Counselling for deinfibulation among women with type III female genital mutilation: A systematic review.
BACKGROUND
Counselling is a routine practice done before deinfibulation in women with type III female genital mutilation (FGM). However, cultural and social pressures, in addition to maladaptation to the changes in the body post deinfibulation, cause some women to choose to be reinfibulated after being deinfibulated.


OBJECTIVE
To conduct a systematic review of the impact of counselling prior to deinfibulation on patient satisfaction, marital satisfaction, and rate of requests for reinfibulation among women living with type III FGM. The secondary aim was to assess the impact of male partner involvement in counselling on patient satisfaction, marital satisfaction, and rate of requests for reinfibulation.


METHODS
Major databases including Cochrane Central Register of Controlled Trials, Medline, SCOPUS, and ClinicalTrials.gov were searched until August 2015.


METHODS
Studies comparing women with type III FGM who received counselling before deinfibulation versus no counselling were included.


METHODS
Two team members independently screened and collected data.


RESULTS
No eligible studies were identified.


CONCLUSIONS
There is no evidence to conclude that counselling before deinfibulation influences patients' satisfaction with overall quality of care or rates of request for reinfibulation.
CRD42015024675.
Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria.
Segun
S
Bello
Department of Family Medicine, University of Calabar Teaching Hospital, Calabar, Nigeria.
Miriam
M
Ogugbue
Cochrane Nigeria, Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria.
Moriam
M
Chibuzor
Medical Research Council Unit, Banjul, The Gambia.
Uduak
U
Okomo
Cochrane Nigeria, Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria.|Department of Pediatrics, College of Medical Sciences, University of Calabar, Calabar, Nigeria.
Martin M
MM
Meremikwu
D002921:Cicatrix / Q000601:surgery; D019093:Circumcision, Female / Q000145:classification / Q000523:psychology*; D003376:Counseling / Q000592:standards*; D005260:Female; D006801:Humans; D017060:Patient Satisfaction; D011787:Quality of Health Care / Q000592:standards*; D012086:Reoperation / Q000706:statistics & numerical data*; D014844:Vulva / Q000601:surgery
Complications; Counselling; Deinfibulation; Female genital cutting; Female genital mutilation; Male involvement; Marital satisfaction; Reinfibulation