Obstetric Complications in Women from Sub-Saharan Africa—A Cross-Sectional Study

Laura Gombau-Giménez, Pilar Almansa-Martínez, María Suarez-Cortés (), Alonso Molina-Rodríguez, César Leal-Costa and Ismael Jiménez-Ruiz ()
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Laura Gombau-Giménez: Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain
Pilar Almansa-Martínez: Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain
María Suarez-Cortés: Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain
Alonso Molina-Rodríguez: Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain
César Leal-Costa: Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain
Ismael Jiménez-Ruiz: ENFERAVANZA, Murcia Institute for BioHealth Research (IMIB-Arrixaca), Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain

IJERPH, 2022, vol. 19, issue 16, 1-11

Abstract: Aim: The aim of this study was to identify and compare birthing complications in women originating from countries where they are at risk (may become victims) of FGM with those of Spanish women, all having given birth from 2012 to 2015 at the “Virgen de la Arrixaca” University Clinical Hospital in Murcia, Spain. Methods: A transversal, observational, quantitative study was carried out, retrospectively, comparing 245 sub-Saharan women originating from countries where FGM is practiced with 490 Spanish women, in terms of obstetric complications. Data collection was performed via electronic clinical records. Results: The sub-Saharan women presented higher rates of intrapartum and emergency caesareans, intense postpartum haemorrhages, concurrent episiotomies and tears (2nd and 3rd degree), failed inductions, and non-progressive labours, and a more severe risk of foetal distress when compared with Spanish women. Conclusions: The fact that the sub-Saharan women originating from countries where FGM is practiced presented a greater number of birthing complications than the Spanish women proves the need for Spanish healthcare professionals to receive training towards cultural competency acquisition, in order to provide a multidisciplinary approach, with standardized action protocols focused fundamentally on prevention.

Keywords: female genital mutilation; female circumcision; pregnant women; obstetric complications; obstetric outcomes; health consequences (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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