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Open AccessArticle

Understanding the Experiences and Needs of Migrant Women Affected by Female Genital Mutilation Using Maternity Services in Australia

1
Australian Centre for Public and Population Health Research, Faculty of Health, University of Technology Sydney, Ultimo NSW 2007, Australia
2
Maternal, Child and Adolescent Health Program, Burnet Institute, Melbourne VIC 3004, Australia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(5), 1491; https://doi.org/10.3390/ijerph17051491
Received: 5 February 2020 / Revised: 14 February 2020 / Accepted: 18 February 2020 / Published: 26 February 2020
(This article belongs to the Special Issue Policies and Strategies in Sexual and Reproductive Health)
Female genital mutilation (FGM) is a cultural practice defined as the partial or total removal of the external female genitalia for non-therapeutic reasons. Changing patterns of migration in Australia and other high-income countries has meant that maternity care providers and health systems are caring for more pregnant women affected by this practice. The aim of the study was to identify strategies to inform culturally safe and quality woman-centred maternity care for women affected by FGM who have migrated to Australia. An Appreciative Inquiry approach was used to engage women with FGM. We conducted 23 semi-structured interviews and three focus group discussions. There were four themes identified: (1) appreciating the best in their experiences; (2) achieving their dreams; (3) planning together; and (4) acting, modifying, improving and sustaining. Women could articulate their health and cultural needs, but they were not engaged in all aspects of their maternity care or considered active partners. Partnering and involving women in the design and delivery of their maternity care would improve quality care. A conceptual model, underpinned by women’s cultural values and physical, emotional needs, is presented as a framework to guide maternity services. View Full-Text
Keywords: female genital mutilation (FGM); women’s health needs; equality; quality of maternity care; midwifery continuity of care female genital mutilation (FGM); women’s health needs; equality; quality of maternity care; midwifery continuity of care
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Turkmani, S.; Homer, C.S.E.; Dawson, A.J. Understanding the Experiences and Needs of Migrant Women Affected by Female Genital Mutilation Using Maternity Services in Australia. Int. J. Environ. Res. Public Health 2020, 17, 1491.

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