Topic C - Forensic Nursing > Section C.6.0. Forensic Concepts > Unit.C.6.2. Female Circumcision

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Unit.C.6.2. Female Circumcision

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"Female circumcision is a centuries old tradition that continues to-day and directly involves nursing practice and care of these patients" (Stewart, 1997, p. 35).

"Aside from traditional rights, female circumcision may be performed for economic factors, sexual control and beliefs of its positive effects on childbirth" (Stewart, 1997, p. 35).

"Laws in North America and Europe ban the practice, but many children are sent abroad to have female circumcision performed" (Stewart, 1997, p. 35).

"When female circumcision was first practiced it is not known but it preceded Christianity and Islam. Today the procedure is mainly restricted to Muslims, although a few Christian communities in Africa continue to practice" (Black & Debelle, 1995; cited as Stewart, 1997, p. 35).

"Different forms of female circumcision are practiced in more than 20 African countries as well as Omen and Yemen, and the United Arab Emirates, Muslims also practice the tradition in Malaysia and Indonesia" (Robinson, 1994; cited as Stewart, 1997, p. 35).

"The tradition of female circumcision lies in the roots of ancient puberty and initiation rites; this is unusual because for the most art, initiation rites are practiced on males" (Lutkehaus & Roscoe, 1995; cited in Stewart, 1997, p. 35).

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"Female genital mutilation, also called female circumcision and infibulation involves the removal of genital tissue from girls is intended to eliminate the sexual feelings in women" (Brady, 1998, p. 50).

"As immigration from the third world increases and as more people from countries that practice Female Genital Mutilation (FGM) travel to the United States and Canada, more women who have underwent FGM are entering western health care centers" (Brady, 1998, p. 50).

"Yet most Western health care professionals know little about the procedure of FGM and the lifelong disabilities it can cause" (Brady, 1998, p. 50).

"The average age for girls who undergo the procedures ranges form 4 to 7 years, but in some cultures it is performed in infancy and/or during the teenage years. Although often associated with Islam, it is also practiced by people of other religions including Christians and has deep cultural significance" (Brady, 1998, p. 50).

"Clinically, FGM can be categorized as follows:

  • Sunna involves the removal of the female prepuce. The least disfiguring it is also the least commonly done.
  • Simple excision or clitoridectomy involves the removal of the clitoris and parts of the labia minora.
  • Pharaonia or infibulation is the most mutilating. The clitoris, labia minora and labia majora are removed, then the raw surfaces are sutured and most of the vagina orifice is closed" (Brady, 1998, p. 50).

"Infibulation is the type of FGM most often practiced in African countries by - usually by untrained women working under primitive conditions and without anesthesia" (Brady, 1998, p. 50).

"When caring for a women with FGM, remain culturally sensitive and nonjudgmental to gain her confidence and establish good rapport" (Brady, 1998, p. 51).

"As nurses we can support legislation changes by acting as advocates for women and girls affected by FGM and increasing professional and public awareness about the practice. We must report it when it involves girls under the age of 18, because it is legally considered child abuse" (Brady, 1998, p. 51).

Focus Points Reference

Brady, M. (1998). Female genital mutilation.Nursing98, (9), 50-51.

Stewart, R. (1997). Female Circumcision: Implications for North American Nurses. Journal of Psychosocial Nursing and Mental Health Services, 35 (4), 35-38.


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From 'forensic presentations' in the forensic sourcebooks the following presentations have been selected for this unit:

Unit.C.6.2. Female Circumcision

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International
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United Kingdom
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This section will continually be added to with guest presentations from forensic experts locally, nationally and internationally and with student presentations.

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From 'forensic cases' in the forensic sourcebooks the following case studies have been selected for this unit:

Unit.C.6.2. Female Circumcision

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International
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From 'forensic experts' in the forensic sourcebooks the following panel of experts has been selected for this unit:

Unit.C.6.2. Female Circumcision

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