Review Article

The Obstetric Consequences of Female Genital Mutilation/Cutting: A Systematic Review and Meta-Analysis

Table 3


Author, yearStudy designMethod study qualityPopulation,
country
Outcomes (self-report or clinical verification)

Abor 2006 [48]Cross-sectionalLow , GhanaCesarean section (17%); episiotomy (29%); instrumental delivery (8%) (self-report)
Akotionga et al. 2001 [55]Case seriesHigh , Burkina FasoDifficult delivery (13%) (clinical)
Al-Hussaini 2003 [49]Cross-sectional Moderate , EgyptTears (2%); cesarean section (17%); episiotomy (95%) (clinical)
Awuah 2008 [56]Case seriesLow , GhanaProlonged labor stage 1 (37%); prolonged labor stage 2 (9%); massive tears (23%; damage to rectal wall (13%); episiotomy (14%); hemorrhage (24%) (self-report)
Bayoudh et al. 1995 [50]Cross-sectionalLow , SomaliaEpisiotomy (3%) (self-report)
Bonessio et al. 2001 [57]Case seriesLow , ItalyProlonged labor (25%); cesarean section (25%) (clinical)
Chalmers and Hashi 2000 [51]Cross-sectionalLow , CanadaCesarean section (51%); vacuum extraction (7%); forceps (3%) (self-report)
Dörflinger et al. 2000 [58]Case seriesLow , SudanProlonged labor stage 1 (7%); prolonged labor stage 2 (24%); tears (7%); hemorrhage (14%) (clinical)
Litorp et al. 2008 [52]Cross-sectionalLow , SwedenObstetric difficulties (self-report)
Mccaffrey 1995 [53]Cross-sectionalLow , EnglandTears (100%); cesarean section (26%); Instrumental delivery (13%) (clinical)
McSwiney and Saunders 1992 [59]Case reportNA , EnglandTears led to rapid hemorrhage (clinical)
Ndamobissi et al. 1995 [54]Cross-sectionalHigh , Central African RepublicObstetric complications (self-report)
Osifo and Evbuomwan 2009 [6]Case seriesHigh , NigeriaTears (4%) led to uncontrolled bleeding (clinical)
Philp 1927 [60]Case reportNA , KenyaDeath in childbirth (clinical)
Preston 1937 [61]Case reportNA , KenyaBirth per rectum (clinical)
Pritchard 1969 [62] Case reportNA , EnglandDystocia (clinical)

Legend: Method.: methodological; NA: not applicable, we did not assess methodological study quality of case reports.