I posted on Female Genital Mutilation in 2005 and would like to share it here again after reading some related articles online lately. Many knows and are familiar about male circumcision, but I believe not many have heard about female circumcision, which is also known as Female Genital Mutilation (FGM). Up to these days, FGM is still practiced in few countries like Africa & Middle East etc.
I had came across a case of Female Genital Mutilation(FGM) for elective Caesarean Section in 2005. That patient is an African lady, from North Africa and the "female circumcision" practised there or FGM is a social custom. Her's is FGM type 3, involving excision of part or all of the external genitalia and stitching/narrowing of the vaginal opening (infibulation), removal of clitoris (clitoridectomy), excision of the labia minora , & cutting of the labia majora which are then stitched together in order to form a cover over the vagina, with a small orifice left (which can only admit in two fingers). (Don't u think this is very inhumane to do such "surgery" on the girls? Sad to know that such event still occur in this modern world).
It was difficult for that African lady to undergo vaginal delivery as there is a high possibility of severe perineal tear. (Well, if she really insisted on going for vaginal delivery, then the attending doctor has to cut off the fused part of the labia for the baby to come out and to restitch it back again after the delivery). She underwent an uneventful Caesarean Section and the baby was delivered safely.
No picture here but if u wanna see how is it like, u can always google on it, and not forgetting many had lost their lives due to FGM complications especially those performed using the traditional unhygienic methods and non sterile instruments in the rural areas (and forget about local anaesthetic nor pain relief during the surgery).
Side note : Malaysiakini is giving free access from 4/3/08 till 10/3/08 without having to log in to read the news and articles. Don't miss this opportunity :)