Impact of female genital mutilation on the progress of childbirth and the maternal and fetal prognosis at the maternity of the Ignace Deen National Hospital in Conakry, Guinea

Objective: The objective of this study was to evaluate the impact of female genital mutilation on the course of childbirth and maternal and fetal prognosis at the Ignace Deen maternity ward of the Conakry University Hospital.

Methods: This was a prospective, analytical cohort study lasting one year (July 28, 2021 to July 27, 2022) carried out at the maternity ward of the Ignace Deen hospital on parturients undergoing pregnancy or not female genital mutilation and their newborns.

Results: The proportion of parturients having undergone female genital mutilation during this study was 99.1%. The duration of labor was longer in women who had undergone FGM (p=0.02) as was the duration of the expulsion phase (p=0.00). The risk of cesarean section was 2.1 times higher (RR = 2.1 [1.5-3.1], p = 0.01) and that of instrumental extraction 3.2 times higher (RR = 3, 2 [2.1-5.0], p= 0.00) in mothers who underwent FGM. The maternal prognosis was marked by an accumulated risk of soft tissue tear (RR=2.5 [1.9-8.7], p=0.00), Immediate Postpartum Hemorrhage (RR=2.0 [1.6-6.9], p=0.00) and episiotomy (RR=3.0 [1.8-7.1] p=0.00). The neonatal prognosis was characterized by an accumulated risk of fetal and acute asphyxia (RR=4.8 [1.3-7.4], p=0.00), poor Apgar score at the first minute (RR= 1.7 [1.3-2.8], p=0.00), resuscitation (RR= 1.8 [1.4-3.3], p=0.00) and mortality per partum (RR=2.8 [1.5-8.5], p=0.01).

Conclusion: Female genital mutilation has a negative impact on the course of childbirth and maternal and fetal prognosis.

Keywords: FGM, Childbirth, Ignace Deen.

The authors declare that they have no conflict of interest

Publikationsverlauf

Artikel online veröffentlicht:
01. Oktober 2024