title: Maternal infibulation and obstetrical outcome in Djibouti.
abstract: OBJECTIVE
  The objective of the present study was to assess the relation between female genital mutilation and obstetric outcome in an East African urban clinic with a standardized care, taking into account medical and socioeconomic status.
  
  
  METHODS
  This was a cohort study conducted in Djibouti between October 1, 2012 and April 30, 2014. Overall 643 mothers were interviewed and clinically assessed for the presence of female genital mutilation. The prevalence of obstetric complications by infibulation status was included in a multivariate stepwise regression model.
  
  
  RESULTS
  Overall, 29 of 643 women did not have any form of mutilation (4.5%), as opposed to 238 of 643 women with infibulation (37.0%), 369 with type 2 (57.4%), and 7 with type 1 mutilation (1.1%).Women with a severe type of mutilation were more likely to have socio-economic and medical risk factors. After adjustment, the only outcome that was significantly related with infibulation was the presence of meconium-stained amniotic fluid with an odds ratio of 1.58 (1.10-2.27), p value=0.014.
  
  
  CONCLUSIONS
  Infibulation was not related with excess perinatal morbidity in this setting with a very high prevalence of female genital mutilation, but future research should concentrate on the relation between infibulation and meconium.
authors.affiliation: a Department of Gynecology and Obstetrics , Affi Hospital , Djibouti-City , Republic of Djibouti and.
authors.forename: Anne-Frederique
authors.initials: AF
authors.lastname: Minsart
authors.forename: Thai-Son
authors.initials: TS
authors.lastname: N'guyen
authors.forename: Rachid
authors.initials: R
authors.lastname: Ali Hadji
authors.forename: Martin
authors.initials: M
authors.lastname: Caillet
mesh_terms: D000328:Adult; D019093:Circumcision, Female / Q000009:adverse effects* / Q000706:statistics & numerical data; D015331:Cohort Studies; D015730:Djibouti / Q000453:epidemiology; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000453:epidemiology / Q000209:etiology*; D011247:Pregnancy; D015995:Prevalence; D012307:Risk Factors; D012959:Socioeconomic Factors
keywords: Female (MeSH); Horn of Africa; Obstetric delivery (MeSH); Somali; genital mutilation; meconium (MeSH); premature birth (MeSH); socioeconomic status (MeSH)