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Female genital mutilation disclosure — DRCOG MCQ

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HardEthicsFemale genital mutilation disclosureDRCOG

A pregnant woman discloses previous female genital mutilation and reports urinary spraying and pain with intercourse. What is the most appropriate management?

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Correct answer: EArrange specialist obstetric review and discuss planned deinfibulation

The best answer is “Arrange specialist obstetric review and discuss planned deinfibulation”. Previous FGM may have important urinary, sexual, psychological and birth implications. Care should be trauma-informed and delivered through an appropriate specialist obstetric and FGM pathway, with discussion of examination, safeguarding where relevant and deinfibulation when indicated. It should not be ignored, managed solely as infection or determined by a partner.

Reference: GOV.UK: Multi-agency statutory guidance on female genital mutilation: https://www.gov.uk/government/publications/multi-agency-statutory-guidance-on-female-genital-mutilation