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Female genital mutilation: perspectives from a Somalian midwife.

Caring for women who have undergone female genital mutilation (FGM) especially infibulation requires both cultural sensitivity and special management skills from health care professionals. This article prepared by a Somalian midwife now working in Canada outlines some of the special requirements related to intercourse pregnancy and delivery. It sets forth a basic protocol for the clinical care of women with FGM during the intrapartum and postpartum periods. Somalian women are unused to male caregivers and a high-technology approach to delivery. Physicians should be trained in various methods of opening a scar to permit a trial of vaginal delivery. Many Somalian immigrants to North America prefer laser treatment to surgery. It is important to explain that reinfibulation is an illegal procedure in Canada.