Title: A prospective cohort study of the relationship of female genital mutilation with birth
outcomes in Somalia
Version: 1 Date: 17 Apr 2022
Reviewer:  Hassan Abduljabbar
Reviewer's report:
Effects of female genital mutilation on birth outcomes in Somalia: a prospective cohort study
Keywords: birth complication, female genital mutilation, perineal tears, Somalia
Generally
The title reflects the study accurately.;( Effects of female genital mutilation on birth outcomes
in Somalia: a prospective cohort study)
Subject it involves an interesting and important subject
It is not original
Wuest S, Raio L, Wyssmueller D, Mueller MD, Stadlmayr W, Surbek DV, Kuhn A. Effects of
female genital mutilation on birth outcomes in Switzerland. BJOG: An International Journal of
Obstetrics & Gynaecology. 2009 Aug;116(9):1204-9.( similar study done in Switzerland smaller
number )
The message of the study is good and will have additional knowledge of the medical literature.
Abstract
The aim is to evaluate the birth outcomes of FGM, which is widely applied in Somalia.
It is straightforward and easy to understand.
It is a good summary. It is well written
Background:
Background# Female genital mutilation (FGM) is defined as the partial or complete removal
of the external female genitalia for non-medical reasons. It has some complications related to
delivery that concern both the mother and the baby
A good introduction of FGN
Method & Results
This study was designed a prospective cohort study
The study included 268 women
who gave birth at 37-42 weeks of gestation with a cephalic singleton,
134 with FGM and
134 without FGM.
and conducted between January 2019 and December 2020.
Patients' ages,
duration of delivery,
FGM types,
caesarean section requirements,
before and after birth hemoglobin levels,
birth weeks, baby birth weights and perineal tear data were recorded. In addition,
we analyzed neonatal intensive c
are needs and APGAR scores for infants.
Results:
Patient with FGM, it was determined that
the outlet obstruction increased 2.33 times,
Perineal tears increased 2.48 times,
The need for caesarean section increased 2.11 times compared to the control group,
and the APGAR score below 7 at the 5th minute in the children increased 2 times and the need
for neonatal intensive care increased 1.87 times.
Statistics very basic
Table 1: Maternal and fetal descriptive features and datas.
Table 2: Obstetrics and neonatal outcomes.
Conclusion:
FGM causes prolongation in the second stage of labor,
increased risk of perineal tear,
increased need for emergency caesarean section,
and increased need for NICU for infants.
Prevention of FGM will help reduce both obstetric and neonatal complications.
Keywords: birth complication, female genital mutilation, perineal tears, Somalia
The study is written in simple (English language with few spelling and grammar mistakes.)
Methods (a prospective cohort study )
268 women who gave birth at 37-42 weeks of gestation with a cephalic singleton,
134 with FGM and
134 without FGM.
Sample size ???
January 2019 and December 2020.
Results table illustrate the result
In patients with FGM, it was determined that
the outlet obstruction increased 2.33 times,
perineal tears increased 2.48 times,
the need for caesarean section increased 2.11 times compared to the control group,
and the APGAR score below 7 at the 5th minute in the children increased 2 times and the need
for neonatal intensive care increased 1.87 times.
Plagiarism .. There are some sentences in the manuscript taken from the web
No conflicts of interests
Ethically approved
Conclusions: FGM causes prolongation in the second stage of labour,
increased risk of perineal tear,
increased need for emergency caesarean section,
and increased need for NICU for infants.
Prevention of FGM will help reduce both obstetric and neonatal complications.
References 34 some not checked and not validated or not checked)