The American Academy of Pediatrics approximates that between four and five million procedures are carried out every year , though the United Nations Children 's Fund ( UNICEF ) reported in 2013 that the practice of female genital mutilation is on the decline .
The American Academy of Pediatrics wrote in 1998 that between four and five million procedures were being carried out every year . 
 The United Nations Children 's Fund reported in 2013 that the practice is on the decline .