000078955 001__ 78955
000078955 005__ 20201105083211.0
000078955 0247_ $$2doi$$a10.1186/s12978-019-0681-1
000078955 0248_ $$2sideral$$a111335
000078955 037__ $$aART-2019-111335
000078955 041__ $$aeng
000078955 100__ $$aTarr-Attia, C.K.
000078955 245__ $$a'Birds of the same feathers fly together': midwives' experiences with pregnant women and FGM/C complications - a grounded theory study in Liberia
000078955 260__ $$c2019
000078955 5060_ $$aAccess copy available to the general public$$fUnrestricted
000078955 5203_ $$aBackground: In Liberia, approximately 70% of the women of the North-Central and North-Western regions could have undergone female genital mutilation/cutting (FGM/C) in their childhood during a traditional ceremony marking their entrance into Sande, a secret female society. Little is known about FGM/C from Liberian women's perspective. This study aimed to understand the health implications of FGM/C as perceived by qualified female midwives.
Methods: This qualitative study was conducted in 2017 in Monrovia, Liberia's capital. Twenty midwives were approached. Of these, seventeen consented to participate in in-depth interviews. A thematic guide was used to gain insights about their knowledge on FGM/C and their experiences attending women victims of FGM/C. A feminist interpretation of constructivist grounded theory guided data generation and analysis.
Results: The midwives participants described how clitoridectomy was the most common FGM/C type done to the girls during the Sande initiation ceremonies. Sexual impairment and intrapartum vulvo-perineal laceration with subsequent hemorrhage were described as frequent FGM/C-attributable complications that some midwives could be unable to address due to lack of knowledge and skills. The majority of midwives would advocate for the abandonment of FGM/C, and for the preservation of the traditional instructions that the girls in FGM/C-practicing regions receive when joining Sande. The midwives described how migration to urban areas, and improved access to information and communication technologies might be fuelling abandonment of FGM/C.
Conclusion: Liberian midwives need tailored training to provide psychosexual counseling, and to attend the obstetric needs of pregnant women that have undergone FGM/C. In spite of FGM/C being seemingly in the decline, surveillance at clinic-level is warranted to prevent its medicalization. Any clinic- or community-based training, research, prevention and awareness intervention targeting FGM/C-practicing populations should be designed in collaboration with Sande members, and acknowledging that the Liberian population may place a high value in Sande's traditional values.
000078955 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000078955 590__ $$a2.177$$b2019
000078955 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b56 / 170 = 0.329$$c2019$$dQ2$$eT1
000078955 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b90 / 193 = 0.466$$c2019$$dQ2$$eT2
000078955 592__ $$a1.223$$b2019
000078955 593__ $$aReproductive Medicine$$c2019$$dQ1
000078955 593__ $$aObstetrics and Gynecology$$c2019$$dQ1
000078955 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000078955 700__ $$aBoiwu, G.H.
000078955 700__ $$0(orcid)0000-0001-6756-9515$$aMartinez-Perez, G.$$uUniversidad de Zaragoza
000078955 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000078955 773__ $$g16 (2019), 18 [12 pp]$$pReproductive Health$$tReproductive Health$$x1742-4755
000078955 8564_ $$s391119$$uhttps://zaguan.unizar.es/record/78955/files/texto_completo.pdf$$yVersión publicada
000078955 8564_ $$s88972$$uhttps://zaguan.unizar.es/record/78955/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000078955 909CO $$ooai:zaguan.unizar.es:78955$$particulos$$pdriver
000078955 951__ $$a2020-11-05-08:21:27
000078955 980__ $$aARTICLE