Caring for Women with Circumcision: A Technical Manual for Health Care Providers

doi:10.1136/bmj.320.7247.1481

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Jan Welch, consultant

Department of Sexual Health, King's College Hospital, London

Nahid Toubia

RAINBO, $17.95, pp 94

ISBN 1 893136 01 9

Rating: Embedded Image

A 19 year old Somali refugee woman presented in labour. She spoke no English. Examination of her vulval area showed a long scar in place of her external genitals, with only a tiny opening. The senior resident called to advise thought that he remembered hearing about ritual cutting, and managed to track down a colleague who had worked in Somalia. Over the telephone, she explained that the woman was infibulated and needed defibulation in the …