TY - JOUR PY - 2020// TI - Conducting an asylum evaluation focused on female genital mutilation/cutting status or risk JO - International journal of gynaecology and obstetrics A1 - Mishori, Ranit A1 - Ottenheimer, Deborah A1 - Morris, Elise SP - ePub EP - ePub VL - ePub IS - ePub N2 - BACKGROUND: Female genital mutilation or cutting (FGM/C) is considered a human rights violation and is practiced all over the world. It has been used as a basis for seeking asylum in various countries, including in the USA since 1996, and the precedent-setting matter of Kissindja. Clinicians in the USA and elsewhere who perform asylum evaluations may be called upon to evaluate women who seek asylum based on their FGM/C status or risk. In this manuscript, we provide expert-informed best practices to conduct asylum evaluations based specifically on FGM/C. We review evidence-based history taking, physical examination unique to the population of women and girls affected by FGM/C, and consider the evaluation in the context of trauma-informed care.

CONCLUSION: Although general clinical skills often suffice to perform asylum evaluations, FGM/C represents a unique niche within the field of gynecological asylum evaluations and requires additional background knowledge and clinical competencies. ETHICAL APPROVAL: As this is a clinical review and does not involve patients or research subjects no ethical approval was sought or was necessary.

Language: en

LA - en SN - 0020-7292 UR - http://dx.doi.org/10.1002/ijgo.13428 ID - ref1 ER -