{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:42:21Z","timestamp":1787510541298,"version":"build-2736575974"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,6,13]],"date-time":"2019-06-13T00:00:00Z","timestamp":1560384000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Although prohibited by specific legislation in Australia, patterns of global migration underscore the importance for local clinicians to recognise and manage potential complications associated with female genital mutilation\/cutting (\n                      <jats:styled-content style=\"fixed-case\">FGM<\/jats:styled-content>\n                      \/C). The incidence of antenatal depression in Australia is 10% and may be higher among those with a history of\n                      <jats:styled-content style=\"fixed-case\">FGM<\/jats:styled-content>\n                      \/C (RANZCOG 2 statement: Perinatal Anxiety and Depression, 2012). The phenomenon of cultural embedding could represent a protective factor against an increase in mental health problems among these women.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>\n                      To determine whether women who have undergone\n                      <jats:styled-content style=\"fixed-case\">FGM<\/jats:styled-content>\n                      \/C are at greater risk of depression in the antenatal period as defined by the Edinburgh Postnatal Depression Scale (\n                      <jats:styled-content style=\"fixed-case\">EPDS<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      A multicentre retrospective case\u2010control study was performed. Participants who had delivered at either of two hospitals, had migrated from\n                      <jats:styled-content style=\"fixed-case\">FGM<\/jats:styled-content>\n                      \/C\u2010prevalent countries and who had undergone\n                      <jats:styled-content style=\"fixed-case\">FGM<\/jats:styled-content>\n                      \/C were assessed and compared with the control group, case\u2010matched by language and religion.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eighty\u2010nine cases were included with an equal number of matched controls. No significant difference in the\n                      <jats:styled-content style=\"fixed-case\">EPDS<\/jats:styled-content>\n                      score was demonstrated when analysed as a continuous variable (\n                      <jats:italic>P\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\n                      0.41) or as a categorical variable with a cut\u2010off score of 12 (\n                      <jats:italic>P\u00a0=\u00a0<\/jats:italic>\n                      0.12). There was no difference in the number of women who identified as having thoughts of self\u2010harm between the two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      There was no identified increase in the risk of antenatal depression among women who have undergone\n                      <jats:styled-content style=\"fixed-case\">FGM<\/jats:styled-content>\n                      \/C from high\u2010prevalence countries. Consideration must be given to the utility of the\n                      <jats:styled-content style=\"fixed-case\">EPDS<\/jats:styled-content>\n                      in this population, as well as factors such as cultural embedding.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.13001","type":"journal-article","created":{"date-parts":[[2019,6,14]],"date-time":"2019-06-14T02:44:45Z","timestamp":1560480285000},"page":"76-81","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Risk assessment for antenatal depression among women who have undergone female genital mutilation or cutting: Are we missing the mark?"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1521-3810","authenticated-orcid":false,"given":"Araz S.","family":"Boghossian","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Westmead Hospital Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Freebody","sequence":"additional","affiliation":[{"name":"Department of Radiology St Vincent's Hospital Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Moses","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Westmead Hospital Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Westmead Hospital Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,13]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"RANZCOG 2 statement: Perinatal Anxiety and Depression 2012[Accessed Dec 8 2014]. 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Available from:http:\/\/www.who.int\/mediacentre\/factsheets\/fs241\/en."},{"key":"e_1_2_7_9_1","unstructured":"United Nations Children's Fund.Female Genital Mutilation\/Cutting: A statistical overview and exploration of the dynamics of change 2013[Accessed Dec 8 2014]. 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[Accessed Mar 3 2019] Available from:https:\/\/www.who.int\/bulletin\/volumes\/86\/4\/07-042093\/en\/.","DOI":"10.2471\/BLT.07.042093"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2017-000467"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-8-24"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13001","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajo.13001","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T12:31:30Z","timestamp":1694003490000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.13001"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,13]]},"references-count":32,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,2]]}},"alternative-id":["10.1111\/ajo.13001"],"URL":"https:\/\/doi.org\/10.1111\/ajo.13001","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,13]]},"assertion":[{"value":"2018-12-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-04-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-06-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}