Program

Nurse-Midwifery M.S.

Number of Pages

58

Year Approved

2024

First Advisor

Smith, Rebecca

Second Reader

Katrina Wu

Abstract

Introduction: Female genital cutting (FGC) is estimated to have affected nearly 200 million women and girls worldwide. This integrative review will examine the perinatal outcomes for women who have undergone FGC. Methods: Whittemore and Knafl’s integrative review methodology guided this review. A keyword search was utilized in the following three databases: PubMed, CINAHL, and Nursing & Allied Health. Inclusion and exclusion criteria were strictly adhered to during the search process. Studies that met the criteria from the database search were imported into the Covidence Systematic Review Software. Following a thorough screening process, 30 articles met criteriaand were selected for this review. Results: From the selected 30 publications, there were a cumulative 331,255 study participants. Nineteen perinatal outcomes were identified with an association to FGC. The most prevalent maternal perinatal outcomes were episiotomy and perineal laceration, postpartum hemorrhage, and cesarean birth. Neonatal outcomes associated with FGC included perinatal death, lower Apgar score at one and five minutes, birth injury, preterm birth, and low birth weight. Discussion: Providers caring for women with FGC should anticipate additional needs and resources, including increased antenatal surveillance and screening for postpartum depression, for women affected by FGC secondary to the maternal and neonatal birth outcomes identified in this review. Further, FGC is a global topic, and all providers should become familiar with FGC in order to educate, diagnose, and provide culturally appropriate and evidence-based preventative care.

Degree Name

M.S. Nurse-Midwifery

Document Type

Masterʼs thesis

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