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Obstetric care at the intersection of science and culture: Swedish doctors' perspectives on obstetric care of women who have undergone female genital cutting
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
2010 (English)In: Journal of Obstetrics and Gynaecology, ISSN 0144-3615, E-ISSN 1364-6893, Vol. 30, no 6, 553-558 p.Article in journal (Refereed) Published
Abstract [en]

Providing healthcare for women having undergone female genital cutting can present challenges. The women might require special obstetric care, including an anterior episiotomy (defibulation) for infibulated women. This paper explores how Swedish doctors caring for these women describe, explain and reason about their care and relevant policies in a Swedish context. A qualitative study was carried out with 13 chief/senior obstetricians and seven senior house officers. There was little consensus among the interviewed doctors on what constitutes good obstetric care for women with FGC or how care should be provided. Major problems include: inconsistent policy and praxis; uncoordinated care trajectories; diffuse professional role responsibilities; difficulties in monitoring labour and fetal status; and inhibited communication. The data highlight the need for increased awareness and reflective praxis both on the part of individual practitioners, and on an organisational level, which takes account of the special needs of different users.

Place, publisher, year, edition, pages
2010. Vol. 30, no 6, 553-558 p.
Keyword [en]
Communication, cross-cultural care, female genital cutting, professional roles, quality of care
National Category
Obstetrics, Gynecology and Reproductive Medicine Social Sciences
URN: urn:nbn:se:uu:diva-134689DOI: 10.3109/01443615.2010.484110ISI: 000281801600006OAI: oai:DiVA.org:uu-134689DiVA: diva2:373538
Available from: 2010-11-30 Created: 2010-11-30 Last updated: 2010-11-30Bibliographically approved

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International Maternal and Child Health (IMCH)
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Journal of Obstetrics and Gynaecology
Obstetrics, Gynecology and Reproductive MedicineSocial Sciences

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