Women and Children s Business Unit. Document Reference: Author: E Alston M/W /SoM Impact Assessment Date: APPROVAL RECORD Committees / Group
|
|
- Holly Gibbs
- 5 years ago
- Views:
Transcription
1 Policy Title: Executive Summary: Guideline for the Care of a Woman with Female Genital Mutilation Female Genital Mutilation (FGM) constitutes all the procedures that involve partial or total removal of the external female genitalia or other injury to the female organs whether cultural or any non-therapeutic reasons. This guideline provides information for the care of women who have experienced the procedure and are now pregnant Supersedes: New Guideline Description of N/A Amendment(s): This policy will impact on: Women and Children s Business Unit Financial Implications: Non Known Policy Area: Women and Children s Business Unit Document Reference: Guideline for the Care of a Woman with Female Genital Mutilation Version Number: 1 Effective Date: Sept 2009 Issued By: Women and Children s Business Unit Review Date: Aug 2012 Author: E Alston M/W /SoM Impact Assessment Date: Consultation Phase: Obstetric Director Women & Children s Business Unit Mr V Hall. Date Associate Director Mrs G Hopps APPROVAL RECORD Committees / Group Labour Ward Forum, Educational Link Tutor and MSLC. Obstetricians and Midwives ANC Staff, Safe Guarding Nurse, Neonatal unit, Paediatricians Date August Sept 2009 Re consultation October 2009 Date Received for information: IT Dept & Legal Services December
2 Rationale Guideline for the Care of a Woman with Female Genital Mutilation Female Genital Mutilation (FGM) constitutes all the procedures that involve partial or total removal of the external female genitalia or other injury to the female organs whether cultural or any non-therapeutic reasons (WHO, 1996, RCOG 2009). Legal Perspective It is illegal to practice FGM in the United Kingdom (UK) and to assist in its practice on UK nationals or permanent residents abroad. FGM is typically performed on girls between the age of 4 and 13, although in some cases it is performed on new born babies or young women prior to marriage or pregnancy. It is considered child abuse and a grave violation of the human rights of girls and women. In all circumstances where FGM is practised on a child it is a violation of the child s right to life, their right to their bodily integrity as well as their right to health. Incidence Between million girls and women worldwide are estimated to have undergone FGM In the UK it is estimated that up to 74,000 women in the UK have undergone the procedure with approximately 20,000 girls under the age of 16 at risk (RCOG 2009) This estimate is based on the number of women and girls living in the UK who originate from countries where FGM is traditionally practised such as Yemen, Oman, Malaysia, Indonesia, the United Arab Emirates as well as 26 countries in Africa from Gambia to Somalia. Classification of FGM Type 1 Excision of the prepuce with or without excision of part or all of the clitoris. This is the mildest form of FGM Type 2 Excision of the prepuce and the clitoris together with partial or total excision of the labia minora. This is the most widespread type of mutilation constituting up to 805 of all FGM. Type 3 Excision of part or all of the external genitalia and stitching/narrowing of the vaginal opening (infibulation). 5-20% of FGM affected women in Africa have been infibulated and the rest have undergone less extreme procedures. Type 4 Unclassified, includes pricking, piercing or incision of the clitoris and/or labia stretching of the clitoris and surrounding tissue, scraping of the vaginal opening or cutting of the vagina: introduction of corrosive substances into the vagina to cause bleeding or herbs into the vagina with the aim of tightening or narrowing the vagina: any other procedures which falls under the definition of FGM given above. 2
3 Risk Factors Childbearing Complications Fear of childbirth Difficulty in catheterising the bladder Increased risk of candidasis Reduced vaginal opening which makes vaginal procedures difficult or impossible and painful Difficulty in performing fetal bloods sampling or applying a fetal scalp electrode Increased risk of uterine rupture Increased risk of severe vaginal lacerations. (including fistula formation) Increased risk of episiotomy Increased risk of caesarean section Increased risk of postpartum haemorrhage Increased risk of fetal asphyxia or death Extended hospital stay Identification Midwives must discuss FGM as an integral part of the booking interview for those women born in (or with recent ancestry of) those parts of the world associated with FGM. This can be based on the family origin questionnaire used for haemoglobinopathy screening. Discussions must take into account language difficulties, psychological vulnerability and cultural differences. Classify the type of FGM to assess potential risk factors concerning the physical and psychological problems in the pregnancy and labour. A preformatted sheet, including a predrawn diagram, should be considered for the identification of the type of genital mutilation, the need for antenatal defibulation and for planning of Intrapartum care (see RCOG Female Genital Mutilation and its Management Green top Guideline No 53 for the diagrams) Examination must be done only if the woman gives consent and the midwife /obstetrician has the knowledge and skills to undertake the examination Healthcare workers must be aware that internal examination might be impossible without general anaesthesia Referral A culturally sensitive approach must be used at all times as the practice of FGM is embedded in communities who may resent the imposition of western values on them. Healthcare workers should actively demonstrate knowledge and respect. At the initial consultation, the midwife must consider whether the woman needs an early appointment with the Consultant Obstetrician for further assessment and possible de-infibulation A female interpreter must be arranged if required. A list of interpreters is available via the Language Line. The telephone number is available in the ANC Physical examination should also be recommended by an obstetrician to reassess women who have had a previous defibulation, as some may have undergone the procedure again. 3
4 The woman must be assessed by the Consultant Obstetrician in the absence of students, unless the woman has given her permission for their presence. Counselling must be offered and organised if required. Following referral to the Consultant Obstetrician it may be appropriate to consult with a tertiary centre that has developed expertise in the assessment and management of affected women. Inform the Safeguarding Nurse if a woman has undergone FGM because of the increased risk of FGM with the newborn girl. FGM differs from other forms of child abuse in two important ways 1. Despite the severe consequences, parents genuinely believe it is in the best interests of the child to conform to prevailing custom 2. There is no element of repetition it is a one off act of abuse. Management Defibulation Defibulation involves cutting the scar tissue upwards until the urethral meatus is visible which has formed where the remnants of the labia majora have been stitched together, thus exposing the vaginal opening. This will allow enough room for the tissue to stretch over the baby s head. (Newman 1996 & Eaton 1994). The raw edges on either side are then over-sewn with an absorbable suture material such as fine 3.0 vicryl, which dissolves quickly (Forward 1997, McCaffrey 1995). Antepartum Defibulation must be performed between 20 and 32 weeks gestation to allow for the scar to be fully healed prior to delivery. Local anaesthetic should be offered for the procedure, although a spinal anaesthetic or general anaesthetic should be considered. Women who prefer defibulation in labour must have her request respected and granted. Decisions about delivery must take into account the psychological needs of the woman. Genital mutilation is not an absolute indication for caesarean section unless the woman has such an extreme form of mutilation with anatomical dysfunction that makes defibulation impossible Intrapartum If female genital mutilation is identified in labour: de-infibulation should be performed by an experienced Obstetrician in the first stage of labour rather than the second stage. In such cases delivery of the baby must be by a qualified midwife and not a student. Women with genital mutilation should usually be strongly recommended to deliver in a maternity unit with immediate access to facilities for emergency obstetric care Intravenous access and group and save serum should be strongly recommended Local anaesthesia/epidural can be offered. Epidural is also recommended for those women who find difficulty in tolerating vaginal examination Epidural anesthesia should be offered to women who find When de-infibulation has been performed an intact perineum must be aimed for at delivery 4
5 When an episiotomy is indicated, a medial lateral episiotomy should be performed. If an anterior episiotomy is needed in labour an epidural should be is recommended. Postpartum Re-infibulation is against the law and must never be performed Care of the perineum must be observed and advised Discuss with the woman and family the potential of female genital mutilation for the female child and the legal consequences should this be considered. The Health Visitor and Safeguarding Nurse must be informed that a female child has been born and this may increase the risk of female genital mutilation in the newborn Information leaflets for support groups can be obtained from such organisations as BWHFS (Black Women s Health & family support groups). A list of useful contacts is enclosed within this Guideline. These guidelines cannot anticipate all possible circumstances and exist only to provide general guidance on clinical management to clinicians. This guideline has been assessed using the Equality and Human Rights Policy Screening Tool This guideline will be reviewed within the three years. References Azadeh, H (1997) Female Circumcision/Genital Mutilation and childbirth A mother and child tragedy. British Journal of Theatre Nursing. Vol.7. No. 7. October. pp DOH (2009) Government Equalities Office Fact Sheet. Putting equality at the heart government DOH (2007) Statistical Study to Estimate the Prevalence of Female Genital Mutilation in England and Wales. Eaton, L (1993) Going forward. Nursing Times. Vol.89. No th November. pp FORWARD (1999) A report on the conference on Female Genital Mutilation (Moving Forward). London. Foundation for Women s Health Research and Development (FORWARD). 5
6 McCaffrey, M (1995) Management of Female Genital Mutilation: The Northwick Park Hospital Experience. British Journal of Obstetrics and Gynaecology. Vol No.10. October. pp Newman, M (1996) Midwifery Care for Genitally Mutilated Women. Modern Midwife. Vol.6. No.6. June. pp Read, D (1998) The Report of a Survey into Inter-Agency Policies and Procedures Relating to Female Genital Mutilation (FGM) in England and Wales. (Out of sight, out of mind?) London. FORWARD. pp 1-7. WHO (1996) Female Genital Mutilation Information Pack. World Health Organisation (WHO). August Useful Contacts Agent for Culture and Change Management UK (ACCM UK) info@accmuk.com Foundation for Women s Health Research and Development (FORWARD) Website National Society for the Prevention of Cruelty to Children (NSPCC) Child Protection Helpline (advice for adults worried about a child) Specialist African Well Women Clinic s /support/well-woman-clinics Support Groups The Female Genital Cutting Education and Networking Project: Medconsumer.info. Female Genital: mutilation: 6
7 Appendix 1 Equality and Human Rights Policy Screening Tool Policy Title: Guideline for the Care of a Woman with Female Genital Mutilation Directorate: Women and Children Name of person/s auditing / authoring policy: M/W E Alston Policy Content: For each of the following check whether the policy under consideration is sensitive to people of a different age, ethnicity, gender, disability, religion or belief, and sexual orientation? The checklist below will help you to identify any strengths and weaknesses of the policy and to check whether it is compliant with equality legislation. 1. Check for DIRECT discrimination against any minority group of PATIENTS: Question: Does the policy contain any statements which may disadvantage people from the following groups? Response Action required Resource implication Yes No Yes No Yes No 1.0 Age? x x x 1.1 Gender (Male, Female and Transsexual)? x x x 1.2 Learning Difficulties / Disability or Cognitive x x x Impairment? 1.3 Mental Health Need? x x x 1.4 Sensory Impairment? x x x 1.5 Physical Disability? x x x 1.6 Race or Ethnicity? x x x 1.7 Religious Belief? x x x 1.8 Sexual Orientation? x x x 2. Check for DIRECT discrimination against any minority group relating to EMPLOYEES: Question: Does the policy contain any statements which may disadvantage employees or potential employees from any of the following groups? 7 Response Action required Resource implication Yes No Yes No Yes No 2.0 Age? x x x 2.1 Gender (Male, Female and Transsexual)? x x x 2.2 Learning Difficulties / Disability or Cognitive x x x Impairment? 2.3 Mental Health Need? x x x 2.4 Sensory Impairment? x x x
8 2.5 Physical Disability? x x x 2.6 Race or Ethnicity? x x x 2.7 Religious Belief? x x x 2.8 Sexual Orientation? x x x TOTAL NUMBER OF ITEMS ANSWERED YES INDICATING DIRECT DISCRIMINATION = 3. Check for INDIRECT discrimination against any minority group of PATIENTS: Question: Does the policy contain any conditions or requirements which are applied equally to everyone, but disadvantage particular people because they cannot comply due to: Response Action required Resource implication Yes No Yes No Yes No 3.0 Age? x x x 3.1 Gender (Male, Female and Transsexual)? x x x 3.2 Learning Difficulties / Disability or Cognitive x x x Impairment? 3.3 Mental Health Need? x x x 3.4 Sensory Impairment? x x x 3.5 Physical Disability? x x x 3.6 Race or Ethnicity? x x x 3.7 Religious, Spiritual belief (including other belief)? x x x 3.8 Sexual Orientation? x x x 4. Check for INDIRECT discrimination against any minority group relating to EMPLOYEES: Question: Does the policy contain any statements which may disadvantage employees or potential employees from any of the following groups? Response Action required Resource implication Yes No Yes No Yes No 4.0 Age? x x x 4.1 Gender (Male, Female and Transsexual)? x x x 4.2 Learning Difficulties / Disability or Cognitive x x x Impairment? 4.3 Mental Health Need? x x x 4.4 Sensory Impairment? x x x 4.5 Physical Disability? x x x 4.6 Race or Ethnicity? x x x 4.7 Religious, Spiritual belief (including other belief)? x x x 4.8 Sexual Orientation? x x xx TOTAL NUMBER OF ITEMS ANSWERED YES INDICATING INDIRECT DISCRIMINATION = 0 8
9 9
Female Genital Mutilation (circumcision) guideline (GL837)
Female Genital Mutilation (circumcision) guideline (GL837) Approval Approval Group Job Title, Chair of Committee Date Policy Approval Group Chair, Policy Approval Group July 2018 Maternity & Children s
More informationFemale Genital Mutilation. Guidance on Best Practice
Female Genital Mutilation Guidance on Best Practice Contents Page 1 Definition 3 2 Who is at Risk? 3 3 No Health Benefits, only harm 4 4 The legal position 4 5 Issues for Inverclyde 6 6 Child protection
More informationSafeguarding Children At Risk of Female Genital Mutilation (FGM)
Safeguarding Children At Risk of Female Genital Mutilation (FGM) SCB Adopted: July 2011 Version Number: 1 Contents 1. Introduction... 2 2. Context... 2 3. Legal Position... 3 4. Main Forms of Female Genital
More informationFemale Genital Mutilation (FGM)
Female Genital Mutilation (FGM) WHAT IS FGM? Female Genital Mutilation (FGM) is a procedure where the female genital organs are injured or changed, but there is no medical reason for this. It can seriously
More informationFemale Genital Mutilation. Key facts
Female Genital Mutilation Key facts Female genital mutilation (FGM) includes procedures that intentionally alter or cause injury to the female genital organs for non-medical reasons. The procedure has
More informationFemale Genital Mutilation (FGM) Mary Flynn, Named GP Safeguarding Children, B&H CCG
Female Genital Mutilation (FGM) Mary Flynn, Named GP Safeguarding Children, B&H CCG Learning Outcomes Definition Types of FGM How and why is FGM performed Global and UK Data Guidance/Legislation Duty to
More informationFemale Genital Mutilation (FGM)
Female Genital Mutilation (FGM) Policy Title: Female Genital Mutilation - FGM Executive Summary: Female Genital Mutilation (FGM) constitutes all the procedures that involve partial or total removal of
More informationFGM, FORCED MARRIAGE AND HONOUR-BASED ABUSE THE LEGAL FRAMEWORK
FGM, FORCED MARRIAGE AND HONOUR-BASED ABUSE THE LEGAL FRAMEWORK W O R K I N G T O G E T H E R T O P R O T E C T A N D S U P P O R T G I R L S N E E L A M S A R K A R I A V I C E - P R E S I D E N T, A
More informationFEMALE GENIT AL mutilation. the facts
FEMALE GENIT AL mutilation the facts FEMALE GENITAL MUTILATION IS A VIOLATION OF HUMAN RIGHTS Female Genital Mutilation comprises all procedures involving the partial or total removal of the external female
More informationFemale Genital Mutilation
Female Genital Mutilation YOU ARE FREE TO COPY THESE MATERIALS AS LONG AS CAMBRIDGESHIRE AND PETERBOROUGH LSCB ARE ACKNOWLEDGED, THE MATERIALS ARE NOT CHANGED IN ANY WAY AND NO PROFIT IS MADE FROM USING
More informationFEMALE GENITAL MUTILATION (FGM)
FEMALE GENITAL MUTILATION (FGM) What is FGM? The term FGM (sometimes known as cutting) refers to partial or total removal or external female genitalia, it also refers to any injury to the female genitalia
More informationFemale Genital Mutilation (FGM) Multi-agency. Practice Guidance. Practice Guidance Notes
Practice Guidance Notes Female Genital Mutilation (FGM) This guidance is for all professionals working with children and families. Female Genital Mutilation is illegal in the UK; FGM refer to the mutilation
More informationFemale Genital Mutilation
Female Genital Mutilation Definition of FGM Female Genital Mutilation (FGM) is a collective term for a range of procedures which involve partial or total removal of the external female genitalia for non-medical
More informationTarget audience: All health practitioners, patients and the public.
(FGM) This statement has been developed and reviewed by the Women s Health Committee and approved by the RANZCOG Board and Council. A list of Women s Health Committee s can be found in Appendix A. Disclosure
More informationUsing routine data to estimate numbers of women with female genital mutilation / cutting in European countries
Using routine data to estimate numbers of women with female genital mutilation / cutting in European countries Alison Macfarlane Division of Midwifery and Radiography, City University London Efua Dorkenoo
More informationCultural Perspectives ~~~~~ Presented by: Fatuma Hussein
Cultural Perspectives ~~~~~ Presented by: Fatuma Hussein UNITED SOMALI WOMEN OF MAINE VOCA TRAINING 7.2.2015 New Mainer Domestic Violence/ Sexual Assault Initiative 2 GOALS AND OBJECTIVES Increase the
More information4.21 Female Genital Mutilation
Page 1 of 7 Contents 1. Background Information 2. Definitions 3. Effects 4. Common Philosophy Statements 5. The Legal Framework 6. Concerns and Referrals 7. Response of Children's Social Care - Strategy
More informationWest Lothian. Female Genital Mutilation Protocol. May 2011
West Lothian Female Genital Mutilation Protocol May 2011 1 1. Introduction FGM is a collective term for all procedures which include the partial or total removal of the external female genital organs for
More informationPublic Health Awareness of FGM
Public Health Awareness of FGM Asma Ajunaid& Shirley Stronge Midwifery Lecturer, QUB NIPEC Annual Conference Fit for Living, Fit for Practice Public Health Awareness of FGM Definition Prevalence + World
More informationFemale Genital Mutilation. Aid to Investigators
Freedom of Information Act Publication Scheme Protective Marking Not protectively marked Publication Scheme No Y/N Title Female Genital Mutilation A Guide to Investigation Summary These SOPs provide guidance
More informationFemale Genital Mutilation Safeguarding victims: Prevention & Protection in Practice
Female Genital Mutilation Safeguarding victims: Prevention & Protection in Practice Dr. Mwenya Chimba Violence Against Women Director BAWSO November 2012 Who We Are and what We Do Established in 1995 An
More informationfemale genital mutilation (fgm) The facts
female genital mutilation (fgm) The facts what is female genital mutilation Female Genital Mutilation (FGM) comprises all procedures involving the partial or total removal of the external female genitalia
More informationEast & Midlothian Child Protection Committee. Female Genital Mutilation Protocol
East & Midlothian Child Protection Committee Female Genital Mutilation Protocol December 2011 1. Introduction. Female Genital Mutilation (FGM) is a collective term for all procedures which include the
More informationPeponi House Preparatory School Nairobi, Kenya. FGM Policy
Peponi House Preparatory School Nairobi, Kenya FGM Policy Female Genital Mutilation (FGM) 1. Introduction This policy provides information about female genital mutilation (FGM) and what action should be
More informationSafeguarding Issue. Head of Safeguarding
Female Genital Mutilation a Safeguarding Issue Esther Golby Head of Safeguarding The origins of safeguarding and FGM FGM is violence against female children and women Protecting children and mothers from
More informationMY PARENTS SAY NO FEMALE CIRCUMCISION PREVENTION. Youth Healthcare
FEMALE CIRCUMCISION PREVENTION Youth Healthcare This leaflet is intended for parents who originate from countries in which female circumcision is practised. FEDERATIE SOMALISCHE ASSOCIATIES NEDERLAND www.fsan.nl
More informationFemale Genital Mutilation 1
Disclaimer The content of this presentation is explicit and some may find it offensive or disturbing. Sheila Thakkar, PGY 4 May 28, 2014 At the end of the presentation, the learner should be able to: Explain
More informationFemale Genital Mutilation (FGM)
Female Genital Mutilation (FGM) What is violence against women and girls? violence that is directed at a woman because she is a woman, or acts of violence which are suffered disproportionally by women
More informationFemale Genital Mutilation Policy.
Female Genital Mutilation Policy 2016 Title Description of document Scope Female Genital Mutilation Policy. Frontline professionals have responsibilities to safeguard children from female genital mutilation.
More informationINFORMATION FOR YOUNG WOMEN FEMALE CIRCUMCISION
INFORMATION FOR YOUNG WOMEN FEMALE CIRCUMCISION WOMEN S HEALTH IN THE NORTH All girls have the right to control what happens to their bodies and the right to say NO to circumcision. INFORMATION FOR YOUNG
More informationFemale Genital Mutilation (FGM): Hackney Protocol
Female Genital Mutilation (FGM): Hackney Protocol 1. PURPOSE... 2 2. BACKGROUND... 2 3. OUR RESPONSIBILITIES... 3 RELEVANT LEGISLATION... 3 4. CONSEQUENCES OF FGM... 5 5. PREVALENCE OF FGM... 5 INTERNATIONAL
More informationFemale Genital Mutilation
What is it? Female Genital Mutilation Range of cultural practices to alter genitalia WHO divides it into types University College Hospital, London Dr K Robinson, Dr D Hodes, Dr J Simpson th Oct Why is
More informationThird & Fourth Degree Tears guideline (GL926)
Third & Fourth Degree Tears guideline (GL926) Approval Approval Group Job Title, Chair of Committee Date Maternity & Children s Services Clinical Governance Committee Chair, Maternity Clinical Governance
More informationREPORT TO THE HEALTH AND WELLBEING BOARD. 13 October 2015 FEMALE GENITAL MUTILATION
REPORT TO THE HEALTH AND WELLBEING BOARD 13 October 2015 FEMALE GENITAL MUTILATION Report Sponsor: Rachel Dickinson Report Author: Sharon Galvin Received by SSDG: Date Date of Report: 13 October 2015 1.
More informationNSW Education Program on Female Genital Mutilation
NSW Education Program on Female Genital Mutilation NSW Education Program on Female Genital Mutilation The NSW Education Program on Female Genital Mutilation (NSW FGM) is a state wide program funded through
More informationFemale Genital Mutilation (FGM) Toolkit
Female Genital Mutilation (FGM) Toolkit Board Introduction This guidance is to help professionals who have a responsibility to safeguard children and protect and support adults, to identify and assess
More informationFGM in the UK: contextual issues and challenges
FGM in the UK: contextual issues and challenges SHAKTI AGM- 4 th December 2009 Dr Monica E.M. Mhoja Dignity Alert & Research Forum Ltd (DARF) 30 Westburn Glove Edinburgh EH14 3JN dignityalert@hotmail.co.uk
More informationCircumcision of Female Genitalia: What Health Care Providers Must Know. Jessica A. Anderson. University of Kansas School of Nursing
Circumcision of Female Genitalia: What Health Care Providers Must Know Jessica A. Anderson University of Kansas School of Nursing 16 Circumcision of Female Genitalia: What Health Care Providers Must Know
More informationKIRKLEES STRATEGY FOR PREVENTING FEMALE GENITAL MUTILATION (FGM)
KIRKLEES STRATEGY FOR PREVENTING FEMALE GENITAL MUTILATION (FGM) Table of contents 1. Purpose of Strategy 2. What is FGM 3. FGM and the Law. 4. Kirklees FGM strategy and areas for action planning. Intelligence
More informationWHO guidelines on the management of health complications from female genital mutilation Policy brief
WHO guidelines on the management of health complications from female genital mutilation Policy brief Who is this policy brief for? Policy-makers and Ministry of Health professionals Health systems managers
More informationShahin Ashraf. National Lead, FGM.
Shahin Ashraf National Lead, FGM Shahin@mwnuk.co.uk Twitter: @shahinuashraf Violence against Women & Girls (VAWG) VAWG is as a cause and consequence of women and girls unequal status and structures of
More informationFemale Genital Mutilation (FGM) Celia Jeffreys Head of National FGM Centre
Female Genital Mutilation (FGM) Celia Jeffreys Head of National FGM Centre What is FGM? all procedures that involve partial or total removal of the external female genitalia, or other injury to the female
More informationEpisiotomy and obstetric outcomes among women living with type 3 female genital mutilation: a secondary analysis
Rodriguez et al. Reproductive Health (2016) 13:131 DOI 10.1186/s12978-016-0242-9 RESEARCH Open Access Episiotomy and obstetric outcomes among women living with type 3 female genital mutilation: a secondary
More informationThe Legal and Human Rights Framework on FGM
The Legal and Human Rights Framework on FGM Presented by Dr. Agnes K. Meroka, Advocate of the High Court of Kenya and Lecturer, UoN, School of Law and ACCAF Representative Key Principles Underscoring the
More informationFGM in Scotland: Issues and challenges. Dignity Alert and Research Forum
FGM in Scotland: Issues and challenges Dignity Alert and Research Forum DARF at a glance DARF is a non-governmental voluntary organisation formed to raise awareness about FGM and forced child marriages
More informationFemale Genital Mutilation. An overview for WSSCB partner agency staff
Female Genital Mutilation An overview for WSSCB partner agency staff FGM What is it? The World Health organisation defines female genital mutilation (FGM) as all procedures involving partial or total removal
More informationFGM Safeguarding and Risk Assessment. Quick guide for health professionals
FGM Safeguarding and Risk Assessment Quick guide for health professionals January 2017 Female Genital Mutilation Risk and Safeguarding Using this guide This guide has been created to help health professionals
More informationFEMALE GENITAL MUTILATION THEN AND NOW
FEMALE GENITAL MUTILATION THEN AND NOW September 2014 OUTLINE Background Research project Clinical implications Cosmetic vulval surgery: some questions TERMINOLOGY Female genital mutilation (FGM): Inter-African
More informationFEMALE GENITAL MUTILATION
FEMALE GENITAL MUTILATION Staffordshire Safeguarding Children Board Procedures - Section 4M Stoke-on-Trent Safeguarding Children Board Procedures - Section F09 FEMALE GENITAL MUTILATION What is female
More informationWomen & Children's Business Unit Maternity Contraception and Sexual Health
Women & Children's Business Unit Maternity Contraception and Sexual Health Author/s Contact name Approval process Obstetric Guidelines Group/Associate Medical Director First Issue Date Trust intranet ref:
More informationACPU-EU JPA COMMITTEE ON SOCIAL AFFAIRS AND THE ENVIRONMENT MEETING BRUSSELLS, 14 TH OCTOBER, 2016 FEMALE GENITAL MUTILATION : HOW TO ERADICATE IT
ACPU-EU JPA COMMITTEE ON SOCIAL AFFAIRS AND THE ENVIRONMENT MEETING BRUSSELLS, 14 TH OCTOBER, 2016 FEMALE GENITAL MUTILATION : HOW TO ERADICATE IT Presentation by: Hon. Linah Jebii Kilimo WHAT IS FGM?
More informationDiabetes in pregnancy
Diabetes in pregnancy Patient information This leaflet provides information about gestational diabetes during pregnancy and delivery. Sometimes women who are not known to have diabetes develop it during
More informationGuidelines on the Management of Complications related to Female Genital Mutilation
Guidelines on the Management of Complications related to Female Genital Mutilation Scoping Survey Instructions The following is a list of 33 potential questions which could guide the evidence retrieval
More informationSubmission to the Universal Periodic Review: Indonesia 13 th Session 2012
Submission to the Universal Periodic Review: Indonesia 13 th Session 2012 Orchid Project is a charity registered in the UK no.1141057 www.orchidproject.org Submission to the Universal Periodic Review of
More informationCROSS HEALTH CARE BOUNDARIES MATERNITY CLINICAL GUIDELINE. One
CROSS HEALTH CARE BOUNDARIES MATERNITY CLINICAL GUIDELINE Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Guideline on the Use of the Interpreting Services within
More informationCrimes (Female Genital Mutilation) Act 1996
TABLE OF PROVISIONS Section Page 1. Purpose 1 2. Commencement 1 3. Insertion of new definitions 2 4. Insertion of new sections 32 to 34A 3 32. Offence to perform female genital mutilation 3 33. Offence
More informationThe Practice of Female Genital Mutilation (FGM) and its relation to sexuality
The Practice of Female Genital Mutilation (FGM) and its relation to sexuality Department of Reproductive Health and Research (RHR) Gender and Reproductive Rights (GRR) Group Amel Fahmy Training in Research
More informationPerineal Tears. Obstetrics & Gynaecology Women & Children s Group
Perineal Tears Obstetrics & Gynaecology Women & Children s Group This leaflet has been designed to give you important information about your condition / procedure, and to answer some common queries that
More informationMAYFIELD SCHOOL. 23 rd November Autumn 2016
MAYFIELD SCHOOL Policy: FGM Author: Head Teacher Governors Committee: Behaviour & Safety / FGB Date adopted: 23 rd November 2015 Autumn 2016 Next review: Autumn 2017 Safeguarding policy for FGM Rationale:
More informationFemale Genital Mutilation (FGM) Enhanced Dataset
Female Genital Mutilation (FGM) Enhanced Dataset April 2016 to March 2017, England, experimental statistics Published 4 July 2017 The Female Genital Mutilation (FGM) Enhanced Dataset (SCCI 2026) supports
More informationFemale Genital Mutilation and the Law
Female Genital Mutilation and the Law What is female genital mutilation? Female genital mutilation (FGM) is sometimes called female circumcision or cut. The practice has different names in different languages,
More informationMaternity Information Leaflet. Care of the Perineum (including Pelvic Floor Exercises) Version 2
Maternity Information Leaflet Care of the Perineum (including Pelvic Floor Exercises) Version 2 Pelvic Floor Exercises The pelvic floor muscles are located between your legs, and run from your pubic bone
More informationFemale Genital Mu-la-on. Dr Catherine White FMERSA March 2016
Female Genital Mu-la-on Dr Catherine White FMERSA March 2016 FGM FGM describes any deliberate, non- medical removal or cudng of female genitalia. Different regions and communi-es prac-ce various forms
More informationSpecialised Services Commissioning Policy: CP34 Circumcision for children
Specialised Services Commissioning Policy: CP34 Circumcision for children March 2019 Version 3.0 Document information Document purpose Document name Author Policy Circumcision for Children Welsh Health
More informationImproving the health care of women and girls affected by female genital mutilation/cutting. Care plan flow chart
Improving the health care of women and girls affected by female genital mutilation/cutting Care plan flow chart Flow chart Improving the health care of women and girls affected by female genital mutilation/
More informationin pregnancy Document Review History Version Review Date Reviewed By Approved By
GYNAECOLOGY/ ANTENATAL CARE WIRRAL WOMEN & CHILDREN S HOSPITAL Guideline No: Hepatitis B management in pregnancy VERSION 1 AMENDMENTS MADE: N/A DATE OF ISSUE: May 2012 DATE OF REVIEW: May 2015 REVIEW INTERVAL:
More informationAED Initiative. FGM Reduction Concept Note
AED Initiative FGM Reduction Concept Note Requesting Organization: AED Initiative Aid & Education Development Initiative Contact Persons : Ibrahim Moallim Abdirahman : Executive Director Telephone: +254705
More informationGuideline for Management and Repair of Perineal Trauma
Guideline for Management and Repair of Perineal Trauma Author: Labour Ward Forum Specialty: Maternity Date Approved: September 2014 Approved by: W&CH Clinical Governance Committee Date for Review: August
More informationPROVIDING EMERGENCY OBSTETRIC AND NEWBORN CARE
URGENT RESPONSE: PROVIDING EMERGENCY OBSTETRIC AND NEWBORN CARE Updated with technical feedback December 2012 Introduction Women everywhere face a risk in giving birth. Worldwide, about 15 per cent of
More informationInformation for communities and their health providers
Female Genital Cutting and Living in Australia Information for communities and their health providers 2 Female Genital Cutting and Living in Australia What is female genital cutting? Female genital cutting
More informationProblems That Face Genitally Mutilated Immigrant Sudanese Women and Their Awareness of Available Health Services in London: A Case Study
Problems That Face Genitally Mutilated Immigrant Sudanese Women and Their Awareness of Available Health Services in London: A Case Study Amna M. Badri and Ahmed Abdel Magied Originally published in the
More informationCharacteristics of female sexual dysfunctions and obstetric complications related to female genital mutilation in Omdurman maternity hospital, Sudan
Yassin et al. Reproductive Health (2018) 15:7 DOI 10.1186/s12978-017-0442-y RESEARCH Characteristics of female sexual dysfunctions and obstetric complications related to female genital mutilation in Omdurman
More informationSmoking cessation in pregnancy guideline for practice (GL917)
Smoking cessation in pregnancy guideline for practice (GL917) Approval Approval Group Job Title, Chair of Committee Date Maternity & Children s Services Clinical Governance Committee Chair, Maternity Clinical
More informationFGM Legislation. Prohibition of Female Circumcision Act 1985 Penalty 5 years imprisonment
FGM Legislation Prohibition of Female Circumcision Act 1985 Penalty 5 years imprisonment Female Genital Mutilation Act 2003 Penalty 14 years imprisonment Serious Crime Act 2015 Amended 2003 Act Serious
More informationClick here for Explanatory Memorandum
Click here for Explanatory Memorandum AN BILLE CHUN CIORRÚ BALL GINIÚNA BAINEANN A THOIRMEASC 2009 PROHIBITION OF FEMALE GENITAL MUTILATION BILL 2009 Mar a tionscnaíodh As initiated ARRANGEMENT OF SECTIONS
More informationForced Marriage (FM) and Female Genital Mutilation (FGM) Table of Contents
DANESMEAD, FULFORD CROSS, YORK YO10 4PB TEL: (01904) 654983 Forced Marriage (FM) and Female Genital Mutilation (FGM) 2018 This policy has been written with reference to Keeping Children Safe in Education
More informationSafeguarding Children from Abuse through Female Genital Mutilation (FGM)
Safeguarding Children from Abuse through Female Genital Mutilation (FGM) Produced by Liverpool Female Genital Mutilation and Multi Cultural Women s Health Advisory Group And Liverpool Safeguarding Children
More informationabcdefghijklmnopqrstu
Chief Medical Officer Directorate Chief Medical Officer and Secretariat Division abcdefghijklmnopqrstu T: 0131-244 2399 F: 0131-244 2989 E: sandra.falconer@scotland.gsi.gov.uk NHS Board Medical and Nursing
More informationYorkshire & the Humber Clinical Network. Striving to Reduce Stillbirth Rates and Improve Bereavement Care
Yorkshire & the Humber Clinical Network Striving to Reduce Stillbirth Rates and Improve Bereavement Care Transforming and Modernising Maternity Care in England London 12 th July 2016 Content Yorkshire
More informationGESTATIONAL DIABETES MELLITUS AND SUBSEQUENT MANAGEMENT OF CONFIRMED GESTATIONAL DIABETES MELLITUS (GDM) AND SELECTIVE SCREENING - CLINICAL GUIDELINE
GESTATIONAL DIABETES MELLITUS AND SUBSEQUENT MANAGEMENT OF CONFIRMED GESTATIONAL DIABETES MELLITUS (GDM) AND SELECTIVE SCREENING - CLINICAL GUIDELINE V 1.5 2017 Screening - Clinical Guideline Page 1 of
More informationKeeping your girls safe from FGM
Keeping your girls safe from FGM Female Genital Mutilation, the law and YOU NHS Birmingham South Central Clinical Commissioning Group NHS Birmingham CrossCity Clinical Commissioning Group What is Female
More informationSwindon LSCB Female Genital Mutilation Multi-agency Guidance relating to under 18s and pregnant women.
Swindon LSCB Female Genital Mutilation Multi-agency Guidance relating to under 18s and pregnant women. November 2017 Contents Page Introduction 2 Purpose 2 Definition 3 Prevalence 3 Religion and FGM 4
More informationFGM. (Female Genital Mutilation) Practice Guidance & Resource Pack
FGM (Female Genital Mutilation) Practice Guidance & Resource Pack Version 5 Date: March 2015/JB Agreed at TWSCB Partnership Development Sub-group on 17.04.2015; due for review in April 2016. 1 Contents
More informationMATERNAL HEALTH IN AFRICA
MATERNAL HEALTH IN AFRICA This Fact Sheet was prepared in January 2013 for the Summit of CARMMA (Campaign on Accelerated Reduction of Maternal, New Born and Child Mortality in Africa) in Addis Ababa Where
More informationFEMALE GENITAL MUTILATION (FGM) REPORTING AND SAFEGUARDING POLICY
FEMALE GEITAL MUTILATIO (FGM) REPORTIG AD SAFEGUARDIG POLICY Document Control: Document Author: Document Owner: Electronic File ame: Document Type: Stakeholder Consultation: Approval Level: Approval Body:
More informationContents. Refuge what do we do?... 4 What is female genital mutilation (FGM)?... 6 Where can it happen?... 8 How FGM might affect your body...
Contents Refuge what do we do?....................................................... 4 What is female genital mutilation (FGM)?.................................... 6 Where can it happen?.............................................................
More informationGUIDANCE FOR SCHOOLS: FORCED MARRIAGE & FEMALE GENITAL MUTILATION
GUIDANCE FOR SCHOOLS: FORCED MARRIAGE & FEMALE GENITAL MUTILATION Schools are well placed to raise concerns and take action to prevent young people from being forced into marriage whilst on extended visits
More informationFemale Genital Mutilation
Female Genital Mutilation 1 Contents Summary... 3 What is Female Genital Mutilation and why is it important for Suffolk?... 5 Background... 5 Why is FGM important in the UK and Suffolk?... 8 What is the
More informationReview Obstetric management of women with female genital mutilation
10.1576/toag.9.2.095.27310 www.rcog.org.uk/togonline Obstetric management of women with female genital mutilation Authors Mumtaz Rashid / Mohammed H Rashid Key content: Female genital mutilation is the
More informationTackling FGM in the UK: Views of People from Communities Affected by FGM
Tackling FGM in the UK: Views of People from Communities Affected by FGM At the end of 2015, the Tackling Female Genital Mutilation Initiative (TFGMI), with technical support from Options, undertook a
More informationThe Prevention of Early-onset Neonatal Group B Streptococcal Disease in UK Obstetric Units
Royal College of Obstetricians and Gynaecologists and London School of Hygiene and Tropical Medicine The Prevention of Early-onset Neonatal Group B Streptococcal Disease in UK Obstetric Units An audit
More informationROYAL UNIVERSITY HOSPITAL Number: 1300 Saskatoon, Saskatchewan Date: Oct 2016 Maternal Services Policy and Procedure Manual Date: April 2010
ROYAL UNIVERSITY HOSPITAL Number: 1300 Saskatoon, Saskatchewan Date: Oct 2016 Maternal Services Policy and Procedure Manual Previous Date: April 2010 Leanne Smith Director, Maternal Services Issuing Authority
More informationBedford Borough, Central Bedfordshire and Luton Child Death Overview Process Panel Annual Report 1 April March 2017
Central Bedfordshire Safeguarding Children Board Bedford Borough, Central Bedfordshire and Luton Child Death Overview Process Panel Annual Report 1 April 2016 31 March 2017 1 Contents Description Page
More informationFemale Genital Mutilation: Cultural Tradition or Human Rights. Violation?
Female Genital Mutilation: Cultural Tradition or Human Rights Violation? Rebecca McMurray, MBChB Year 5, University of Birmingham Introduction Female Genital Mutilation (FGM), also known as cutting, includes
More informationGreece National Plan of Action to Prevent and Eliminate FGM-1 Female genital mutilation THE STEERING COMMITTEE 2. INTRODUCTION 3
CONTENTS THE STEERING COMMITTEE 2. INTRODUCTION 3 FACTS ABOUT FEMALE GENITAL MUTILATION 5 NATIONAL PLAN OF ACTION 8 Goals 8 Identified priorities 8 Target groups 9 Actors 9 Objective 9 Matrix of the main
More informationObstetric Anal Sphincter Injury- A guideline. Mr David Sim Ms Patricia McStay. Dr Martina Hogan Dept./Division Only: YES-IMWH Directorate Only: NO
CLINICAL GUIDELINES ID TAG Title: Obstetric Anal Sphincter Injury- A guideline Author: Dr Foteini Verani Designation: Specialist Doctor Speciality / Division: Obstetrics-IMWH Directorate: Acute Services
More informationForced Marriage (FM) and Female Genital Mutilation (FGM) December Table of Contents
DANESMEAD, FULFORD CROSS, YORK YO10 4PB TEL: (01904) 654983 Forced Marriage (FM) and Female Genital Mutilation (FGM) December 2015 This policy has been written with reference to Keeping Children Safe in
More informationDr Laura Byrne. UCL Institute of Child Health, London
Dr Laura Byrne UCL Institute of Child Health, London RCOG, London Elimination of vertical transmission in the UK: what is left to do? Results of the NSHPC audit of perinatal HIV since 2006 Laura Byrne,
More informationNO SMOKING POLICY. Organisational
NO SMOKING POLICY Policy Title State previous title where relevant. State if Policy New or Revised Policy Strand Org, HR, Clinical, H&S, Infection Control, Finance For clinical policies only - state index
More informationFemale Genital Mutilation and its effects over women s health
Female Genital Mutilation and its effects over women s health Authors Enu Anand 1, Jayakant Singh 2 Draft Paper for Presentation in the Session 285 at the 27th IUSSP Conference, 26-31 August 2013, Busan,
More information