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An explorative study of Sudanese midwives' motives, perceptions and experiences of re-infibulation after birth

Berggren, Vanja; Abdel Salam, Gerais; Bergstrom, Staffan; Johansson, Eva and Edberg, Anna-Karin LU (2004) In Midwifery 20(4). p.299-311
Abstract
OBJECTIVE: to explore Sudanese midwives' motives for and perceptions and experiences of re-infibulation after birth and to elucidate its context and determinants. DESIGN: triangulation of methods, using observational techniques and open-ended interviews. SETTING AND PARTICIPANTS: two government hospitals in Khartoum/Omdurman, Sudan, for the observations and in-depth interviews with 17 midwives. FINDINGS: midwives are among the major stakeholders in the performance of primary female genital cutting (FGC) as well as re-infibulation. Focusing on re-infibulation after birth, midwives were trying to satisfy differing, and sometimes contradictory, perspectives. The practice of re-infibulation (El Adel) represented a considerable source of income... (More)
OBJECTIVE: to explore Sudanese midwives' motives for and perceptions and experiences of re-infibulation after birth and to elucidate its context and determinants. DESIGN: triangulation of methods, using observational techniques and open-ended interviews. SETTING AND PARTICIPANTS: two government hospitals in Khartoum/Omdurman, Sudan, for the observations and in-depth interviews with 17 midwives. FINDINGS: midwives are among the major stakeholders in the performance of primary female genital cutting (FGC) as well as re-infibulation. Focusing on re-infibulation after birth, midwives were trying to satisfy differing, and sometimes contradictory, perspectives. The practice of re-infibulation (El Adel) represented a considerable source of income for the midwives. The midwives integrated the practice of re-infibulation into a greater whole of doing well for the woman, through an endeavour to increase her value by helping her to maintain her marriage as well as striving for beautification and completion. They were also trying to meet socio-cultural requests, dealing with pressure from the family while balancing on the edge of the law. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the findings confirm that midwives are important stakeholders in perpetuating re-infibulation, and indicate that the motives are more complex than being only economic. The constant balancing between demands from others puts the midwives in a difficult position. Midwives' potential role to influence views in the preventative work against FGC and re-infibulation should be acknowledged in further abolition efforts. (Less)
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author
publishing date
type
Contribution to journal
publication status
published
subject
in
Midwifery
volume
20
issue
4
pages
299 - 311
publisher
Elsevier
external identifiers
  • pmid:15571879
  • scopus:9644260509
ISSN
1532-3099
DOI
10.1016/j.midw.2004.05.001
language
English
LU publication?
no
id
1119316b-ff54-41e2-bcd3-c5a23acc90bc (old id 1129210)
date added to LUP
2008-06-12 15:17:56
date last changed
2017-03-19 03:30:24
@article{1119316b-ff54-41e2-bcd3-c5a23acc90bc,
  abstract     = {OBJECTIVE: to explore Sudanese midwives' motives for and perceptions and experiences of re-infibulation after birth and to elucidate its context and determinants. DESIGN: triangulation of methods, using observational techniques and open-ended interviews. SETTING AND PARTICIPANTS: two government hospitals in Khartoum/Omdurman, Sudan, for the observations and in-depth interviews with 17 midwives. FINDINGS: midwives are among the major stakeholders in the performance of primary female genital cutting (FGC) as well as re-infibulation. Focusing on re-infibulation after birth, midwives were trying to satisfy differing, and sometimes contradictory, perspectives. The practice of re-infibulation (El Adel) represented a considerable source of income for the midwives. The midwives integrated the practice of re-infibulation into a greater whole of doing well for the woman, through an endeavour to increase her value by helping her to maintain her marriage as well as striving for beautification and completion. They were also trying to meet socio-cultural requests, dealing with pressure from the family while balancing on the edge of the law. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the findings confirm that midwives are important stakeholders in perpetuating re-infibulation, and indicate that the motives are more complex than being only economic. The constant balancing between demands from others puts the midwives in a difficult position. Midwives' potential role to influence views in the preventative work against FGC and re-infibulation should be acknowledged in further abolition efforts.},
  author       = {Berggren, Vanja and Abdel Salam, Gerais and Bergstrom, Staffan and Johansson, Eva and Edberg, Anna-Karin},
  issn         = {1532-3099},
  language     = {eng},
  number       = {4},
  pages        = {299--311},
  publisher    = {Elsevier},
  series       = {Midwifery},
  title        = {An explorative study of Sudanese midwives' motives, perceptions and experiences of re-infibulation after birth},
  url          = {http://dx.doi.org/10.1016/j.midw.2004.05.001},
  volume       = {20},
  year         = {2004},
}