[Obstetrical complications of genital mutilation in Malian rural environment].
OBJECTIVE
To describe maternal and fetal complications during delivery of mutilated women.


METHODS
It was a case study, witnesses with matching going from February 1st, 2008 till January 31st, 2009 which took place in Mopti's region. We compared maternal and fetal complications of mutilated and non-mutilated women. Using statistical tests were Chi(2) (P<0.05), Odd-Ratio (OR) and its 95% confident interval (CI95%).


RESULTS
We recorded 410 deliveries among which 280 mutilated women (68%). One hundred and forty excised women were included. There is a significant difference between duration of eviction>30 mm (RC=8.27 [4.66-14.76], P<0.001); simple perennials lacerations (RC=14.54 [4.79-49.56], P<0.001) and full perennials lacerations (RC=8.90 [1.91-57.23], P<0.001) in the two groups. The scores of morbid Apgar (RC=9.70 [4.35-22,29], P<0.001) were more important in groups of cases. Moreover, we recorded 3 neonatal deaths and 4 complicated perennials lacerations in the group of cases only.


CONCLUSIONS
Maternal and fetal complications are significantly more important for the excised woman's than for the not excised women.
Service de gynécologie-obstétrique, CHU du Point G, Bamako, Mali. Electronic address: tiounkani@yahoo.fr.
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Théra
Service de gynécologie-obstétrique, CHU de Kati, Kati, Mali.
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A
Kouma
Service de gynécologie-obstétrique, hôpital du Mali, Bamako, Mali.
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M
Touré
Service de gynécologie-obstétrique, CHU du Point G, Bamako, Mali.
A
A
Coulibaly
Service de gynécologie-obstétrique, CHU du Point G, Bamako, Mali.
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M
Sima
Service de gynécologie-obstétrique, CHU du Point G, Bamako, Mali.
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I
Ongoiba
Service de gynécologie-obstétrique, CHU du Point G, Bamako, Mali; Service de gynécologie-obstétrique, CHU de Kati, Kati, Mali; Service de gynécologie-obstétrique, hôpital du Mali, Bamako, Mali.
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A
Sagara
Service de gynécologie-obstétrique, CHU du Point G, Bamako, Mali.
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B
Maiga
D000328:Adult; D019093:Circumcision, Female / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008302:Mali / Q000453:epidemiology; D007744:Obstetric Labor Complications / Q000453:epidemiology*; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D012424:Rural Population / Q000706:statistics & numerical data*
Déchirures obstétricales; Emergency obstetrical cares; Female genital mutilation; Mutilations génitales féminines; Obstetrical lacerations; Soins obstétricaux d’urgence