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Review
. 2022 May 24;16(1):223.
doi: 10.1186/s13256-022-03445-0.

Defibulation can recall the trauma of female genital mutilation/cutting: a case report

Gianmarco Taraschi  1 , Emily Manin  2 , Francesco Bianchi De Micheli  1   3 , Jasmine Abdulcadir  1
Affiliations
Review

Defibulation can recall the trauma of female genital mutilation/cutting: a case report

Gianmarco Taraschi et al. J Med Case Rep. .

Abstract

Background: Women with female genital mutilation/cutting are known to have psychological sequelae from the cutting and other traumatic experiences. However, very few studies report immediate psychological sequelae of genital reconstructive surgery in this population. The present case is the first to our knowledge to report post-traumatic stress disorder symptoms immediately following defibulation, a procedure common in women with female genital mutilation/cutting type III.

Case presentation: We present the case of a 31-year-old Sudanese nulliparous woman in the second trimester of pregnancy with female genital mutilation/cutting type IIIa who was referred for antepartum defibulation to facilitate a vaginal birth. Immediately after an uncomplicated surgery under local anesthesia and just before the first micturition, she developed post-traumatic stress disorder symptoms and suddenly recalled the traumatic experience of her first micturition after female genital mutilation/cutting when she was a child in Sudan. The woman was offered psychiatric follow-up with psychotherapy for 4 months and a short course of benzodiazepines. She had fully recovered by the time of delivery, 4 months after surgery.

Conclusions: We discuss the possibility of recall of a past traumatic experience of female genital mutilation/cutting during defibulation or other genital surgeries. We review the benefits and risks of defibulation, the impact of this procedure, and the setting and timing in which it is performed, focusing on women's mental health and psychological support.

Keywords: Defibulation; FGM/C PTSD; Pregnancy.

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Conflict of interest statement

The authors declare that they have no competing interests.

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References

    1. Abdulcadir J, Marras S, Catania L, Abdulcadir O, Petignat P. Defibulation: a visual reference and learning tool. J Sex Med. 2018;15(4):601–611. doi: 10.1016/j.jsxm.2018.01.010. - DOI - PubMed
    1. Gruenbaum E. Debating deinfibulation: why some women resist the WHO advice and what clinicians and researchers can do. Arch Sex Behav. 2020 doi: 10.1007/s10508-020-01692-0. - DOI - PubMed
    1. Brady SS, Connor JJ, Chaisson N, Sharif Mohamed F, Robinson BBE. Female genital cutting and deinfibulation: applying the theory of planned behavior to research and practice. Arch Sex Behav. 2019 doi: 10.1007/s10508-019-1427-4. - DOI - PMC - PubMed
    1. Johnsdotter S, Essen B. Deinfibulation contextualized: delicacies of shared decision-making in the clinic. Arch Sex Behav. 2020 doi: 10.1007/s10508-020-01676-0. - DOI - PMC - PubMed
    1. Rushwan H. Female genital mutilation (FGM) management during pregnancy, childbirth and the postpartum period. Int J Gynaecol Obstet. 2000;70(1):99–104. doi: 10.1016/S0020-7292(00)00237-X. - DOI - PubMed

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