About FGM. Specialist health services. 2011a. (accessed 26 February 2017)

About FGM. Intrapartum Care. 2011b. (accessed 26 February 2017)

Midwives against FGM. 2015. (accessed 3 April 2016)

Bagness C Tackling FGM is everybodys business. Practice Nursing. 2015; 26:(2)74-8

Unit costs of health and social care. 2015. (accessed 15 March 2016)

What is female genital mutilation and where does it happen?. 2014. (accessed 26 February 2017)

Byrne A Supporting women after genital mutilation. Nurs Times. 2014; 110:(18)12-14

Language barriers: my interpretation. 2012. (accessed 27 March 2016)

Measuring attitudes regarding female genital mutilation through a list experiment. 2013. (accessed 30 August 2017)

Chang M, Kelly AE Patient education: addressing cultural diversity and health literacy issues. Urol Nurs. 2007; 27:(5)411-17

A statistical study to estimate the prevalence of female genital mutilation in England and Wales: summary report. 2007. (accessed 29 September 2014)

Department of Health. Safeguarding women and girls at risk of FGM. 2017. (accessed 26 February 2017)

e-Learning for Healthcare. Programmes. 2017. (accessed 5 March 2017)

Political interview with Jane Ellison: ‘FGM is child abuse but because of cultural sensitivity we've failed to protect vulnerable young girls’. 2013.

Fransen MP, Wildschut HIJ, Mackenbacj JP, Steegers EAP Midwives unable to overcome language barriers in prenatal care. Italian Journal of Public Health. 2012; 9:(3)7531-9

Fisher J, Astbury J, Mello MCD, Shekhar S Mental Health Aspects of Women's Reproductive Health.Geneva: World Health Organization; 2009

Gardner S Safeguarding against FGM: everyone's issue. British Journal of Midwifery. 2013; 20:(6)

Why do we use the term female genital cutting and not female genital mutilation?. 2012. (accessed 1 February 2016)

HM Government. Multi-agency statutory guidance on female genital mutilation. 2016. (accessed 3 April 2016)

Women's Experiences, Perceptions and Attitudes of female Genital Mutilation. 2010. (accessed 17 August 2017)

Iavazzo C, Sardi TA, Gkegkes ID Female genital mutilation and infections: a systematic review of the clinical evidence. Arch Gynecol Obstet. 2013; 287:(6)1137-49

Effects of female genital mutilation on childbirth in Africa. 2008. (accessed 13 April 2016)

Perception of primary health professionals about female genital mutilation: from healthcare to intercultural competence. 2009.

UK: The Crisis of Female Genital Mutilation. 2013. (accessed 23 August 2017)

Kubokawa A, Ottaway A Positive psychology and cultural sensitivity: a review of the literature. Graduate Journal of Counseling Psychology. 2009; 1:(2)130-8

Critical review form—Qulaititative studies (version 2.0). 2007. (accessed 01 January 2016)

What is FGM? Everything you need to know aboutFemale Genital Mutilation. 2014. (accessed 26 February 2017)

Moloney S, Gair S Empathy and spiritual care in midwifery practice: contributing to wommen's enhances birth experiences. Women Birth. 2015; 28:(4)323-8

National Institute of Care for Clinical Excellence. Antenatal care for uncomplicated pregnancies [CCG62]. 2008. (accessed 13 March 2016)

New Zealand FGM Education Pogramme. Complications of FGM. 2017. (accessed 25 August 2017)

NHS Digital. Female Genital Mutilation Datasets. (accessed 13 April 2016)

Why female circumcision lives on. 2013. (accessed 17 March 2016)

Odemerho BI, Baier M Female genital cutting and the need for culturally competent communication. The Journal for Nurse Practitioners. 2012; 8:(8)452-7

Oguntoye S, Otoo-Oyortey N, Hemmings J, Norman K, Hussien E “FGM is with us everyday” Women and girls speak out about female genital mutilation in the UK. World Academy of Science, Engineering and Technology. 2009; 54:1020-5

Purchase TC, Lamoudi M, Colman S, Allen S, Latthe P, Jolly K A survey on knowledge of female genital mutilation guidelines. Acta Obstet Gynecol Scand. 2013; 92:(7)858-61

Royal College of Midwives. Female Genital Mutilation: Report of a survey on midwives' views and knowledge. 2012. (accessed 5 March 2017)

Royal College of Nursing. Female Genital Mutilation: an RCN resource for nursing and midwifery practice. 2015. (accessed 13 March 2016)

Female Genital Mutilation and its Management (Green-top Guideline No. 53).London: RCOG; 2015

Rashid M, Rashid MH Obstetric management of women with female genital mutilation. The Obstetrician and Gynaecologist. 2007; 9:(2)95-101

What is a representative sample size for a survey?. 2010.

Ending ‘Female Circumcision’ in practice and name. 2013. (accessed 3 April 2016)

Symon A New law on notifying female genital mutilation. British Journal of Midwifery. 2015; 23:(12)905-6

Terry L, Harris K Female genital mutilation: a literature review. Nurs Stand. 2013; 28:(1)41-7

Turner D Female genital cutting: implications for nurses. Nurs Womens Health. 2007; 11:(4)366-72

UNICEF. Female Genital Mutilation/Cutting: A statistical overview and exploration of the dynamics of change. 2013.

United Nations. International Day of Zero Tolerance for Female Genital Mutilation. 2017. (accessed 23 August 2017)

No local authority area in England and Wales free from FGM. 2015. (accessed: 15 March 2016)

World Health Organization. Classification of female genital mutilation. 2016. (accessed 2 February 2016)

Zhu H From Intercultural Awareness to Intercultural Empathy. English Language Teaching. 2011; 4:(1)

Zurynski Y, Sureshkumar Phu A, Elliot E Female genital mutilation and cutting: a systematic literature review of health professionals' knowledge, attitudes and clinical practice. BMC Int Health Hum Rights. 2015; 15

What can be done to raise midwives' awareness of female genital mutilation?

02 September 2017
Volume 25 · Issue 9


Female genital mutilation (FGM) is a safeguarding issue on which many midwives and health professionals in the UK have limited knowledge. This review synthesises the available literature and examines the resulting themes: cultural sensitivity, training, language and cultural differences, all of which can act as barriers to safeguarding women in maternity services. By understanding the effects of FGM, midwives in the areas where FGM is less prevalent will be better able to care for these women when they encounter them, which may be increasingly likely, as the numbers of women migrating to the UK grow.

Female genital mutilation (FGM) is described by the World Health Organization (WHO, 2016) as the partial or total removal of the external genitalia as well as other non-medical injury to this region. FGM is physically and emotionally painful, and can cause an increased risk of both short and long term complications, including excessive bleeding, infections, psychological consequences, painful urination, menstrual and obstetric difficulties, HIV and death. FGM is performed for a range of cultural, religious and social reasons (Molloy, 2014). In countries such as Kenya and Sierra Leone, FGM may be performed as a rite of passage into womanhood, while in Egypt or Sudan FGM can be performed to preserve a girls' virginity (Boseley, 2014). FGM was made illegal in the UK by the Female Circumcision Act 1985, which was followed by the Female Genital Mutilation Act 2003, which made it illegal to arrange for FGM to be performed on UK citizens or residents while they are in another country, whether or not FGM is legal in the destination country.

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