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Current Sexual Health Reports

, Volume 11, Issue 2, pp 108–114 | Cite as

Female Genital Cutting in Immigrant Children—Considerations in Treatment and Prevention in the United States

  • Janine YoungEmail author
Sociocultural Issues and Epidemiology (J Abdulcadir and C Johnson-Agbakwu, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Sociocultural Issues and Epidemiology

Abstract

Purpose of Review

Female genital cutting (FGC) is a pediatric practice; however, the vast majority of United States (US) and international review articles and research have focused on women. Given recent immigration to the US of immigrants from countries where FGC is practiced, there are children living in the US who have FGC or are at risk of having FGC performed. Children with FGC are underdiagnosed in the US. It is imperative for medical providers who care for children to learn of FGC including medical findings, treatment, cultural beliefs, as well as the legal and ethical issues that may arise. Required, standardized training needs to be developed for all pediatric providers so that they can appropriately take care of children with FGC.

Recent Findings

There are no standardized national training requirements for medical providers who may care for children affected by FGC. FGC is under-identified in children and in general, pediatric providers lack the skills needed to appropriately identify and treat children with FGC as well as training to appropriately discuss prevention of FGC with patients and families. Pediatric legal and ethical guidelines are also lacking.

Summary

National training requirements need to be developed for medical providers who take care of children with FGC or who are at risk of being cut. This includes the development of standard of care practice guidelines recommending that all girls have external genital examinations at all well child checks. Without such guidelines and clinical expectations, children with FGC, including those with significant morbidity from the practice, will not be identified or treated. Cultural, legal, and ethical recommendations and guidelines must also be developed to guide medical providers.

Keywords

Female genital cutting Children 

Notes

Compliance with Ethical Standards

Conflict of Interest

Janine Young declares no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of General PediatricsUniversity of Colorado School of MedicineAuroraUSA

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