Missed opportunities for diagnosis of female genital mutilation

Abstract Objective To investigate missed opportunities for diagnosing female genital mutilation (FGM) at an obstetrics and gynecology (OB/GYN) department in Switzerland. Methods In a retrospective study, we included 129 consecutive women with FGM who attended the FGM outpatient clinic at the Departm...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2014-06, Vol.125 (3), p.256-260
Main Authors: Abdulcadir, Jasmine, Dugerdil, Adeline, Boulvain, Michel, Yaron, Michal, Margairaz, Christiane, Irion, Olivier, Petignat, Patrick
Format: Article
Language:English
Subjects:
Adolescent
Adult
Child
Child, Preschool
Circumcision, Female - classification
Circumcision, Female - statistics & numerical data
Diagnostic Errors - statistics & numerical data
Female
Female genital cutting
Female genital mutilation
Female genital mutilation/cutting
Gynecology - standards
Humans
Infant
Missed diagnosis
Obstetrics - standards
Obstetrics and Gynecology
Outpatient Clinics, Hospital
Retrospective Studies
Switzerland
Young Adult
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Summary:Abstract Objective To investigate missed opportunities for diagnosing female genital mutilation (FGM) at an obstetrics and gynecology (OB/GYN) department in Switzerland. Methods In a retrospective study, we included 129 consecutive women with FGM who attended the FGM outpatient clinic at the Department of Gynecology and Obstetrics at the University Hospitals of Geneva between 2010 and 2012. The medical files of all women who had undergone at least 1 previous gynecologic exam performed by an OB/GYN doctor or a midwife at the study institution were reviewed. The type of FGM reported in the files was considered correct if it corresponded to that reported by the specialized gynecologist at the FGM clinic, according to WHO classification. Results In 48 (37.2%) cases, FGM was not mentioned in the medical file. In 34 (26.4%) women, the diagnosis was correct. FGM was identified but erroneously classified in 28 (21.7%) cases. There were no factors (women’s characteristics or FGM type) associated with missed diagnosis. Conclusion Opportunities to identify FGM are frequently missed. Measures should be taken to improve FGM diagnosis and care.
ISSN:0020-7292
1879-3479
DOI:10.1016/j.ijgo.2013.11.016