ist riskant.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mammakarzinom: Brustdichte beeinflusst rezidivfreies Überleben

26.05.2024 Mammakarzinom Nachrichten

Frauen, die zum Zeitpunkt der Brustkrebsdiagnose eine hohe mammografische Brustdichte aufweisen, haben ein erhöhtes Risiko für ein baldiges Rezidiv, legen neue Daten nahe.

Mehr Lebenszeit mit Abemaciclib bei fortgeschrittenem Brustkrebs?

24.05.2024 Mammakarzinom Nachrichten

In der MONARCHE-3-Studie lebten Frauen mit fortgeschrittenem Hormonrezeptor-positivem, HER2-negativem Brustkrebs länger, wenn sie zusätzlich zu einem nicht steroidalen Aromatasehemmer mit Abemaciclib behandelt wurden; allerdings verfehlte der numerische Zugewinn die statistische Signifikanz.

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.