Bir Kadın Sağlığı Sorunu: Genital Mutilasyon

Dünya Sağlık Örgütü genital mutilasyonu; tıbbi olmayan nedenlerle kadın genital organlarının kısmen veya tamamen çıkarılması, ya da dış genital organlara başka bir biçimde (piercing, kesi yapılması, kazıma, delme veya koterize etme) zarar verilmesi olarak tanımlamıştır. Günümüzde birçok ülkede hala çözümlenememiş önemli bir kadın sağlığı sorunu olan genital mutilasyon, fizyolojik, psikolojik ve cinsel açıdan kadının tüm yaşam evrelerini olumsuz yönde etkilemektedir. Ayrıca prekonsepsiyonel dönemden başlayarak gebelik, doğum ve doğum sonu dönemlerde komplikasyon görülme sıklığını arttırmaktadır. Bu derlemenin amacı kadın genital mutilasyonu konusuna dikkat çekmek, kadın sağlığı üzerine yarattığı olumsuz etkilerin farkındalığını arttırmak ve literatür bilgisini paylaşmaktır.

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The World Health Organization defines genital mutilation as removing part or all of the female genital organ for non-medical purposes; or harming external genital organs in any other way (i.e., piercing, cutting, scraping, pricking or cauterizing). As a significant female health problem which still cannot be resolved in many countries, genital mutilation affects the entire life cycle of women negatively in physiological, psychological, sexual ways. Therefore, beginning from preconceptional period, during pregnancy, birth and postpartum period, it increases the likelihood of complications. The aim of this compilation is to draw attention to the issue of female genital mutilation, to raise awareness about its negative effects on women’s health and to share data from the literature about it

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  • World Health Organization. An update on WHO's work on female genital mutilation (FGM): Progress report 2011. Available from: http://whqlibdoc.who.int/hq/2011/WHO_RHR_11.18_eng.pdf?ua=1
  • Government HM. Multi-agency practice guidelines: female genital mutilation 2011. Available from: www.dhsspsni.gov.uk/fmg.pdf
  • UNICEF. Legislative reform to support the abandonment of female genital mutilation/cutting 2010. Available from: http://www.unicef.org/policyanalysis/files/UNICEF__LRI_Legislative_Reform_to_support_the_Abandonment_of_FGMC_August_2010.pdf
  • International day of zero tolerance to female genital mutilation. Available from: http://www.un.org/en/events/femalegenitalmutilationday/background.shtml
  • Yeni E. Kadında sirkumsizyon ve genital mutilasyon. Androloji Bülteni 2004;18: 261-264.
  • Aktaş S, Çalık KY. Kadın genital mutilasyonu. Sürekli Tıp Eğitim Dergisi 2010; 19(1): 29-37.
  • Khaled MA, Cox C. Female genital mutilation. Trauma 2000; 2(2):161-167.
  • Lien IL, Schultz JH. Interpreting signs of female genital mutilation within a risky legal framework. International Journal Of Law, Policy And The Family 2014; ebu002.
  • Female Genital Mutilation/Cutting: A statistical overview and exploration of the dynamics of change. Available from: http://www.childinfo.org/files/FGCM_Lo_res.pdf
  • Alsibiani SA, Rouzi AA. Sexual function in women with female genital mutilation. Fertility And Sterility 2010;93(3):722-724.
  • Female genital mutilation (FGM) explained. Available from: http://www.thepoliticaldomain.eu/fgm-female-genital-mutilation-explained/
  • Rushwan H. Female genital mutilation FGM/ management during pregnancy, childbirth and the postpartum period. International Journal of Gynecology & Obstetrics 2000;70:99-104.
  • World Health Organization. Library cataloguing-in-publication data. eliminating female genital mutilation: an interagency statement UNAIDS, UNDP, UNECA, UNESCO, UNFPA, UNHCHR, UNHCR, UNICEF, UNIFEM, WHO 2008. Available from:http://www.un.org/womenwatch/daw/csw/csw52/statements_missions/Interagency_Statement_on_Eliminating_FGM.pdf
  • Royal College of Obstetricians and Gynaecologists (RCOG). Green-top guideline no. 53 Female genital mutilation and its management 2009. Available from: https://www.rcog.org.uk/guidelines
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  • Perron L, Senikas V. Female genital cutting/mutilation. J Obstet Gynaecol Can 2012;34(2):197–200.
  • Yasin BA, Al-Tawil NG, Shabila NP, Al-Hadithi TS. Female genital mutilation among Iraqi Kurdish women: a cross-sectional study from Erbil city. BMC Public Health 2013;13(809):1-8, doi:10.1186/1471-2458-13-809
  • Salihu HM, August EM, Salemi JL, Weldeselasse H, Sarro YS, Alio AP. The association between female genital mutilation and intimate partner violence. BJOG: An International Journal of Obstetrics & Gynaecology 2012;119(13):1597-1605.
  • Rymer J. Female genital mutilation. Current Obstetrics & Gynaecology. 2003;13:185-190.
  • Reyners M. Health consequences of female genital mutilation. Reviews in Gynaecological Practice 2004;4:242–251.
  • Female Genital Mutilation. A Students Manual. Integrating the prevention and management of the health complications into the curcicula of nursing and midwifery ,Geneva, WHO 2001. p.1-104. Available from:
  • https://www.who.İnt/Gender/Other_Health/Studentsmanual/pdf