T Théra1, A Kouma2, M Touré3, A Coulibaly4, M Sima4, I Ongoiba4, A Sagara5, B Maiga4. 1. Service de gynécologie-obstétrique, CHU du Point G, Bamako, Mali. Electronic address: tiounkani@yahoo.fr. 2. Service de gynécologie-obstétrique, CHU de Kati, Kati, Mali. 3. Service de gynécologie-obstétrique, hôpital du Mali, Bamako, Mali. 4. Service de gynécologie-obstétrique, CHU du Point G, Bamako, Mali. 5. Service de gynécologie-obstétrique, CHU du Point G, Bamako, Mali; Service de gynécologie-obstétrique, CHU de Kati, Kati, Mali; Service de gynécologie-obstétrique, hôpital du Mali, Bamako, Mali.
Abstract
OBJECTIVE: To describe maternal and fetal complications during delivery of mutilated women. MATERIALS AND METHODS: It was a case study, witnesses with matching going from February 1st, 2008 till January 31st, 2009 which took place in Mopti's region. We compared maternal and fetal complications of mutilated and non-mutilated women. Using statistical tests were Chi(2) (P<0.05), Odd-Ratio (OR) and its 95% confident interval (CI95%). RESULTS: We recorded 410 deliveries among which 280 mutilated women (68%). One hundred and forty excised women were included. There is a significant difference between duration of eviction>30 mm (RC=8.27 [4.66-14.76], P<0.001); simple perennials lacerations (RC=14.54 [4.79-49.56], P<0.001) and full perennials lacerations (RC=8.90 [1.91-57.23], P<0.001) in the two groups. The scores of morbid Apgar (RC=9.70 [4.35-22,29], P<0.001) were more important in groups of cases. Moreover, we recorded 3 neonatal deaths and 4 complicated perennials lacerations in the group of cases only. CONCLUSION: Maternal and fetal complications are significantly more important for the excised woman's than for the not excised women.
OBJECTIVE: To describe maternal and fetal complications during delivery of mutilated women. MATERIALS AND METHODS: It was a case study, witnesses with matching going from February 1st, 2008 till January 31st, 2009 which took place in Mopti's region. We compared maternal and fetal complications of mutilated and non-mutilated women. Using statistical tests were Chi(2) (P<0.05), Odd-Ratio (OR) and its 95% confident interval (CI95%). RESULTS: We recorded 410 deliveries among which 280 mutilated women (68%). One hundred and forty excised women were included. There is a significant difference between duration of eviction>30 mm (RC=8.27 [4.66-14.76], P<0.001); simple perennials lacerations (RC=14.54 [4.79-49.56], P<0.001) and full perennials lacerations (RC=8.90 [1.91-57.23], P<0.001) in the two groups. The scores of morbid Apgar (RC=9.70 [4.35-22,29], P<0.001) were more important in groups of cases. Moreover, we recorded 3 neonatal deaths and 4 complicated perennials lacerations in the group of cases only. CONCLUSION: Maternal and fetal complications are significantly more important for the excised woman's than for the not excised women.
Authors: David Tordrup; Chrissy Bishop; Nathan Green; Max Petzold; Fernando Ruiz Vallejo; Joshua P Vogel; Christina Pallitto Journal: BMJ Glob Health Date: 2022-02