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Defibulated immigrant women's sexual and reproductive health from the perspective of midwives and gynaecologists as primary care providers in Sweden - A phenomenographic study.
Högskolan Dalarna, Institutionen för hälsa och välfärd, Sexuell, reproduktiv och perinatal hälsa.ORCID-id: 0000-0002-6910-7047
2021 (Engelska)Ingår i: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 29, artikel-id 100644Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

OBJECTIVE: To capture care providers' perceptions of defibulated immigrant women's sexual and reproductive health, illuminated by their experiences as care providers for these women.

METHODS: Individual interview study with 13 care providers at Swedish healthcare facilities: six gynaecologists and seven midwives caring for defibulated immigrant women, analysed with a phenomenographic method.

FINDINGS: One of the care providers' perceptions of women who had been defibulated was that they had an altered genital function, meaning a wider introitus, improved vaginal intercourse, and more ease urinating and menstruating. The care providers also perceived that women who were defibulated had to balance their wellbeing, struggling between a positive self-image and handling their emotions. Existing in-between cultural values led to a fear of being excluded while at the same time having a desire to be included in the new culture.

CONCLUSION: Defibulation affects women's sexual and reproductive health and calls for a holistic perspective when providing services, individualized according to the woman's care needs. Support and counselling, should include information about defibulation already during the adolescent years to promote sexual and reproductive health and well-being.

Ort, förlag, år, upplaga, sidor
2021. Vol. 29, artikel-id 100644
Nyckelord [en]
Care providers, Defibulation, Experiences, Perceptions, Phenomenography
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URN: urn:nbn:se:du-37836DOI: 10.1016/j.srhc.2021.100644ISI: 000696626800019PubMedID: 34265570Scopus ID: 2-s2.0-85110062801OAI: oai:DiVA.org:du-37836DiVA, id: diva2:1583005
Tillgänglig från: 2021-08-04 Skapad: 2021-08-04 Senast uppdaterad: 2023-04-14Bibliografiskt granskad

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Erlandsson, Kerstin

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