Surgical-reparative and psycho-social interventions in women with Female Genital Mutilation of III type (deinfibulation)
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ASL Roma 1 (Public Local Health Authority), SAMIFO Center, Rome, Italy
Department of Gynecology and Obstetrics San Filippo Neri Hospital, ASL Roma 1, Rome, Italy
SAMIFO Centre, ASL Roma 1, Rome, Italy
Publication date: 2023-04-27
Popul. Med. 2023;5(Supplement):A1402
Background and Objective: Female Genital Mutilation (FGM) is a procedure involving the modification of the external genitalia, for cultural or other non-therapeutic reasons. In recent years, the SAMIFO Centre (Salute Migranti Forzati) has increasingly received requests from women with FGM, more specifically, with type III FGM (permanent infibulation). Based on this experience, it is therefore deemed necessary to start developing collaboration between public health actors. Methods: The verification and typology of FGM is carried out by the obstetric-gynaecological unit at SAMIFO which evaluates the necessary steps. The entire process is coordinated by a case manager. Three different pathways have been envisaged for: (i) pregnant women, (ii) non-pregnant women with physical problems and (iii) non-pregnant women with psycho-sexual problems. The pathway is organized as follows: 1. Identification and Classification of FGM, 2. Obstetrics Gynecological Counseling, 3.Followup meeting, 4. Psychological Counseling, 5. Prehospitalization, 6. Collaboration with S. Filippo Neri hospital for deinfibulation surgery (if patient under pregnancy, preferably in the second trimester of pregnancy), 7. Follow up (both gynaecological and psychological) Results: Starting from 2021, out of a population of 137 women received, 3 have completed the process. 4 patients are at an advanced level of the process. Conclusions: The multidisciplinary approach enabled the women who accepted the pathway to be able to fully recover on both gynaecological and psychological level. In addition, two of them were able to give birth physiologically with a good recovery of the sexual dimension. For all the patients received, it was possible to activate a dialogue on issues of femininity and sexuality during the consultation.
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