%0 Journal Article
%T Midwives' Experiences in Providing Care and Counselling to Women with Female Genital Mutilation (FGM) Related Problems
%A Elisabeth Isman
%A Amina Mahmoud Warsame
%A Annika Johansson
%A Sarah Fried
%A Vanja Berggren
%J Obstetrics and Gynecology International
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/785148
%X 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. 1. Introduction Female genital mutilation (FGM) is currently practiced in 30 African countries in the sub-Saharan and northeastern regions and in some countries in Asia and in the Middle East [1]. FGM is a serious public health problem and a global concern. It is estimated that around 140 million girls and women worldwide have undergone FGM and that at least two million girls are annually at risk of undergoing some form of the procedure. FGM is interfering with one of the most intimate aspects of a womanĄŻs life and is a fundamental violation of womenĄŻs human rights [1]. The age when the primary FGM is performed varies depending on ethnic groups and geographic location. In Somalia and Sudan, FGM is often performed at the age of 5¨C10 years. In other areas, the procedure is undertaken on baby girls (Yemen) or at puberty (Sierra Leone) [2¨C4]. The motives of FGM are complex and vary between different contexts and are surrounded with myths and taboos [5]. Although the origin of FGM is concealed, the practice survives today and it is a culturally embedded phenomenon. Among those who practice it, FGM is often performed due to tradition, cultural conformity, or and religious reasons. It is thought to hamper womenĄŻs sexuality and preserve honor and virginity, thus enhancing their marriageability and marking ethnic boundaries [1, 6¨C9]. Since FGM practices differ greatly between ethnic groups and geographic regions, WHO has classified the predominant types of mutilation into four categories. Type
%U http://www.hindawi.com/journals/ogi/2013/785148/