A Meta-Synthesis of the Birth Experiences of African Immigrant Women Affected by Female Genital Cutting

Asma Hamid, Karen Trister Grace, Nicole E Warren

Research output: Contribution to journalReview article

Abstract

Introduction: The purpose of this qualitative meta-synthesis was to understand the labor and birth experiences of immigrant women in countries of resettlement who have a history of female genital cutting (FGC), also known as female genital mutilation or female circumcision. Methods: We used a meta-ethnography approach to synthesize the literature on this topic. We searched PubMed, Embase, Web of Science, CINAHL, PsycINFO, and Sociological Abstracts databases from inception to May 2016 using the search terms female genital cutting, female circumcision, clitorectomy, clitoridectomy, pharaonic circumcision, genital circumcision, female genital mutilation, infibulation, and deinfibulation. Our inclusion criteria were 1) peer-reviewed, original qualitative research; 2) focused on populations affected by FGC or their health care providers; 3) conducted in a country where FGC is not documented as an indigenous practice; 4) English language; and 5) included a description of postmigratory labor and birth experiences of women affected by FGC. Fourteen articles were included. Results: Two new syntheses emerged from our sample of studies including African immigrant women primarily resettled in Europe and the United States. First, birth after FGC in the context of resettlement included pain and anxiety, and has the potential to retraumatize. Second, while women experienced nostalgia for familiar traditions and perceived disrespect in their new setting, they questioned traditions, including the role of FGC, in their and their daughters’ lives. Discussion: The negative birth experiences of women affected by FGC highlight the need to improve care for this population. Health care professionals can serve as a source of support for women affected by FGC by acknowledging and addressing FGC in their care and actively listening to their perspectives and concerns.

Original languageEnglish (US)
Pages (from-to)185-195
Number of pages11
JournalJournal of Midwifery and Women's Health
Volume63
Issue number2
DOIs
StatePublished - Mar 1 2018

Fingerprint

Female Circumcision
Parturition
Cultural Anthropology
Birth Order
Qualitative Research
Nuclear Family
PubMed
Health Personnel
Population
Language
Anxiety
Databases
Delivery of Health Care
Pain

Keywords

  • global health/international
  • health disparities
  • intrapartum care
  • qualitative research
  • systematic reviews and meta-analyses

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Maternity and Midwifery

Cite this

A Meta-Synthesis of the Birth Experiences of African Immigrant Women Affected by Female Genital Cutting. / Hamid, Asma; Grace, Karen Trister; Warren, Nicole E.

In: Journal of Midwifery and Women's Health, Vol. 63, No. 2, 01.03.2018, p. 185-195.

Research output: Contribution to journalReview article

@article{cb59a1db68f34fdd82026d53dbdc9f2a,
title = "A Meta-Synthesis of the Birth Experiences of African Immigrant Women Affected by Female Genital Cutting",
abstract = "Introduction: The purpose of this qualitative meta-synthesis was to understand the labor and birth experiences of immigrant women in countries of resettlement who have a history of female genital cutting (FGC), also known as female genital mutilation or female circumcision. Methods: We used a meta-ethnography approach to synthesize the literature on this topic. We searched PubMed, Embase, Web of Science, CINAHL, PsycINFO, and Sociological Abstracts databases from inception to May 2016 using the search terms female genital cutting, female circumcision, clitorectomy, clitoridectomy, pharaonic circumcision, genital circumcision, female genital mutilation, infibulation, and deinfibulation. Our inclusion criteria were 1) peer-reviewed, original qualitative research; 2) focused on populations affected by FGC or their health care providers; 3) conducted in a country where FGC is not documented as an indigenous practice; 4) English language; and 5) included a description of postmigratory labor and birth experiences of women affected by FGC. Fourteen articles were included. Results: Two new syntheses emerged from our sample of studies including African immigrant women primarily resettled in Europe and the United States. First, birth after FGC in the context of resettlement included pain and anxiety, and has the potential to retraumatize. Second, while women experienced nostalgia for familiar traditions and perceived disrespect in their new setting, they questioned traditions, including the role of FGC, in their and their daughters’ lives. Discussion: The negative birth experiences of women affected by FGC highlight the need to improve care for this population. Health care professionals can serve as a source of support for women affected by FGC by acknowledging and addressing FGC in their care and actively listening to their perspectives and concerns.",
keywords = "global health/international, health disparities, intrapartum care, qualitative research, systematic reviews and meta-analyses",
author = "Asma Hamid and Grace, {Karen Trister} and Warren, {Nicole E}",
year = "2018",
month = "3",
day = "1",
doi = "10.1111/jmwh.12708",
language = "English (US)",
volume = "63",
pages = "185--195",
journal = "Journal of Midwifery and Women's Health",
issn = "1526-9523",
publisher = "Wiley-Blackwell",
number = "2",

}

TY - JOUR

T1 - A Meta-Synthesis of the Birth Experiences of African Immigrant Women Affected by Female Genital Cutting

AU - Hamid, Asma

AU - Grace, Karen Trister

AU - Warren, Nicole E

PY - 2018/3/1

Y1 - 2018/3/1

N2 - Introduction: The purpose of this qualitative meta-synthesis was to understand the labor and birth experiences of immigrant women in countries of resettlement who have a history of female genital cutting (FGC), also known as female genital mutilation or female circumcision. Methods: We used a meta-ethnography approach to synthesize the literature on this topic. We searched PubMed, Embase, Web of Science, CINAHL, PsycINFO, and Sociological Abstracts databases from inception to May 2016 using the search terms female genital cutting, female circumcision, clitorectomy, clitoridectomy, pharaonic circumcision, genital circumcision, female genital mutilation, infibulation, and deinfibulation. Our inclusion criteria were 1) peer-reviewed, original qualitative research; 2) focused on populations affected by FGC or their health care providers; 3) conducted in a country where FGC is not documented as an indigenous practice; 4) English language; and 5) included a description of postmigratory labor and birth experiences of women affected by FGC. Fourteen articles were included. Results: Two new syntheses emerged from our sample of studies including African immigrant women primarily resettled in Europe and the United States. First, birth after FGC in the context of resettlement included pain and anxiety, and has the potential to retraumatize. Second, while women experienced nostalgia for familiar traditions and perceived disrespect in their new setting, they questioned traditions, including the role of FGC, in their and their daughters’ lives. Discussion: The negative birth experiences of women affected by FGC highlight the need to improve care for this population. Health care professionals can serve as a source of support for women affected by FGC by acknowledging and addressing FGC in their care and actively listening to their perspectives and concerns.

AB - Introduction: The purpose of this qualitative meta-synthesis was to understand the labor and birth experiences of immigrant women in countries of resettlement who have a history of female genital cutting (FGC), also known as female genital mutilation or female circumcision. Methods: We used a meta-ethnography approach to synthesize the literature on this topic. We searched PubMed, Embase, Web of Science, CINAHL, PsycINFO, and Sociological Abstracts databases from inception to May 2016 using the search terms female genital cutting, female circumcision, clitorectomy, clitoridectomy, pharaonic circumcision, genital circumcision, female genital mutilation, infibulation, and deinfibulation. Our inclusion criteria were 1) peer-reviewed, original qualitative research; 2) focused on populations affected by FGC or their health care providers; 3) conducted in a country where FGC is not documented as an indigenous practice; 4) English language; and 5) included a description of postmigratory labor and birth experiences of women affected by FGC. Fourteen articles were included. Results: Two new syntheses emerged from our sample of studies including African immigrant women primarily resettled in Europe and the United States. First, birth after FGC in the context of resettlement included pain and anxiety, and has the potential to retraumatize. Second, while women experienced nostalgia for familiar traditions and perceived disrespect in their new setting, they questioned traditions, including the role of FGC, in their and their daughters’ lives. Discussion: The negative birth experiences of women affected by FGC highlight the need to improve care for this population. Health care professionals can serve as a source of support for women affected by FGC by acknowledging and addressing FGC in their care and actively listening to their perspectives and concerns.

KW - global health/international

KW - health disparities

KW - intrapartum care

KW - qualitative research

KW - systematic reviews and meta-analyses

UR - http://www.scopus.com/inward/record.url?scp=85044281293&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85044281293&partnerID=8YFLogxK

U2 - 10.1111/jmwh.12708

DO - 10.1111/jmwh.12708

M3 - Review article

C2 - 29569363

AN - SCOPUS:85044281293

VL - 63

SP - 185

EP - 195

JO - Journal of Midwifery and Women's Health

JF - Journal of Midwifery and Women's Health

SN - 1526-9523

IS - 2

ER -