Abstract
This chapter explores the practice of female genital mutilation (FGM). Common terminology, definitions and the differing types of FGM are considered, together with the identification of countries where it is practiced and its global prevalence. A historical overview, legislation and policy related to the practice are offered to help contextualise the problem of FGM. Following this, the physical, psychological/emotional and social and economic impact of FGM on those exposed to the practice and their families and communities is discussed. Risk and protective factors are identified, and finally the implications for policy, practice and research are considered.
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References
Abdalla SM, Galea S (2019) Is female genital mutilation/cutting associated with adverse mental health consequences? A systematic review of the evidence. BMJ Glob Health 4(4):e001553. https://gh.bmj.com/content/4/4/e001553. Accessed 2 Jun 2021
Abdel-Azim S (2013) Psychosocial and sexual aspects of female circumcision. Afr J Urol 19(3):141–142
Abu-Raiya H, Pargament KI, Krause N et al (2015) Robust links between religious/spiritual struggles, psychological distress, and well-being in a national sample of American adults. Am J Orthop 85(6):565
Ahmady KA (2015) Comprehensive research study on female genital mutilation/cutting (FGM/C) in Iran
Ali S, de Viggiani N, Abzhaparova A et al (2020) Exploring young people’s interpretations of female genital mutilation in the UK using a community-based participatory research approach. BMC Public Health 20:1132. https://doi.org/10.1186/s12889-020-09183-6
Andro A, Lesclingand M (2016) Female genital mutilation. Overv Curr Knowl Popul 71(2):215–296
Atkinson HG, Ottenheimer D, Mishori R (2019) Public health research priorities to address female genital mutilation or cutting in the United States. Am J Public Health 109(11):1523–1527
B and G (Children) (No 2) (2015) EWFC https://www.bailii.org/cgibin/format.cgi?doc=/ew/cases/EWFC/HCJ/2015/3.html&query=(LJ13C00295). Accessed 2 Jun 2021
BBC (2019) What is FGM, where does it happen and why? https://www.bbc.co.uk/news/world-47131052. Accessed 5 Nov 2021
Behrendt A, Moritz S (2005) Post-traumatic stress disorder and memory problems after female genital mutilation. Am J Psychiatry 162:1000–1002
Bendiksen B, Heir T, Minteh MM et al (2021) The association between physical complications following female genital cutting and the mental health of 12-year-old Gambian girls: a community-based cross-sectional study. PLoS One 16(1):e024723
Burrage H (2014) The UK Home Office (says it) has no data on FGM asylum claims. http://hilaryburrage.com/2014/05/19/uk-home-office-has-no-data-on-fgm-asylum-claims/
Coho C, Parra SR, Hussein L et al (2019) Female genital trauma: guidelines for working therapeutically with survivors of female genital mutilation. Dahlia Project, London. www.dahliaproject.org/resources. Accessed 21 Jun 2021
Colon AR, Colon PA (2001) A history of children: a socio-cultural survey across millennia. Greenwood Press, Westport, CT
Cook K (2016) Female genital mutilation in the UK population: a serious crime. J Crim Law 80(2):88–96
Costello S (2015) Female genital mutilation/cutting: risk management and strategies for social workers and health care professionals. Risk Manag Healthc Pol 8:225–233
Council of Europe (1984) European convention on human rights. https://www.echr.coe.int/documents/convention_eng.pdf
Díaz JL (2012) Fight against Female Genital Mutilation wins UN backing. Amnesty International
Esho T (2010) Female genital cutting and sexual function: in search of an alternate theoretical model. Afr Ident 8(3):221–235
European Institute for Gender Equality (EIGE) (2015) Estimation of girls at risk of female genital mutilation in the European Union. EIGE, Vilnius. https://eige.europa.eu/news/estimating-number-girls-risk-female-genital-mutilation-eu. Accessed 10 May 2021
Female Genital Mutilation Act (2003) An Act to restate and amend the law relating to female genital mutilation and for connected purposes. https://www.legislation.gov.uk/ukpga/2003/31/contents. Accessed 31 Mar 2021
General Medical Council (22 April 2013 amended on 29 April 2019). Good medical practice. Manchester: General Medical Council. https://www.gmc-uk.org/-/media/documents/good-medical-practice%2D%2D-english-20200128_pdf-51527435.pdf. Accessed 15 Mar 2021
Gharib EL (2019) The challenge of female genital mutilation. Sci J Res Rev 1(3):2019
Hastings Center Report (2012) The public policy advisory network on female genital surgeries in Africa: seven things to know about female genital surgeries in Africa. Hastings Cent Rep 42(6):19–27
HM Government (1988) Human Rights Act. https://www.legislation.gov.uk/ukpga/1998/42/contents
HM Government (2016) Multi-agency statutory guidance on female genital mutilation. www.official-documents.gov.uk. Accessed 10 Mar 2021
HM Government (1985) Probition of Female Circumcision Act. https://www.legislation.gov.uk/ukpga/1985/38/contents
HM Government (2015) Serious Crime Act. https://www.legislation.gov.uk/ukpga/2015/9/contents/enacted
Hodes D, O’Donnell NA, Pall K et al (2020) Epidemiological surveillance study of female genital mutilation in the UK. Arch Dis Child 106:372. https://doi.org/10.1136/archdischild-2020-319569
Home J, Rowland AG, Gerry F et al (2020) A review of the law surrounding female genital mutilation protection orders. Br J Midwifery 28(7):418–429
Jacobson D, Glazer E, Mason R et al (2018) The lived experience of female genital cutting (FGC) in Somali-Canadian women’s daily lives. PLoS One 13(11):e0206886. https://doi.org/10.1371/journal.pone.0206886
Kandala NB, Nnanatu CC, Atilola G et al (2019) A spatial analysis of the prevalence of female genital mutilation/cutting among 0-14-year-old girls in Kenya. Int J Environ Res Public Health 16(21):4155
Knipscheer J, Vloeberghs E, van der Kwaak A et al (2015) Mental health problems associated with female genital mutilation. BJPsych Bull 39(6):273–277
Koç V, Kafa G (2019) Cross-cultural research on psychotherapy: the need for a change. J Cross-Cult Psychol 50(1):100–115
Larsson M, Cohen P, Hann G et al (2018) An exploration of attitudes towards female genital mutilation (FGM) in men and women accessing FGM clinical services in London: a pilot study. J Obstet Gynaecol 38(7):1005–1009
Linehan MM (1993) Skills training manual for treating borderline personality disorder. Guilford Press, New York, NY
Llamas J. (2017) Female circumcision: the history, the current prevalence and the approach to a patient. https://med.virginia.edu/family-medicine/wp-content/uploads/sites/285/2017/01/Llamas-Paper.pdf. Accessed 21 Jun 2021
Mathews B (2011) Female genital mutilation: Australian law, policy and practical challenges for doctors. Med J Aust 194(3):139–141
Mulongo P, McAndrew S (2020) Female genital mutilation protection orders. Br J Midwifery 29(1):1. https://doi.org/10.12968/bjom.2021.29.1.48. Letter to the Editor
Mulongo P, Hollins-Martin C, McAndrew S (2014a) The Psychological impact of Female Genital Mutilation/Cutting (FGM/C) on girls/women’s mental health: a narrative literature review. J Reprod Infant Psychol 32(5):469–485
Mulongo P, McAndrew S, Hollins-Martin C (2014b) Crossing borders: discussing the evidence relating to the mental health needs of women exposed to female genital mutilation. Int J Ment Health Nurs 23(4):296–305
NHS Digital (2020) Clinical Audit and Registries Management Service. Female Genital Mutilation (FGM) enhanced dataset: England, April 2019 to March 2020, experimental statistics. Annual report. Health and Social Care Information Centre, Leeds. https://files.digital.nhs.uk/0B/7A41CB/Female%20Genital%20Mutilation%20%28FGM%29%20-%20April%202019%20to%20March%202020%20-%20Report.pdf. Accessed 1 Mar 2021
Nursing & Midwifery Council (2018) The code: professional standards of practice and behaviour for nurses, midwives and nursing associates. NMC, London. http://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/revised-new-nmc-code.pdf. Accessed 10 May 2021
Omigbodun O, Bella-Awusah T, Groleau D et al (2020) Perceptions of the psychological experiences surrounding female genital mutilation/cutting (FGM/C) among the Izzi in Southeast Nigeria. Transcult Psychiatry 57(1):212–227
Pastor-Bravo MDM, Almansa-Martínez P, Jiménez-Ruiz I (2018) Living with mutilation: a qualitative study on the consequences of female genital mutilation in women’s health and the healthcare system in Spain. Midwifery 66:119–126
Re E (Children) (Female Genital Mutilation Protection Orders) (2015) EWHC 2275 (Fam). https://www.bailii.org/cgi-bin/format.cgi?doc=/ew/cases/EWHC/Fam/2015/2275.html&query=(FD15FO7001). Accessed 2 Jun 2021
Reisel D, Creighton S (2014) Long term health consequences of Female Genital Mutilation (FGM). Maturitas 80(1):48–51
Rowland AG, Gerry F, Proudman C et al (2021) The time is right for the UK government to introduce an independent anti-FGM Commissioner. Br J Midwifery 29(1):50–51
Sakeah E, Debpuur C, Aborigo RA et al (2019) Persistent female genital mutilation despite its illegality: narratives from women and men in northern Ghana. PLoS One 14(4):e0214923
Smith H, Stein K (2017) Psychological and counselling interventions for female genital mutilation. Int J Gynecol Obstet 136:60–64
Suffolk CC v RD and others (2020) EWHC 323 (Fam) https://www.bailii.org/cgi-bin/format.cgi?doc=/ew/cases/EWHC/Fam/2020/323.html&query=(NR18F05001). Accessed 2 Jun 2021
United Nations (2012) General assembly strongly condemns widespread, systematic human rights violations in Syria, as it adopts 56 resolutions recommended by third committee. https://press.un.org/en/2012/ga11331.doc.htm
United Nations Children’s Fund (2016) Female genital mutilation/cutting: a global concern. UNICEF, New York, NY
United Nations Population Fund (2020) Defying the practices that harm women and girls and undermine equality. State of World Population 2020. UNFPA, New York, NY
Vloeberghs E, Knipscheer J, van der Kwaak A et al (2011) Veiled pain. A study in the Netherlands on the psychological, social and relational consequences of female genital mutilation. Pharos-Dutch National Knowledge and Advisory Centre on Refugee and Migrant’s Health, Utrecht
Wood R, Richens Y, Lavender T (2021) The experiences and psychological outcomes for pregnant women who have had FGM: a systematic review. Sex Reprod Healthc 29:100639. https://doi.org/10.1016/j.srhc.2021.100639
World Health Organization (2001) Female genital mutilation. WHO, Geneva. https://www.who.int/gender/other_health/Studentsmanual.pdf. Accessed 2 Jun 2021
World Health Organization (2016) WHO guidelines on the management of health complications from female genital mutilation. WHO, Geneva. http://www.who.int/reproductivehealth/topics/fgm/management-health-complications-fgm/en/. Accessed 15 Mar 2021
World Health Organization (2018) Care of girls and women living with female genital mutilation: a clinical handbook. WHO, Geneva. Accessed 21 Feb 2021
World Health Organization (2020) Female genital mutilation. Key facts. WHO, Geneva. https://www.who.int/news-room/fact-sheets/detail/female-genital-mutilation. Accessed 28 Mar 2021
Young J, Nour NM, Macauley RC, Narang SK et al (2020) Diagnosis, management, and treatment of female genital mutilation or cutting in girls. Section on global health, committee on medical liability and risk management, committee on bioethics. Paediatrics 146(2):e20201012. https://doi.org/10.1542/peds.2020-1012
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Mulongo, P., Rowland, A., McAndrew, S. (2023). Female Genital Mutilation. In: Ali, P., Rogers, M.M. (eds) Gender-Based Violence: A Comprehensive Guide. Springer, Cham. https://doi.org/10.1007/978-3-031-05640-6_20
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