Female Genital Mutilation (FGM) is a global health issue affecting over 230 million girls and women, primarily in 30 countries across Africa, the Middle East, and Asia. Typically performed on girls aged 0–15, FGM violates human rights and poses significant obstetric risks. The World Health Organization (WHO) highlights the need for proper identification, documentation, and care for women with FGM. The Royal College of Obstetricians and Gynaecologists (RCOG) Green-top Guideline No. 53 mandates comprehensive safeguarding and management by maternity services. This audit aims to evaluate compliance with national guidelines for identifying, documenting, and managing FGM in our maternity services.

This audit reviewed 42 antenatal cases of women with Female Genital Mutilation (FGM) to assess compliance with national guidelines on identification, documentation, and care. Most women originated from East Africa (33.3%), West Africa (28.5%), and the Middle East (26.1%), with 9.5% undocumented. Type 1 FGM was most common (50%), although 23.8% of cases had an unknown type. The majority (63.4%) attended the clinic between 12–28 weeks, with 66.7% undergoing physical examinations. Risk assessment forms were completed in 66.7%, primarily by midwives (42.8%), while mandatory forms were completed in 54.7%. Vaginal delivery was the most common outcome (59.5%), with low rates of severe complications, including one third-degree tear (4%).

Gaps identified include incomplete documentation of FGM types and forms. Recommendations include mandatory training on FGM care, a standardized checklist for documentation, enhanced safeguarding communication, and regular audits to improve compliance and ensure comprehensive care for women with FGM.

Dr.Lovely Thomas has completed her MBBS from Government Medical College, Trivandrum, Kerala, India followed by post- graduation ( MS OBGY) in the subject of obstetrics and gynaecology at Government Medical College , Trivandrum, Kerala ,India. She has gained experience working in various regions of Kerala following her post-graduation. She has successfully cleared Member of Royal College of Obstetrician and Gynaecologists (MRCOG) and is currently employed in the UK.