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Obstetrics and Gynecology International
Volume 2013, Article ID 785148, 9 pages
Research Article

Midwives' Experiences in Providing Care and Counselling to Women with Female Genital Mutilation (FGM) Related Problems

1Department of Public Health Sciences, Karolinska Institutet, 171 77 Stockholm, Sweden
2Development Studies, Hargeisa, Somaliland, Somalia
3Department of Health Sciences, Faculty of Medicine, Lund University, 221 00 Lund, Sweden

Received 9 April 2013; Accepted 18 June 2013

Academic Editor: Johanne Sundby

Copyright © 2013 Elisabeth Isman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aim. The aim of this study was to elucidate midwives experiences in providing care and counselling to women with FGM related problems. Setting. The study was conducted at a maternity clinic in Hargeisa, Somaliland. Method. A qualitative, inductive study were performed with eight midwives living in Somaliland. The interviews had semi-structured questions. Content analysis was used for the analysis. Findings. The main findings of the present study were how midwives are challenged by culture and religion when providing FGM counselling. The most prominent challenge is the perception that FGM is an important part of the culture and from this point of view the midwives work is apprehended as interfering and subverting the Somali culture. Having personal experience of FGM emerged as a benefit when counselling women. Conclusion. There is a contradiction between the professional actions of performing FGM despite a personal belief against FGM. Midwives as a professional group could be important agents of change and further research is needed about the midwives role in this process.