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Clinical indications for cesarean delivery among women living with female genital mutilation.
- Source :
-
International Journal of Gynecology & Obstetrics . Oct2017, Vol. 139 Issue 1, p21-27. 7p. - Publication Year :
- 2017
-
Abstract
- <bold>Objective: </bold>To compare primary indications for cesarean delivery among patients with different female genital mutilation (FGM) status.<bold>Methods: </bold>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.<bold>Results: </bold>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.<bold>Conclusion: </bold>Among women with unclear medical indications, FGM was associated with cesarean delivery being performed for maternal factors or arrest disorders. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CESAREAN section
*FEMALE genital mutilation
*SECONDARY analysis
*LOGISTIC regression analysis
*CLINICAL indications
*COMPARATIVE studies
*DECISION making
*LABOR complications (Obstetrics)
*MATERNAL health services
*RESEARCH methodology
*EVALUATION of medical care
*MEDICAL cooperation
*PREGNANCY
*RESEARCH
*RESEARCH funding
*EVALUATION research
*PREVENTION
Subjects
Details
- Language :
- English
- ISSN :
- 00207292
- Volume :
- 139
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- International Journal of Gynecology & Obstetrics
- Publication Type :
- Academic Journal
- Accession number :
- 125070568
- Full Text :
- https://doi.org/10.1002/ijgo.12234