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The Effects of Female Genital Mutilation on Vaginal Deliveries and Maternal Satisfaction in Awka, Anambra State Nigeria


Authors : Ogonna F. Muoneke

Volume/Issue : Volume 11 - 2026, Issue 11 - November


Google Scholar : https://tinyurl.com/ywxw8nwc

DOI : https://doi.org/10.38124/ijisrt/26nov110

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : This study aimed at investigating the effect female genital mutilation has on vaginal deliveries and maternal satisfaction of mothers in Awka, Anambra State, Nigeria. This study is quantitative in nature and made use of a target population of women both with FGM and without FGM who gave birth in year 2022 in one of the community hospitals (Chukwuemeka Odumegwu Ojukwu University Teaching Hospital) in Awka, Anambra State, Nigeria.

Keywords : FGM, Maternal Satisfaction, Vaginal Deliveries

References :

  1. Adelekan, B., Kareem, Y. O., Abubakar, Z., Bungudu, K., Aderemi, A., Goldson, E., Mueller, U., Yaya, S., & Fatusi, A. (2022). Female genital mutilation and sexual behaviour by marital status among a nationally representative sample of Nigerian women. Reproductive Health, 19(91).https://doi.org/10.1186/s12978-022-01379-w
  2. Ahanonu, E. L., & Victor, O. (2014). Mothers’ perceptions of female genital mutilation. Health Education Research, 29(4), 683-689.
  3. Akinbiyi, T., Langston, E., & Percec, I. (2018). Female genital mutilation reconstruction for plastic surgeons: A call to arms. PRS Global Open, 1-6.
  4. Akpak, Y. K., & Yilmaz, I. (2022). The impact of female genital mutilation/cutting on obstetric outcomes and its management. J Matern Fetal Neonatal Med., 35(5), 927-932.doi: 10.1080/14767058.2020.1734925
  5. Al-Hussaini, T. K. (2023). Female genital cutting: Types, motives and perineal damage in laboring Egyptian women. Med Princ Pract, 12(2), 123–128.
  6. American College of Obstetricians and Gynecologists (ACOG) (2019). ACOG practice bulletin no. 209: Obstetric analgesia and anesthesia. Obstet Gynecol., 133(3), e208-e225. doi: 10.1097/AOG.0000000000003132
  7. Anikwe. C. C., Ejikeme, B. N., Obiechina, N. J., Okorochukwu, B. C., Obuna, J. A., Onu, F. A., & Ajah, L. O. (2019). Female genital mutilation and obstetric outcome: A cross-sectional comparative study in a tertiary hospital in Abakaliki South East Nigeria. Eur J Obstet Gynecol Reprod Biol X., 1, 100005. doi: 10.1016/j.eurox.2019.100005
  8. Awotunde, T. A, Ani-Amponsah, M., Ajala, D. E., Ojo, S. A., Adeleke, T. O, Awotunde, O. T., & Olaolorun, A. D. (2023). Unveiling contextual influences of maternal satisfaction with labour care services in Nigeria: A qualitative inquiry. Afr J Prim Health Care Fam Med., 15(1), 1-7.
  9. Bassey, A. E., Abonor, L. B., & Ejeje, J. A. (2017). The impact of female genital mutilation (FGM) on hemorrhage during child birth among rural women of Cross River State. Information and Knowledge Management, 7(11), 7-13.
  10. Bayoumi, R. R., & Boivin, J. (2022). The impact of pharaonic female genital mutilation on sexuality: Two cases from Sudan highlighting the need for widespread dissemination of sexual and reproductive health education in Africa. African Journal of Reproductive Health January, 26(1), 110-114.
  11. Bazzoun, Y., Aerts, L., & Abdulcadir, J. (2021). Chronic vulvar pain after female genital mutilation/cutting: A retrospective study. Sexual Medicine, 9(5), 1-10.
  12. Behrendt, A., & Moritz, S. (2005). Posttraumatic stress disorder and memory problems after female genital mutilation. American Journal of Psychiatry, 162(5), 1000-1002.
  13. Berg, R. C., & Denison, E. (2013). A tradition in transition: Factors perpetuating and hindering the continuance of female genital mutilation/cutting (FGM/C) summarized in a systematic review. Health Care Women Int., 34(10), 837-859.
  14. Berg, R. C., & Underland, V. (2013). Obstetric consequences of female genital mutilation/cutting (FGM/C). Retrieved from https://www.fhi.no/globalassets/dokumenterfiler/rapporter/2013/rapport_2013_06_obstetric_consequences_fgm_v6.pdf
  15. Berg, R. C., Denison, E., & Fretheim, A. (2010). Psychological, Social and Sexual Consequences of Female Genital Mutilation/Cutting (FGM/C): A systematic review of quantitative studies: Knowledge centre for the health services at the Norwegian Institute of Public Health (NIPH). https://www-1ncbi-1nlm-1nih-1gov-10013b5iw0011.han.medunigraz.at/books/NBK469815/
  16. Berg, R. C., Underland, V., Odgaard-Jensen, J., Fretheim, A., & Vist, G. E. (2014). Effects of female genital cutting on physical health outcomes: a systematic review and meta-analysis. BMJ Open, 4(11), e006316.
  17. Birge, Ö., Akbaş, M., Özbey, E. G., & Adıyeke, M. (2016). Clitoral keloids after female genital mutilation/cutting. J Turk Soc Obstet Gynecol., 13(3), 154–157.
  18. Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Harvard University Press.
  19. Chawanpaiboon, S., Titapant, V., & Pooliam, J. (2023). Maternal complications and risk factors associated with assisted vaginal delivery. BMC Pregnancy Childbirth, 23, 756 https://doi.org/10.1186/s12884-023-06080-9
  20. Dawson, A., Homer, C. S., Turkmani, S., Black, K., & Varol, N. (2015). A systematic review of doctors' experiences and needs to support the care of women with female genital mutilation. Int J Gynaecol Obstet., 131(1), 35-40.
  21. Demis, A., Nigatu, R., Assefa, D., & Gedefaw, G. (2020). Maternal satisfaction with intrapartum nursing care and its associated factors among mothers who gave birth in public hospitals of North Wollo Zone, Northeast Ethiopia: Institution-based cross-sectional study. Journal of Pregnancy, 2020. doi: 10.1155/2020/8279372
  22. Desai, N. M., & Tsukerman, A. (2023). Vaginal delivery. https://www.ncbi.nlm.nih.gov/books/NBK559197/
  23. Desai, N. M., & Tsukerman, A. (2023). Vaginal delivery. https://www.ncbi.nlm.nih.gov/books/NBK559197/
  24. Dunn, A. B., Jordan, S., Baker, B. J., & Carlson, N. S. (2017). The maternal infant microbiome: Considerations for labor and birth. MCN Am J Matern Child Nurs., 42(6), 318-325. doi: 10.1097/NMC.0000000000000373
  25. Eshraghi, B., Hermansson, J., Berggren, V., & Marions, L. (2022). Risk of obstetric anal sphincter tear among primiparous women with a history of female genital mutilation, giving birth in Sweden. PLoS ONE, 17(12), 1-13. https://doi.org/ 10.1371/journal.pone.0279295
  26. Evbuomwan, O., & Chowdhury, Y. S. (2022). Physiology, cervical dilation. https://www.ncbi.nlm.nih.gov/books/NBK557582/
  27. Gebremicheal, K., Alemseged, F., Ewunetu, H., Tolossa, D., Ma'alin, A., Yewondwessen, M., & Melaku, S. (2018). Sequela of female genital mutilation on birth outcomes in Jijiga town, Ethiopian Somali region: A prospective cohort study. BMC Pregnancy Childbirth, 18(1), 305. doi: 10.1186/s12884-018-1937-4.
  28. Geremew, T. T., & Azage, M., & Mengesha, E. W. (2021). Hotspots of female genital mutilation/cutting and associated factors among girls in Ethiopia: a spatial and multilevel analysis. BMC Public Health, 21(186), 1-18.
  29. González-Timoneda, A., González-Timoneda, M., Cano-Sánchez, A., & Ruiz-Ros V. (2021). Female genital mutilation consequences and healthcare received among migrant women: a phenomenological qualitative study. Int J Environ Res Public Health, 18(13), 7195. doi: 10.3390/ijerph18137195.
  30. Goordyal, D., Anderson, J., Alazmani, A., & Culmer, P. (2021). An engineering perspective of vacuum assisted delivery devices in obstetrics: A review. Proc Inst Mech Eng H.,235(1), 3-16.
  31. Haines, H. M., Rubertsson, C., Pallant, J. F., & Hildingsson, I. (2012). The influence of women’s fear, attitudes and beliefs of childbirth on mode and experience of birth. BMC Pregnancy Childbirth, 12(55). https://doi.org/10.1186/1471-2393-12-55
  32. Huang, J., Zang, Y., Ren, L. H., Li, F. J., & Lu, H. (2019). A review and comparison of common maternal positions during the second-stage of labor. International Journal of Nursing Science, 6(4), 460-467. doi: 10.1016/j.ijnss.2019.06.007.
  33. Iavazzo, C., Sardi, T. A., & Gkegkes, I. D. (2013). Female genital mutilation and infections: A systematic review of the clinical evidence. Arch Gynecol Obstet. 287(6), 1137–1149.
  34. Idoko, P. et al. (2022). Obstetric outcome of female genital mutilation in the Gambia: An observational study. Afr Health Sci., 22(4), 386-395.
  35. Ikeaba, N. C., Balogun, M. R., Olubodun, T., & Okafor, I. (2022). Harmful traditional practices among market women in Ojuwoye market Mushin, South West, Nigeria. Annals of African Medicine, 21(3), 208-216.
  36. Ismail, S. A., et al. (2017). Effect of female genital mutilation/cutting; types I and II on sexual function: Case-controlled study. Reprod Health, 14, 108. https://doi.org/10.1186/s12978-017-0371-9
  37. Jafari, E., Mohebbi, P., & Mazloomzadeh, S. (2017). Factors related to women's childbirth satisfaction in physiologic and routine childbirth groups. Iran J Nurs Midwifery Res., 22(3), 219-224. doi: 10.4103/1735-9066.208161
  38. Johansen, R. E., Diop, N. J., Laverack, G., & Leye, E. (2013). What works and what does not: A discussion of popular approaches for the abandonment of female genital mutilation. Obstet Gynecol Int. 348248. doi: 10.1155/2013/348248
  39. Johnson-Mallard, V., Kostas-Polston, E. A., Woods, N. F., Simmonds, K. E., Alexander, I. M., & Taylor, D. (2017). Unintended pregnancy: A framework for prevention and options for midlife women in the US. Women’s Midlife Health, 3(8). https://doi.org/10.1186/s40695-017-0027-5
  40. Kaplan, A., Hechavarría, S., Martín, M., & Bonhoure, I. (2011). Health consequences of female genital mutilation/cutting in the Gambia, evidence into action. Reprod Health, 8, 1-8. https://doi.org/10.1186/1742-4755-8-26
  41. Kerubo, K. R. (2010). Female genital mutilation: Effects on women and young girls. Retrieved from https://core.ac.uk/download/pdf/38021037.pdf
  42. Kimani, S., Muteshi-Stratchan, J., & Njue, C. (2016). Health impacts of female genital mutilation/cutting: A synthesis of the evidence. Retrieved from https://knowledgecommons.popcouncil.org/cgi/viewcontent.cgi?article=1636&context=departments_sbsr-rh
  43. Konwea, P. E., & Fabamise, O. M. (2020). Religion and female genital mutilation as correlates of maternal mortality in Ekiti State. Journal of Health, Medicine, and Nursing, 76, 63-67.
  44. Kulaksiz, D., Nor, I. A., Erin, R., Erin, K. B., & Toprak, T. (2022). A prospective cohort study of the relationship of female genital mutilation with birth outcomes in Somalia. BMC Women’s Health, 22(202), 1-6.
  45. Lurie, J. M., Weidman, A., Huynh, S., Delgado, D., Easthausen, I., & Kaur, G. (2020). Painful gynecologic and obstetric complications of female genital mutilation/cutting: A systematic review and meta-analysis. PLOS Med., 17(3), e1003088.
  46. Mahmoud, M. I. (2016). Effect of female genital mutilation on female sexual function, Alexandria, Egypt. Alexandria Journal of Medicine, 52(1), 55-59.
  47. Matanda, D. J., Sripad, P., & Ndwiga, C. (2019). Is there a relationship between female genital mutilation/cutting and fistula? A statistical analysis using cross-sectional data from demographic and health surveys in 10 sub-Saharan Africa countries. BMJ Open. 9(7), e025355.
  48. Melo, J. K., Davim, R. M., & Silva, R. A. (2015). Advantages and disadvantages of labour and normal cesarean: View puerperal. Revista de Pesquisa: Cuidado é Fundamental Online, 7(4), 3197-3205. https:// doi.org/10.9789/2175-5361.2015.v7i4.3197-3205
  49. Mocumbi, S., Högberg, U., Lampa, E., Sacoor, C., Vala, A., Bergstrom, A., von Dadelszen, P., Munguambe, K., Hanson, C., Sevene, E., & the CLIP working group (2019). Mothers’ satisfaction with care during facility-based childbirth: A cross-sectional survey in southern Mozambique. BMC Pregnancy Childbirth, 19(303) https://doi.org/10.1186/s12884-019-2449-6
  50. Mpinga, E. K., Macias, A., Hasselgard-Rowe, J., Kandala, N. B., Félicien, T. K., Verloo, H., ... & Chastonay, P. (2016). Female genital mutilation: A systematic review of research on its economic and social impacts across four decades. Global Health Action, 9(1), 31489.
  51. Nolens, B., Akker, T. V., Lule, J., Twinomuhangi, S., Roosmalen, J. V., & Byamugisha, J. (2019). Women’s recommendations: vacuum extraction or caesarean section for prolonged second stage of labour, a prospective cohort study in Uganda. Tropical Medicine and International Health, 24(5), 553-562.
  52. Nonterah, E. A. et al. (2020). Prevalence and adverse obstetric outcomes of female genital mutilation among women in rural Northern Ghana. European Journal of Public Health, 30(3), 601-607.
  53. O’Neill, S., & Pallitto, C. (2021). The consequences of female genital mutilation on psycho-social well-being: A systematic review of qualitative research. Qualitative Health Research, 31(9), 1738-1750.
  54. Okonofua, F., Ogu, R., Agholor, K., Okike, O., Abdus-salam, Gana, M., Randawa, A., Abe, E., Durodola, A., Galandachi, H., The WHARC WHO FMOH MNCH Implementation Research Study Team (2017). Qualitative assessment of women’s satisfaction with maternal health care in referral hospitals in Nigeria. Reproductive Health, 14(44). https://doi.org/10.1186/s12978-017-0305-6
  55. Omona, K. (2021). Midwifery. IntechOpen
  56. Pashaei, T., Ponnet, K., Moeeni, M., Khazaee-pool, M., & Majlessi, F. (2016). Daughters at risk of female genital mutilation: Examining the determinants of mothers' intentions to allow their daughters to undergo female genital mutilation. PLoS One, 11(3), e0151630. doi: 10.1371/journal.pone.0151630.
  57. Pathirana, J., Muñoz, F. M., Abbing-Karahagopian, V., Bhat, N., Harris, T., Kapoor, A., Keene, D. L., Mangili, A., Padula, M. A., Pande, S. L., Pool, V., Pourmalek, F., Varricchio, F., Kochhar, S., Cutland, C. L., & Brighton Collaboration Neonatal Death Working Group (2016). Neonatal death: Case definition & guidelines for data collection, analysis, and presentation of immunization safety data. Vaccine, 34(49), 6027-6037. doi: 10.1016/j.vaccine.2016.03.040.
  58. Pérez-López, F. R., Ornat, L., López-Baena, M. T., Pérez-Roncero, G. R., Tajada-Duaso, M. C., & Chedrau, P. (2020). Association of female genital mutilation and female sexual dysfunction: a systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol., 254, 236–244.
  59. Rabiepour, S., & Ahmadi, Z. (2023). The effect of female circumcision on maternal and neonatal outcomes after childbirth: A cohort study. BMC Pregnancy and Childbirth, 23(46), https://doi.org/10.1186/s12884-022-05316-4
  60. Ramos, S. Z., Waring, M. E., Leung, K., Amir, N. S., Bannon, A. L., & Moore, T. A. (2017). Attempted and successful vacuum-assisted vaginal delivery by prepregnancy body mass index. Obstet Gynecol., 129(2), 311-320.
  61. Rodriguez, M. I., Seuc, A., Say, L., & Hindin, M. J. (2016). Episiotomy and obstetric outcomes among women living with type 3 female genital mutilation: A secondary analysis, Reproductive Health, 13, 131-135. doi: 10.1186/s12978-016-0242-9
  62. Rowe, R. E., Fitzpatrick, R., Hollowell, J., & Kurinczuk, J. J. (2012). Transfers of women planning birth in midwifery units: data from the birthplace prospective cohort study. BJOG, 119(9), 1081-1090. doi:10.1111/j.1471-0528.2012.03414.x
  63. Ruttert, S. (2021). Traditions of female genital mutilation in Nigeria. https://borgenproject.org/female-genital-mutilation-in-nigeria/
  64. Sawyer, A., Ayers, S., Abbott, J., Gyte, G., Rabe, H., & Duley, L. (2013). Measures of satisfaction with care during labour and birth: a comparative review. BMC Pregnancy Childbirth, 13(108). https://doi.org/10.1186/1471-2393-13-108
  65. Seidu, A. A. et al. (2022). Female genital mutilation and skilled birth attendance among women in sub-Saharan Africa. BMC Women's Health, 22, 26-30.
  66. Shamoradifar, Z., Asghari-Jafarabadi, M., Nourizadeh, R., Mehrabi, E., Areshtanab, H. N., & Shaigan, H. (2022). The impact of effective communication-based care on the childbirth experience and satisfaction among primiparous women: An experimental study. J Egypt Public Health Assoc., 97(1), 12. doi: 10.1186/s42506-022-00108-2.
  67. Shiferaw, D., & Toma, S. (2017). The Prevalence of Vacuum Vaginal Delivery and It’s Indications and Outcome among Mothers Who Delivered in Mizan-Tepi University Teaching Hospital, Southwest Ethiopia, 2017. Retrospective CrossSectional Study. Journal of Gynecology and Women’s Health, 6(2), 1-5.
  68. Silesh, M., & Lemma, T. (2021). Maternal satisfaction with intrapartum care and associated factors among postpartum women at public hospitals of North Shoa Zone Ethiopia. PLoS One, 16(12), e0260710. doi: 10.1371/journal.pone.0260710
  69. Srivastava, A., Avan, B. I., Rajbangshi, P., Bhattacharyya, S. (2015). Determinants of women’s satisfaction with maternal health care: A review of literature from developing countries. BMC Pregnancy and Childbirth, 15(97). https://doi.org/10.1186/s12884-015-0525-0
  70. Strand, P. S., Maxwell, P., & Trang, J. (2021). Daughter circumcision and maternal life satisfaction: A cultural moderation effect revealed across two studies. Retrieved from https://medrxiv.org/content/10.1101/2023.10.11.23296885v1.full.pdf
  71. Suleiman, I. R. et al. (2021). Trend in female genital mutilation and its associated adverse birth outcomes: A 10-year retrospective birth registry study in Northern Tanzania. PLos One, 16(1), 1-5.
  72. Suleiman, I. R., Maro, E., Shayo, B. C., Alloyce, J. P., Masenga, G., Mahande, M. J., Mchome, B. (2021). Trend in female genital mutilation and its associated adverse birth outcomes: A 10-year retrospective birth registry study in Northern Tanzania. PLoS One, 16(1), e0244888. doi: 10.1371/journal.pone.0244888
  73. Swami, V., Frederick, D. A., Aavik, T., Alcalay, L., Allik, J., Anderson, D., ... & Dijkstra, P. (2010). The attractive female body weight and female body dissatisfaction in 26 countries across 10 world regions: Results of the international body project I. Personality and Social Psychology Bulletin, 36(3), 309-325.
  74. Sylla, F., Moreau, C., & Andro, A. (2020). A systematic review and meta-analysis of the consequences of female genital mutilation on maternal and perinatal health outcomes in European and African countries. BMJ Global Health, 5, 1-14.
  75. Sylla, F., Moreau, C., & Andro, A. (2020). A systematic review and meta-analysis of the consequences of female genital mutilation on maternal and perinatal health outcomes in European and African countries. BMJ Global Health, 5, 1-14.
  76. Taumberger, N., Gruber, T., Edler, K., Trutnovsky, G., Bracic, T., Semrl, N., Schütz, A.M.,  Eisnecker, K., Tamussino, K., & Fluhr, H. (2023). Female genital mutilation/cutting incidence, diagnostic capacities, and obstetric outcomes among migrant women: a single-center retrospective analysis in a 10-year birth cohort in Austria. BMC Public Health, 23(68), 1-9.
  77. Thomson, G., Feeley, C., Moran, V. H., Downe, S., & Oladapo, O. T. (2019). Women's experiences of pharmacological and non-pharmacological pain relief methods for labour and childbirth: A qualitative systematic review. Reproductive Health, 16(1), 71. doi: 10.1186/s12978-019-0735-4.
  78. Thornicroft, G., Mehta, N., Clement, S., Evans-Lacko, S., Doherty, M., Rose, D., Koschorke, M., Shidhaye, R., O’Reilly, C., & Henderson, C. (2016). Evidence for effective interventions to reduce mental-health-related stigma and discrimination. The Lancet, 387(10023), 1123-1132.
  79. United Nations Human Rights (2020). Information series on sexual and reproductive health and rights: Maternal mortality and morbidity. Retrieved from https://www.ohchr.org/sites/default/files/INFO_MMM_WEB.pdf
  80. WHO (2008). Effects of female genital mutilation on childbirth in Africa. Retrieved from https://www.jstor.org/stable/resrep28081
  81. World Health Organization (2018). Care of girls and women living with female genital mutilation: a clinical handbook. https://www.who.int/teams/sexual-and-reproductive-health-and-research-(srh)/areas-of-work/female-genital-mutilation/types-of-female-genital-mutilation.
  82. World Health Organization (2023). Female genital mutilation (fact sheet). https://www.who.int/news-room/fact-sheets/detail/female-genital-mutilation.
  83. World Health Organization. (2020). Sexual and reproductive health and research. https://www.who.int/teams/sexual-and-reproductive-health-and-research/key-areas-of-work/sexual-health/defining-sexual-health
  84. Yosef, Y., Borsamo, A., & Abeje, S. (2023). Assessment of complications associated with female genital cutting among postnatal women in Chuko Primary Hospital, Sidama region, Southern Ethiopia. SAGE Open Medicine, 11, 1-7. doi: 10.1177/20503121221144243.
  85. Yosef, Y., Borsamo, A., & Abeje, S. (2023). Assessment of complications associated with female genital cutting among postnatal women in Chuko Primary Hospital, Sidama region, Southern Ethiopia. SAGE Open Med., 11, 1-12.

This study aimed at investigating the effect female genital mutilation has on vaginal deliveries and maternal satisfaction of mothers in Awka, Anambra State, Nigeria. This study is quantitative in nature and made use of a target population of women both with FGM and without FGM who gave birth in year 2022 in one of the community hospitals (Chukwuemeka Odumegwu Ojukwu University Teaching Hospital) in Awka, Anambra State, Nigeria.

Keywords : FGM, Maternal Satisfaction, Vaginal Deliveries

Paper Submission Last Date
30 - November - 2026

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