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Universal-Womens-accesss-to-justice-Publications-Practitioners-Guide-Series-2016-ENG

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V<br />

WOMEN’S ACCESS TO JUSTICE FOR GENDER-BASED VIOLENCE 209<br />

Immediate complications can include:<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Severe pain;<br />

Shock;<br />

Haemorrhage (bleeding);<br />

Tetanus or sepsis (bacterial infection);<br />

Urine retention;<br />

Open sores in the genital region; and<br />

Injury <strong>to</strong> nearby genital tissue.<br />

Long-term consequences can include:<br />

<br />

<br />

<br />

<br />

<br />

Recurrent bladder and urinary tract infections;<br />

Cysts;<br />

Infertility;<br />

Increased risk of childbirth complications and newborn<br />

deaths; and<br />

The need for later surgeries.<br />

For example, the FGM procedure that seals or narrows a<br />

vaginal opening (infibulation) needs <strong>to</strong> be cut open later <strong>to</strong><br />

allow for sexual intercourse and childbirth. Sometimes it is<br />

stitched again, including after childbirth, hence the woman<br />

goes through repeated opening and closing procedures, further<br />

increasing and repeating both immediate and long-term<br />

risks. 553<br />

The Mapu<strong>to</strong> Pro<strong>to</strong>col requires States <strong>to</strong> undertake legislative<br />

measures, supported by sanctions, <strong>to</strong> prohibit “all forms of<br />

female genital mutilation, scarification, medicalisation and<br />

para-medicalisation of female genital mutilation and all other<br />

practices, in order <strong>to</strong> eradicate them”. 554<br />

553<br />

World Health Organization, Fact sheet No 241, above note 550.<br />

554<br />

Mapu<strong>to</strong> Pro<strong>to</strong>col, above note 524, Article 5(b).

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