Recommendation 5: Either antepartum or intrapartum deinfibulation can be considered to facilitate vaginal birth in women with Type III FGM.
Strength of recommendation: Conditional (very-low-certainty evidence) Women and girls living with FGM are more likely to have a mental health disorder, such as anxiety, depression and/or post-traumatic stress disorder (PTSD), compared with women and girls who have not undergone FGM. - Summary of the evidence - The evidence review for this recommendation, which updated a previous review, considered whether the timing of deinfibulation, i.e. antepartum versus intrapartum, made any difference in terms of obstetric or newborn outcomes among women living with Type III FGM. Four studies were identified in the systematic review. These included a retrospective cohort study conducted in Norway by Taraldsen et al., and three studies conducted in the United Kingdom: one prospective cohort study by Bikoo et al., one non-randomized controlled study by Paliwal et al. using hospital-based controls drawn from medical records at the hospitals, and one retrospective cohort study by Albert e...

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