Increasing Certified Nurse-Midwives’ Confidence in Managing the Obstetric Care of Women with Female Genital Mutilation/Cutting
Article first published online: 9 AUG 2013
© 2013 by the American College of Nurse-Midwives
Journal of Midwifery & Womens Health
Volume 58, Issue 4, pages 451–456, July/August 2013
How to Cite
Jacoby, S. D. and Smith, A. (2013), Increasing Certified Nurse-Midwives’ Confidence in Managing the Obstetric Care of Women with Female Genital Mutilation/Cutting. Journal of Midwifery & Womens Health, 58: 451–456. doi: 10.1111/j.1542-2011.2012.00262.x
- Issue published online: 9 AUG 2013
- Article first published online: 9 AUG 2013
- female genital mutilation/cutting;
- female circumcision;
- simulated learning;
In response to an increase in the number of women who immigrate to the United States from countries that practice female genital mutilation/cutting (FGM/C; infibulation), US clinicians can expand their knowledge and increase confidence in caring for women who have experienced infibulation. This article describes a comprehensive education program on FGM/C and the results of a pilot study that examined its effect on midwives’ confidence in caring for women with infibulation.
An education program was developed that included didactic information, case studies, a cultural roundtable, and a hands-on skills laboratory of deinfibulation and repair. Eleven certified nurse-midwives (CNMs) participated in this pilot study. Participants completed a measure-of-confidence survey tool before and after the education intervention.
Participants reported increased confidence in their ability to provide culturally competent care to immigrant women with infibulation when comparisons of preeducation and posteducation survey confidence logs were completed.
Following the education program and the knowledge gained from it, these midwives were more confident about their ability to perform anterior episiotomy and to deliver necessary care to women with FGM/C in a culturally competent context. This education program should be expanded as more women who have experienced infibulation immigrate to the United States.