Volume 42, Issue 2
Pages 81 - 92

Mother, Daughter, Doctor: Medical Professionals and Mothers' Decision Making About Female Genital Cutting in Egypt

CONTEXT

Although female genital cutting (FGC) is illegal in Egypt and rates are declining, medicalization of the practice has increased. However, little is known about why some mothers prefer that FGC be performed by medical professionals or the degree to which such professionals may influence decisions about the practice.

METHODS

Data collected in 2014 from a survey of 410 women with young daughters, and from in-depth interviews with 29 of those women, were used to examine the role of consultations with medical professionals in mothers' decisions about FGC. Women were asked about their experiences, perceptions, knowledge and intentions regarding FGC and their interactions with medical personnel. An open coding approach was used to analyze qualitative data, while multivariate regression was used to identify correlates of intending to consult a doctor and knowing that FGC is illegal.

RESULTS

Medical professionals were the main providers of FGC to study participants. Mothers wanted FGC performed by doctors to mitigate the perceived risks of the procedure. About one-third of mothers planned to consult a doctor in deciding whether to have their daughters cut. Women reported that doctors performed physical examinations and subsequently recommended that daughters either be cut, not be cut or be re-examined in the future. Most respondents expressed high levels of trust in doctors.

CONCLUSION

Since mothers appear to value their opinions, doctors could contribute to the abandonment of FGC if they consistently recommend against the practice. The ban on FGC is unlikely to be effective in the absence of broader social change.

Authors' Affiliations

Sepideh Modrek is instructor, Division of General Medical Disciplines, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA. At the time this article was written, Maia Sieverding was social scientist, Department of Global Health Sciences, University of California, San Francisco, USA.

Author contact: [email protected]

Disclaimer
The views expressed in this publication do not necessarily reflect those of the Guttmacher Institute.

International Perspectives on Sexual and Reproductive Health

Support Our Work

Your support enables the Guttmacher Institute to advance sexual and reproductive health and rights in the United States and globally through our interrelated program of high-quality research, evidence-based advocacy and strategic communications.