Diagnosis, Management, and Treatment of Female Genital Mutilation or Cutting in Girls.

TitleDiagnosis, Management, and Treatment of Female Genital Mutilation or Cutting in Girls.
Publication TypeJournal Article
Year of Publication2020
AuthorsYoung J, Nour NM, Macauley RC, Narang SK, Johnson-Agbakwu C
Corporate AuthorsSECTION ON GLOBAL HEALTH, COMMITTEE ON MEDICAL LIABILITY AND RISK MANAGEMENT, COMMITTEE ON BIOETHICS
JournalPediatrics
Date Published2020 Jul 27
ISSN1098-4275
Abstract

Female genital mutilation or cutting (FGM/C) involves medically unnecessary cutting of parts or all of the external female genitalia. It is outlawed in the United States and much of the world but is still known to occur in more than 30 countries. FGM/C most often is performed on children, from infancy to adolescence, and has significant morbidity and mortality. In 2018, an estimated 200 million girls and women alive at that time had undergone FGM/C worldwide. Some estimate that more than 500‚ÄČ000 girls and women in the United States have had or are at risk for having FGM/C. However, pediatric prevalence of FGM/C is only estimated given that most pediatric cases remain undiagnosed both in countries of origin and in the Western world, including in the United States. It is a cultural practice not directly tied to any specific religion, ethnicity, or race and has occurred in the United States. Although it is mostly a pediatric practice, currently there is no standard FGM/C teaching required for health care providers who care for children, including pediatricians, family physicians, child abuse pediatricians, pediatric urologists, and pediatric urogynecologists. This clinical report is the first comprehensive summary of FGM/C in children and includes education regarding a standard-of-care approach for examination of external female genitalia at all health supervision examinations, diagnosis, complications, management, treatment, culturally sensitive discussion and counseling approaches, and legal and ethical considerations.

DOI10.1542/peds.2020-1012
Alternate JournalPediatrics
PubMed ID32719089