Cervical dysplasia among migrant women with female genital mutilation/cutting type III : A cross‐sectional study

Article Article scientifique Article Cervical dysplasia among migrant women with female genital mutilation/cutting type III : A cross‐sectional study eng 2021-10-11 2022-06 author Frick Albertina Faculty of Medicine, University of Geneva, Geneva, Switzerland. 816849 author Azuaga Martinez Alicia Natalia Department of Pediatrics, Gynecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland. 868041 author Abdulcadir Jasmine 0000-0001-6245-9181 Department of Pediatrics, Gynecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland. 796507 Département de Pédiatrie, Gynécologie et Obstétrique (PETRI) 557-563 10.1002/ijgo.13921 34498291 0020-7292 PMC9293473 https://obgyn.onlinelibrary.wiley.com/doi/10.1002/ijgo.13921 Objective: To assess the rate of cervical dysplasia in a population of migrant women with female genital mutilation/cutting (FGM/C) type III who attended a specialized clinic for FGM/C. Methods: Descriptive retrospective cross-sectional study reviewing electronic medical records of all infibulated women who attended a specialized clinic for women and girls with FGM/C at Geneva University Hospitals (2010-2016). We examined sociodemographic characteristics, parity, FGM/C subtypes, presence/grade of cervical dysplasia, colposcopy follow up/treatment, infections, and history of sexual violence. Results: Out of 360 women reviewed, 188 women with FGM/C type III were included. Mean age of the women was 37.7 (±5.14) years. They were mostly from East Africa (n = 116, 61.7%). A total of 113 (60%) had undergone defibulation, the majority (105; 92.9%) without undergoing re-infibulation. Cervical dysplasia was found in 20 (10.6%): 16 (8.5%) had a low-grade grade squamous intraepithelial lesion or HPV-positive atypical squamous cells of undetermined significance, Four (2.1%) had a high-grade squamous intraepithelial lesions, of which one was a carcinoma in situ. Seven (35%) of the women with dysplasia underwent colposcopies regularly, five (25%) irregularly, and eight (40%) dropped out of colposcopy follow up. Conclusion: Cervical dysplasia is frequent among women with FGM/C type III and efforts should be made to guarantee follow up for migrant women. HPV Cervical dysplasia Cervical screening Defibulation Female genital cutting Female genital mutilation Female genital mutilation type III Infibulation Dewey 618 58 Département de pédiatrie, gynécologie et obstétrique 223 false 1450 Vulve, clitoris et violences sexuelles 1067 International journal of gynaecology and obstetrics 157 3 b19acdc7-afd8-4287-8b54-3cfbc0ce3386 Article (Published version) Public Intl_J_Gynecology_Obste_-_2021_-_Fr.pdf 705603 application/pdf CC BY-NC-4.0 568e8559a5a525e5da027c274e57efa03a52eb1e360ab0963d0c1730e3119759 openAccess Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique

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Cervical dysplasia among migrant women with female genital mutilation/cutting type III : A cross‐sectional study	International journal of gynaecology and obstetrics			2022	27	83

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Frick, Albertina