Evidence map›Paper›PMID 28889193›Full record

ArticleInternational urogynecology journal2018

Are obstetric outcomes affected by female genital mutilation?

Aswini A Balachandran, Swapna Duvalla, Abdul H Sultan, Ranee Thakar

Abstract read
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In one paragraph

Article in International urogynecology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Female genital mutilation/cutting in women delivering in France: An observational national study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Observational
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  14. A one-stop perineal clinic: our eleven-year experience.International urogynecology journal · 2020
    Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Aswini A BalachandranDepartment of Obstetrics and Gynaecology, Croydon University Hospital, 530 London Road, London, CR7 7YE, UK.
Swapna DuvallaDepartment of Obstetrics and Gynaecology, Croydon University Hospital, 530 London Road, London, CR7 7YE, UK.
Abdul H SultanDepartment of Obstetrics and Gynaecology, Croydon University Hospital, 530 London Road, London, CR7 7YE, UK.
Ranee ThakarDepartment of Obstetrics and Gynaecology, Croydon University Hospital, 530 London Road, London, CR7 7YE, UK. Ranee.Thakar@nhs.net.ORCID http://orcid.org/0000-0002-5279-141X
Croydon University Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisFemale genital mutilation (FGM) has been associated with adverse obstetric and neonatal outcomes, such as postpartum haemorrhage (PPH), perineal trauma, genital fistulae, obstructed labour and stillbirth. The prevalence of FGM has increased in the UK over the last decade. There are currently no studies available that have explored the obstetric impact of FGM in the UK. The aim of our study was to investigate the obstetric and neonatal outcomes of women with FGM when compared with the general population.

methodsWe conducted a retrospective case-control study of consecutive pregnant women with FGM over a 5-year period between 1 January 2009 and 31 December 2013. Each woman with FGM was matched for age, ethnicity, parity and gestation with subsequent patients without FGM (control cohort) over the same 5-year period. Outcomes assessed were mode of delivery, duration of labour, estimated blood loss, analgaesia, perineal trauma and foetal outcomes.

resultsA total of 242 eligible women (121 FGM, 121 control) were identified for the study. There was a significant increase in the use of episiotomy in the FGM group (p = 0.009) and a significant increase in minor PPH in the control group during caesarean sections (p = 0.0001). There were no differences in all other obstetric and neonatal parameters.

conclusionsIn our unit, FGM was not associated with an increased incidence of adverse obstetric and foetal morbidity or mortality.

Indexed as

AdultCase-Control StudiesCesarean SectionCircumcision, FemaleEpisiotomyFemaleHumansLacerationsParityPerineumPostpartum HemorrhagePregnancyPregnancy OutcomePrenatal CareRetrospective StudiesRisk FactorsEpisiotomyFemale circumcisionFemale cuttingFemale genital mutilationNeonatal outcomesObstetric outcomes

Identifiers

PMID28889193
OpenAlexW2754817787

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.