Female Genital Mutilation - World Health Organization

– Expose the necessary area for inspection and
examination. Cover the client until you are ready
for the examination.
– Wash your hands thoroughly and put on gloves.
– Expose the genitalia. Inspect the external genitalia
to identify type of FGM, and to check for ulcers,
infection, abscesses, or any abnormal swelling.
– Tactfully ask the client about her experiences of
urination, menstruation, and sexual intercourse,
if relevant.
– Most of the time there is no need to introduce
fingers into the vagina, as most of the
complications can be detected by inspection of
the external genitalia. But if it is necessary, follow
the following steps:
– Try to introduce the tip of the index finger
slowly, then introduce the whole finger very
slowly if the introitus allows. If there is room for
more than one finger, introduce the second
finger very slowly and observe the client’s
reaction, as this may cause pain.
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STUDENT MANUAL
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– Respect client’s reactions.
– In cases of type III FGM (infibulation) the
introitus may be very tight and may not allow
the introduction of even the tip of a finger. In
such cases, you should not attempt to introduce
any fingers.
– After completing the procedure, thank the client
for her cooperation.
– In cases where you have introduced fingers, look
for abnormal vaginal discharge before taking off
gloves.
– Take off gloves and wash your hands.
– Help the client to a sitting position; assist her
with dressing, if appropriate, and seat her
comfortably for next step of the procedure.
– Record your findings and share these with the
client.
– All equipment used should be put to soak in
disinfectant for half an hour before sterilization
(See WHO International precautions on
prevention of hospital infections).