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Perception and attitude of pregnant women in a rural community north-west Nigeria to female genital mutilation

  • Gynecologic Endocrinology and Reproductive Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

Nigeria has the highest absolute number of residents who have undergone female genital mutilation (FGM) and most are carried out during infancy; however most reports on FGM are from urban based facilities hence we sought to know the perception and attitude of pregnant women residing in a rural community in northern Nigeria to FGM.

Methods

A descriptive cross sectional study utilized a pretested structured interviewer administered questionnaire to assess the types of FGM known, reasons for performing it and willingness to support or perform FGM among 323 pregnant women attending antenatal care in two different health facilities.

Results

Of the 323 respondents, 256 (79.3 %) were aware of the practice and the common varieties of FGM known to them were Gishiri cut in 137 (53.5 %) and Angurya cut 113 (44.1). The notable reasons for carrying out FGM in the community were tradition 88 (34.4 %), to ease difficulty in childbirth 69 (26.9 %) and better marriage prospect in 55 (21.5 %). Of the respondents that were aware of FGM; 100 (39.1 %) have experienced it and 55 (21.5 %) of those aware of it would subject their daughters to the procedure. There was statistically significant association between willingness to mutilate daughters by the respondents type of education (p = 0.014) and the type of facility they were receiving antenatal care (p = 0.001).

Conclusion

FGM is prevalent in this community with Gishiri cut being the commonest variety. It is often associated with difficult childbirth and many women would subject their daughters to this practice. Female education and empowerment is crucial to discontinuation of this practice.

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References

  1. Department of Women’s Health, family and community health, World health Organization. A systematic review of the health complications of female genital mutilation including sequelae in childbirth. Geneva: World Health Organization, 2000 p 11

  2. UNICEF Innocent Research Centre, “Changing a harmful social convention: female genital mutilation/cutting,” 2005. Accessed on 7th April 2014. Available at: http://www.unicef-irc.org/publications/pdf/fgm_eng.pdf

  3. Johnsdotter S, Essen B (2010) Genitals and ethnicity: the politics of genital modifications. Reprod Health Matters 18(35):29–37

    Article  PubMed  Google Scholar 

  4. WHO Eliminating female genital mutilation an interagency statement - OHCHR, UNAIDS, UNDP, UNECA, UNESCO, UNFPA, UNHCR, UNICEF, UNIFEM, WHO. WHO, Geneva 2008

  5. UNICEF Children’s and Women’s right in Nigeria: A wake up call. Situation Assessment and Analysis. Harmful traditional practice (FGM) Abuja NPC and UNICEF Nigeria 2001:195–200

  6. National Population Commission and ICF Macro. 2009: National Demographic Health Survey 2008. Abuja, Nigeria chapter 18 p 299–314

  7. Okeke TC, Anyaehie USB, Ezenyeaku CCK (2012) An overview of female genital mutilation in Nigeria. Ann Med Health Sci Res 2:70–73

    Article  PubMed Central  PubMed  Google Scholar 

  8. Yola AI (2011) Yankan Gishiri (salt cut). Int J Obstet Trauma 1:2046–2065

    Google Scholar 

  9. Garba ID, Muhammad Z, Abubakar IS, Yakasai IA (2012) Prevalence of female genital mutilation among female infants in Kano Northern Nigeria. Arch Gynecol Obstet 86:423–428

    Article  Google Scholar 

  10. Rushwan H (2000) Female genital mutilation management during pregnancy, childbirth and postpartum period. Int J Gynecol Obstet 70:99–104

    Article  CAS  Google Scholar 

  11. Mandara MH (2004) Female genital mutilation in Nigeria. Int J Gynecol Obstet 84:291–298

    Article  CAS  Google Scholar 

  12. Nkwo PO, Onah HE (2001) Decrease in female Genital mutilation among Nigeria Ibo girls. Int J Gynecol Obstet 75:321–322

    Article  CAS  Google Scholar 

  13. Abubakar I, Iliyasu Z, Kabir M, Uzoho CC, Abdulkadir MB (2004) Knowledge attitude and practice of female genital cutting among antenatal patients in Aminu Kano Teaching Hospital Kano. Niger J Med 13(3):254–258

    CAS  PubMed  Google Scholar 

  14. Jeremiah I, Kalio DGB, Akani C (2014) The pattern of female genital mutilation in port Harcourt southern Nigeria. Int J Trop Dis Health. 4(4):469–476

    Article  Google Scholar 

  15. Ibekwe PC, Onoh RC, Onyebuchi AK, Ezeonu PO, Ibekwe RO (2012) Female Genital Mutilation in southeast Nigeria: a survey of current knowledge and practice. J Public Health Epid 4(5):117–122

    Google Scholar 

  16. Dattijo LM, Nyango AD, Osagie OE (2010) Awareness, perception and practice of female genital Mutilation among expectant mothers at Jos University Teaching Hospital, Jos North central Nigeria. Niger J Med 19(3):311–315

    Article  CAS  PubMed  Google Scholar 

  17. Ashimi AO, Aliyu LD, Shittu MA, Amole TG (2014) A multicentre study on knowledge and attitude of nurses in northern Nigeria concerning female genital mutilation. Eur J Obstet Gynaecol Contracept Reprod Health Care 19(2):134–140. doi:10.3109/13625187.2014.885940 Epub 2014 Mar 6

    Article  Google Scholar 

  18. Ashimi AO, Omole-ohonsi A, Ugwa AE, Amole TG (2014) A prospective surveillance of ruptured uterus in a rural tertiary health facility northwest Nigeria. J Matern Fetal and Neonatal Med (in press)

  19. Owolabi B, Donald SG, Vanja B, Heli B, Lars A. Female Genital Mutilation in Sierra Leone: Forms, Reliability of reported states and accuracy of related demographic and health survey questions. Obstet Gynaecol Int 2013. Accessed on 7th April 2014, 2014. Available at: www.hindawi.com/journals/ogi/2013/680925

  20. Egyptian Fertility Care Society, Clinic-based investigation of the typology and self-reporting of FGM in Egypt, Tech. Rep.,Population Council, Egyptian Fertility Care Society, Cairo, Egypt, and Macro International, Calverton, Md, USA, 1996

  21. Adinma JI (1997) Current status of female circumcision among Nigerian Igbos. West Afr J Med 16(4):227–231

    CAS  PubMed  Google Scholar 

  22. National Population Commission Nigeria and ICF Macro (2009) Nigeria demographic health survey 2008. National Population Commission and ICF Macro, Abuja, pp 156–173

    Google Scholar 

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We declare that we have no conflict of interest.

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Correspondence to Adewale O. Ashimi.

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Ashimi, A.O., Amole, T.G. Perception and attitude of pregnant women in a rural community north-west Nigeria to female genital mutilation. Arch Gynecol Obstet 291, 695–700 (2015). https://doi.org/10.1007/s00404-014-3478-z

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  • DOI: https://doi.org/10.1007/s00404-014-3478-z

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