{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:47:33Z","timestamp":1777880853431,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medicine"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Female genital cutting is a genital operation for a nonmedical reason and involves the cutting away of a part or whole of the female external genitals. Postnatal women with genital cutting could be more vulnerable to circumcision-associated birth complications, and it is still a major health problem during childbirth and the postnatal period in Ethiopia. This study aimed to assess complications associated with female genital cutting among postnatal women in Chuko Primary Hospital, Sidama region, Southern Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>An institutional-based quantitative cross-sectional study design was conducted from 01 May 2021 to 15 June 2021. A systematic random sampling technique was used to select study participants. Data were collected by using a structured pretested questionnaire and reviewing medical records. The data were analyzed using SPSS version 23.0. Logistic regression analysis was computed to identify birth complications associated with female genital cutting from independent variables, and significance was declared at p\u2009&lt;\u20090.05 with 95% CI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The proportion of female genital cutting among the participants was 76.8% (95% confidence interval: 71.1, 81.2). Prolonged labor and birth asphyxia were statistically significant female genital cutting-associated birth complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study revealed a high proportion of complications associated with female genital cutting. Birth complications such as prolonged labor and birth asphyxia have a statistically significant association with it. Illiteracy and early marriage were the predominant reasons for female genital cutting. Therefore, healthcare providers should educate the rural communities to prevent early marriage and female genital cutting to prevent its complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20503121221144243","type":"journal-article","created":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T07:45:14Z","timestamp":1673336714000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of complications associated with female genital cutting among postnatal women in Chuko Primary Hospital, Sidama region, Southern Ethiopia"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3757-2163","authenticated-orcid":false,"given":"Yirgalem","family":"Yosef","sequence":"first","affiliation":[{"name":"Department of Midwifery, College of Health Science, Wolkite University, Wolkite, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abebe","family":"Borsamo","sequence":"additional","affiliation":[{"name":"School of Medicine, College of Health Science, Dilla University, Dilla, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1096-5848","authenticated-orcid":false,"given":"Seblework","family":"Abeje","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, College of Health Science, Wolkite University, Wolkite, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,1,10]]},"reference":[{"key":"bibr1-20503121221144243","unstructured":"WHO. Eliminating female genital mutilation: An interagencystatement, https:\/\/www.unfpa.org\/publications\/eliminating-female-genital-mutilation-interagency-statement (2008, accessed 10 January 2021)."},{"key":"bibr2-20503121221144243","doi-asserted-by":"publisher","DOI":"10.3889\/oamjms.2018.099"},{"key":"bibr3-20503121221144243","unstructured":"WHO. Female genital mutilation evidence brief, https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/329885\/WHO-RHR-19.19-eng.pdf?ua=1 (2019, accessed 10 January 2021)."},{"issue":"5","key":"bibr4-20503121221144243","first-page":"255","volume":"78","author":"Hakim L.","year":"2001","journal-title":"East Afr Med J"},{"key":"bibr5-20503121221144243","doi-asserted-by":"publisher","DOI":"10.21037\/tau.2016.12.01"},{"key":"bibr6-20503121221144243","unstructured":"WHO. Female genital mutilation technical report, https:\/\/apps.who.int\/iris\/handle\/10665\/63602 (1995, accessed 10 January 2021)."},{"key":"bibr7-20503121221144243","volume-title":"Understanding and addressing violence against women","author":"WHO","year":"2012"},{"key":"bibr8-20503121221144243","unstructured":"WHO. Female genital mutilation, https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/female-genital-mutilation (2020, accessed 10 January 2021)."},{"key":"bibr9-20503121221144243","unstructured":"UN. Eighty percent of FGM cases happen in Africa, 2021, https:\/\/reliefweb.int\/report\/world\/eighty-cent-fgm-cases-happen-africa."},{"key":"bibr10-20503121221144243","unstructured":"WHO. Effects of female genital mutilation on childbirth in Africa. Reproductive Health and Research 2006; 1835\u20131841. Available at: https:\/\/www.who.int\/reproductivehealth\/publications\/fgm\/effect_of_fgm_on_childbirth_africa.pdf. Accessed 367."},{"key":"bibr11-20503121221144243","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2020-003307"},{"issue":"7","key":"bibr12-20503121221144243","volume":"6","author":"Outlaw D","year":"2020","journal-title":"Heliyon"},{"issue":"2","key":"bibr13-20503121221144243","first-page":"40","volume":"12","author":"Asmamaw A","year":"2020","journal-title":"Ethiop J Reprod Health"},{"key":"bibr14-20503121221144243","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2020.e04403"},{"key":"bibr15-20503121221144243","first-page":"49","volume":"20","author":"Zenebe Fikrie B","year":"2010","journal-title":"Ethiop J Health Sci"},{"key":"bibr16-20503121221144243","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68805-3"},{"key":"bibr17-20503121221144243","doi-asserted-by":"publisher","DOI":"10.1016\/0028-2243(89)90041-5"},{"key":"bibr18-20503121221144243","doi-asserted-by":"publisher","DOI":"10.17265\/2159-5313\/2016.09.003"},{"key":"bibr19-20503121221144243","first-page":"316","volume":"13","author":"Tamir M","year":"2013","journal-title":"Macedonian J Med Sci"},{"key":"bibr20-20503121221144243","unstructured":"WHO. Guidelines for the management of postpartum hemorrhage and retained placenta, https:\/\/apps.who.int\/iris\/handle\/10665\/44171 (2009, accessed 11 January 2021)."},{"key":"bibr21-20503121221144243","unstructured":"MedlinePlus. Episiotomy \u2013 aftercare, https:\/\/medlineplus.gov\/ency\/patientinstructions\/000483.htm (2019, accessed 11 January 2021)."},{"key":"bibr22-20503121221144243","unstructured":"HealthLine. Apgar score: What you should know, https:\/\/www.healthline.com\/health\/apgar-score#apgar-rubric.(2005, accessed 5 February 2021)."},{"key":"bibr23-20503121221144243","unstructured":"Libraries FSU. Goodness-of-tests for logistic regression, https:\/\/diginole.lib.fsu.edu\/islandora\/object\/fsu:253874\/datastream\/PDF\/view (2010, accessed 5 February 2021)."},{"key":"bibr24-20503121221144243","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S28805"},{"issue":"1","key":"bibr25-20503121221144243","first-page":"91","volume":"4","author":"Anjulo BB","year":"2021","journal-title":"Int J Sex Reprod Health Care"},{"key":"bibr26-20503121221144243","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S111091"},{"key":"bibr27-20503121221144243","volume-title":"Female genital mutilation: health consequences and complications\u2014a short literature review","author":"Klein E","year":"2018"},{"key":"bibr28-20503121221144243","unstructured":"UNFPA. Female genital mutilation (FGM) frequently asked questions. https:\/\/www.unfpa.org\/resources\/female-genital-mutilation-fgm-frequently-asked-questions (2022, accessed 11 January 2021)."}],"container-title":["SAGE Open Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20503121221144243","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20503121221144243","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20503121221144243","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:24:36Z","timestamp":1777595076000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20503121221144243"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":28,"alternative-id":["10.1177\/20503121221144243"],"URL":"https:\/\/doi.org\/10.1177\/20503121221144243","relation":{},"ISSN":["2050-3121","2050-3121"],"issn-type":[{"value":"2050-3121","type":"print"},{"value":"2050-3121","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"article-number":"20503121221144243"}}