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Re: Female infibulationFrom: Cheri Van Hoover (cherivh@waonline.com)Sun Oct 27 08:39:20 1996
Garry E. Siegel wrote: > > At 11:52 PM 10/25/96 -0500, you wrote: > >I have a patient who has the top part of the labia sown together from child > >hood. > > I have delivered one patient with what sounds like the same thing, and I > elected to do nothing until delivery. She delivered vaginally, and had (I > believe) a 4th degree laceration, and the fused labia in the superior > midline split somewhat, not fully. I achieved hemostasis on the split, but > didn't open it further. LOL I had one patient with a similar style of infibulation, as well. I was fortunate enough to have a nurse with me who was a British trained midwife who had worked in Saudi Arabia and delivered many of these women. I followed her recommendations and cut a very small mediolateral episiotomy (as the perineum had been altered, as well, and was very short and scarred). The sphincter was intact. My woman also tore partially through the superior labial fusion. I asked her what she wanted done about it. I told her I could separate the labia fully or restore it to the way it was. She wanted it opened to be "more normal". I told her I didn't want to do anything that would be contrary to her culture, and she told me, "I hate that culture." Her husband agreed when I showed him what I planned to do. So I finished separating the fused labia, with fairly good cosmetic results.
-- Cheri Van Hoover, CNM Kaiser Hospital, Redwood City, CA
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