Paeds Cases · child-safety-and-social-paediatrics
Female genital mutilation or cutting OSCE — the at-risk girl and the acute complication
Observed structured encounter testing recognition of FGM and its WHO type, the acute management of complications, the deinfibulation pathway, and the safeguarding, reporting, and sibling-protection duties.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Station A is a six-year-old girl identified with Type III infibulation at a routine clinic visit, testing classification, safeguarding, and sibling protection. Station B is an acute presentation of urinary retention in a fourteen-year-old with Type III, testing emergency management and the deinfibulation pathway.
Station objectives
- Recognise FGM on clinical findings, classify the WHO type, and state that it is child abuse when performed on a minor. [4]
- Manage acute complications of FGM, including the emergency of urinary retention in Type III. [1]
- Outline the deinfibulation pathway with correct timing, counselling, and multidisciplinary team. [2]
- Discharge the safeguarding, mandatory-reporting, and sibling-protection duties. [4]
- Address the mental-health needs and the longitudinal follow-up. [3]
References4ShowHide
- [1]Lurie JM, Weidman A, Huynh S, et al. Painful gynecologic and obstetric complications of female genital mutilation/cutting: A systematic review and meta-analysis. PLoS Medicine, 2020.PMID 32231359
- [2]Bello S, Ogugbue M, Chibuzor M, et al. Counselling for deinfibulation among women with type III female genital mutilation: A systematic review. International Journal of Gynaecology and Obstetrics, 2017.PMID 28164284
- [3]Abdalla SM, Galea S Is female genital mutilation/cutting associated with adverse mental health consequences? A systematic review of the evidence. BMJ Global Health, 2019.PMID 31406589
- [4]Xu Z, Chen X, Yu J, et al. Female Genital Mutilation/Cutting: A Systematic Review of Global Patterns, Sociocultural Drivers, and Health Consequences. Journal of Pediatric and Adolescent Gynecology, 2026.PMID 41038307