Iranian midwives’ knowledge of and attitudes toward female genital mutilation/cutting (FGM/C)
Keywords:
Knowledge; Attitude; Female genital mutilation; IranAbstract
Introduction: Female genital mutilation/cutting (FGM/C) is globally recognized as a violation of the human rights of females. It has no health benefits and harms those who undergo the procedure. Midwives are therefore expected to be aware of how to manage these consequences and play a key role in the prevention of the practice. The aim of the present study was to evaluate the level of Iranian midwives’ knowledge of and attitudes toward FGM/C.
Methods: A total of 168 midwives were enrolled in our descriptive study. The data were collected using a researcher-made questionnaire whose validity was confirmed by specialists. The data were analyzed by SPSS 21.0 software using descriptive statistics and Pearson correlation coefficient.
Results: Only 20.23% of participants had good knowledge about FGM/C, and knowledge of 3.58% of participants was weak. There was no correlation between knowledge and demographic characteristics of participants.
Conclusions: The average level of participants’ knowledge and mixed attitudes toward FGM/C indicate a need to develop effective strategies to increase knowledge of midwives and improving their attitude toward FGM/C.
References
World Health Organization. Female Genital Mutilation: A Joint WHOUNICEFUNFPA Statement.
Geneva: World Health Organization; 1997.
Oduro A, Ansah P, Hodgson A, Afful T, Baiden F, Adongo P, et al. Trends in the prevalence of female
genital mutilation and its effect on delivery outcomes in the kassena-nankana district of northern ghana.
Ghana Med J. 2006; 40(3): 87-92. PMID: 17299573, PMCID: PMC1790849.
United Nations Children’s Fund. The dynamics of social change towards the abandonment of female
genital mutilation/cutting in five African countries. Innocenti digest. Florence. UNICEF Innocenti Research
Centre; 2010. Available from: http://www.unicef-irc.org/publications/pdf/FGM/C_insight_eng.pdf
World Health Organization. Eliminating female genital mutilation: an interagency statement. OHCHR,
UNAIDS, UNDP, UNECA, UNESCO, UNFPA, UNHCR, UNICEF, UNIFEM. Geneva: WHO; 2008.
Available from: http://whqlibdoc.who.int/ publications/2008/9789241596442_eng.pdf.
World Health Organization Study Group on Female Genital Mutilation and Obstetric Outcome. Female
genital mutilation and obstetric outcome: WHO collaborative prospective study in six African countries.
Lancet. 2006; 367(925): 1835-41.
Nour NM. Female genital cutting: clinical and cultural guidelines. Obstet Gynecol Surv. 2004; 59(4): 272- 9. PMID: 15024227.
Pashaei T, Rahimi A, Ardalan A, Felah A, Majlessi F. Related Factors of Female Genital Mutilation
(FGM/C) in Ravenscar (Iran). J Women’s Health Care. 2012; 1(2): 1-3. doi: 10.4172/2167-0420.1000108.
Cook RJ, Dickens BM, Fathalla MF. Female genital cutting (mutilation/circumcision): ethical and legal
dimensions. Int J Gynecol Obstet. 2002; 79(3): 281-7. doi: 10.1016/S0020-7292(02)00277-1. PMID:
Cole-Ceesay R, Cherian M, Sonko A, Shivute N, Cham M, Davis M, et al. Strengtheining the emergency
healthcare system for mothers and children in The Gambia. Reprod Health. 2010; 7: 21. doi: 10.1186/1742- 4755-7-21. PMID: 20718979, PMCID: PMC2931483.
Kaplan A, Hechavarría S, Martín M, Bonhoure I. Health consequences of female genital mutilation/cutting
in the Gambia, evidence into action. Reprod Health. 2011; 8: 26. doi: 10.1186/1742-4755-8-26. PMID:
, PMCID: PMC3195700.
Chibber R, El-Saleh E, El Harmi J. Female circumcision: obstetrical and psychological sequelae continues
unabated in the 21st century. J Matern Fetal Neonatal Med. 2011; 24(6): 833-6. doi:
3109/14767058.2010.531318. PMID: 21121711.
Hakim LY. Impact of female genital mutilation on maternal and neonatal outcomes during parturition. East
Afr Med J. 2001; 78(5): 255-8. PMID: 12002086.
Ragheb SS, Smith E, Mekhemer SA. Study of knowledge and attitudes of nurses in Alexandria towards
female genital circumcision. Bull High inst public Health. 1979; 8(1): 293-306.
Onuh SO, Igberase GO, Umeora JO, Okogbenin SA, Otoide VO, Gharoro EP. Female genital mutilation:
knowledge, attitude and practice among nurses. J Natl Med Assoc. 2006; 98(3): 409-14. PMID: 16573307,
PMCID: PMC2576104.
Ahmady K. A Comprehensive Research Study on Female Genital Mutilation/Cutting (FGM/C /C) in Iran- 2015. Available from: http://kameelahmady.com/wpcontent/uploads/Kameel%20-%20EN%20Final.pdf.
Ogunsiji O. Female genital mutilation (FGM/C): Australian midwives' knowledge and attitudes. Health
Care Women Int. 2015; 36(11): 1179-93. doi: 10.1080/07399332.2014.992521. PMID: 25558808.
Tamaddon L, Johnsdotter S, Liljestrand J, Essén B. Swedish health care providers’ experience and
knowledge of female genital cutting. Health Care Women Int. 2006; 27(8): 709-22. doi:
1080/07399330600817741. PMID: 16893807.
World Health Organization. Female genital mutilation; 2008. Available from:
http://www.who.intreproductive-healthFGM/C index.html.Accessed September 2.
Zaidi N, Khalil A, Roberts C, Browne M. Knowledge of female genital mutilation among healthcare
professionals. J Obstet Gynaecol. 2007; 27(2): 161-4. doi: 10.1080/01443610601124257. PMID:
Hess RF, Weinland J, Saalinger NM. Knowledge of female genital cutting and experience with women
who are circumcised: a survey of nurse-midwives in the United States. J Midwifery Womens Health. 2010;
(1): 46-54. doi: 10.1016/j.jmwh.2009.01.005. PMID: 20129229.
Simpson J, Robinson K, Creighton SM, Hodes D. Female genital mutilation: the role of health
professionals in prevention, assessment, and management. Br Med J. 2012; 344: e1361. doi:
1136/bmj.e1361.
Abdel Aziem A. Knowledge and attitudes of female genital mutilation among midwives in Eastern Sudan.
Reprod Health. 2012; 9: 23. doi: 10.1186/1742-4755-9-23.
Ragheb SS, Smith E, Mekhemer SA. Study of knowledge and attitudes of nurses in Alexandria towards
female circumcision. Bull High Inst Publ Health. 1978; 8(1): 293-306. PMID: 12336293.
Onyebuchi AK, Ezeonu PO, Ibekwe RO. Female genital mutilation in Southeast Nigeria: a survey on the
current knowledge and practice. Journal of public Health and Epidemiol. 2012; 4(5): 117-22.
Livermore L, Monteiro R, Rymer J. Attitudes and awareness of female genital mutilation: A questionnaire- based study in a Kenyan hospital. J Obstet Gynaecol. 2007; 27(8): 816-8. doi:
1080/01443610701709650. PMID: 18097902.
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