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Re: female circumcisionFrom: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk)Wed Feb 18 14:45:52 1998
In message <199802180314.VAA03833@talk.obgyn.net>, Luis Sanchez-Ramos <sanchez-ramos@worldnet.att.net> writes >At Tue, 17 Feb 1998, Robert J. Woolley wrote: > >>What are the odds that the average American OB/Gyn has any more hands-on >>experience with this situation than Deborah does? > >The odds are greater than for a Family Physician or a nurse midwife. With respect I don't agree. In the last year I have dealt with three women who have been victims of ritual genital mutiliation in the Horn of Africa (circumscision is an inaccurate euphemism). I hade seen a few before that. I facilely assumed that all my five colleagues had similarly had one from time to time - when I had my third this year I asked them how many they'd seen (we have a few Somalians at out local university), each of them was disbeleiving that I had seen "so many" they'd never seen a single case. I think it's naive to assume that ob/gyns have a monopoly on this and that as this group of women are more likely to avoid ob/gyns or male professionals generally it may well be that other professionals may have more experience. I didn't immediately step in a volunteer my advice - based largely on experience of revising the vulva in non-pregnant young women seeking help with the sanitary needs of normal periods or being able to approach sex with a relatively normal set of "equipment". My feeling would be towards an individual intuitive approach to each woman. I have grave concerns about the possibility of being asked to reconstruct the "circumision" after childbirth.
--
Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt
Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK.
Tel: 01582-497459 (office) Fax: 01582-497376
01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk
http://www.obgyn.net/board/griffith.htm
"CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!"
(Someone [1997])
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