Defibulated immigrant women's sexual and reproductive health from the perspective of midwives and gynaecologists as primary care providers in Sweden-A phenomenographic study

Ahmed, Caisha ArahGothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences (författare)

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.

Khokhar, Amrish TayyibahGothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences (författare)
Erlandsson, Kerstin,1961-Högskolan Dalarna,Sexuell, reproduktiv och perinatal hälsa(Swepub:du)ker (författare)
Bogren, Malin,1970Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences(Swepub:gu)xbomal (författare)
Göteborgs universitetInstitutionen för vårdvetenskap och hälsa (creator_code:org_t)

Ingår i:Sexual & Reproductive Healthcare: Elsevier BV29, s. 100644-1877-57561877-5764
Ingår i:Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives: Elsevier BV29, s. 100644-1877-5764

Av författaren/redakt...: Ahmed, Caisha Ar ...; Khokhar, Amrish ...; Erlandsson, Kers ...; Bogren, Malin, 1 ...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Omvårdnad

Av lärosätet: Göteborgs universitet; Karolinska Institutet; Högskolan Dalarna

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