Nursing Care of Women Who Have Undergone Genital Cutting

Tilley, Donna Scott

doi:10.1111/1751-486x.12237

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…151 Tilley describes FGM as intentional genital mutilation without medical need, including the partial and total removal of young female's genital organs based on the sexual, reproductive and psychological identity within that society. 152 No offence is committed if the procedure is carried out by medical practitioners for legitimate medical reasons and it is necessary for the physical or mental health of the child.…”

Section: Does Intersex Surgery Fall Outside Of the Medical Exception?mentioning

confidence: 99%

Intersex children: Who are we really treating?

Horowicz

2017

Medical Law International

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Surgery to align an infant child's genitals to a medically assigned sex is controversial because it is irreversible and therefore may potentially be detrimental to the child as they develop into a gender identity. I argue that the significant issue for genital-normalizing surgery is decision-making and that English law does not promote or protect the best interests of the intersex child or the inherent human rights that are protected by both domestic and international law. Using a doctrinal and socio-legal methodology along with a close analysis of bioethical arguments, I argue that the interpretation of the best interests of infant intersex children is manipulated to support the lack of social, legal and medical acceptance of intersex as an 'abnormality' that must be corrected, in order to conform to the accepted normality of binary male and female sex. In acknowledgment of this legal and professional standards deficit, I will propose a shared-decision-making approach to support the welfare of the child, which, at its core, places the child as the primary decision maker.

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Section: Does Intersex Surgery Fall Outside Of the Medical Exception?mentioning

confidence: 99%

Intersex children: Who are we really treating?

Horowicz

2017

Medical Law International

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“…With a continued increase of FGC-affected women in Europe and Sweden (Eurostat, 2016), the demand on healthcare systems to deal with FGC-related problems is likely to intensify. Studies indicate that healthcare professionals (HCPs) generally lack knowledge regarding FGC-affected women's needs and how to adequately care for patients with FGCrelated problems (Dawson et al, 2015;Jordal & Wahlberg, 2018;Tilley, 2015;Turkmani et al, 2018;Vissandj ee et al, 2014;Zaidi et al, 2007;Zurynski et al, 2015). In Sweden, the HCPs most likely to encounter women with FGC-related concerns are midwives, obstetricians and gynecologists (L€ ansstyrelsen € Osterg€ otland, 2014).…”

Section: Introductionmentioning

confidence: 99%

Swedish Gynecologists’ Positioning in Relation to Clitoral Reconstruction After Female Genital Cutting. A Qualitative Interview Study

Jordal

Levin

Påfs

et al. 2020

International Journal of Sexual Health

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Background: Clitoral reconstruction (CR) is surgical reparation of the clitoris cut as part of the practice of female genital cutting (FGC) available in a handful of countries, including Sweden. The surgery aims at restoring the clitoris esthetically and functionally, thus has implications for sexual health. Gynaecological examinations can be an opportunity for dialogue regarding women's sexual health. Gynecologist play a role in referring patients experiencing FGC-related problems, including sexual, to specialist services such as CR. Aim: The aim of this study was to explore how gynecologists position themselves in relation to CR. Method: Eight gynecologists were interviewed using semi-structured interviews. The interviews were tape-recorded, transcribed and analyzed using thematic analysis. Results: The gynecologists positioned themselves in three different ways in relation CR; outright negative, uncertain or positive toward the surgery. Those positioning themselves as negative thought CR was a harmful fraud and denied any possible benefits, at least sufficient for referral for CR. Those positioning themselves as uncertain did not deny possible benefits, but were skeptical toward CR improving cut women's sexual health and function. Those positioning themselves positive considered the potential physical, psychological/emotional, esthetic, or symbolic aspects of CR as important for general well-being and sexual health. Conclusion: There was a great variety in how the gynecologists positioned themselves toward CR, and many were skeptical toward the functional benefits in relation to sexual health. This is likely to diverge cut women's access to CR surgery.

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Risk, Harm, and Prevention of Female Genital Cutting in the U.S.

Warren

Tower

2020

Arch Sex Behav

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Nursing Care of Women Who Have Undergone Genital Cutting

Cited by 4 publications

References 12 publications

Intersex children: Who are we really treating?

Intersex children: Who are we really treating?

Swedish Gynecologists’ Positioning in Relation to Clitoral Reconstruction After Female Genital Cutting. A Qualitative Interview Study

Risk, Harm, and Prevention of Female Genital Cutting in the U.S.

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