什么是女性生殖器肢解？
Female genital mutilation/cutting (FGM/C) involves all procedures that intentionally alter or cause injury to female genital organs for non-medical reasons. It is estimated that over 125 million women globally have undergone FGM/C and three million girls a year are at risk in Africa each year. The procedure is usually carried out on girls出生与15岁之间。
FGM/C是一种根深蒂固的文化实践，在非洲，中东和某些亚洲国家的29个国家中最常见，但由于迁移在欧洲，美国，澳大利亚和新西兰发现了更广泛的发现。
女性女性疾病没有任何健康益处，但可能会导致许多并发症，例如尿液问题，儿童出生时并发症以及心理问题。这是对人权的侵犯和性别不平等的极端标志。
Health care professionals globally are important in the elimination of FGM/C and need to be aware of FGM/C –not only to support women living with the consequences of the procedure, and deal with complications, but to采取行动预防女性生殖器切割/ C发生风险,保护孩子。
提高对问题的认识
我为承认在整个医学培训和职业中承认，包括从事妇产科和妇科，儿科以及性和生殖健康之前的工作，从未提及FGM/C。
它wasn’t until I left my consulting room to undertake a Masters in Public Health that I had my eyes opened to this global problem.
Despite many child protection training courses I still had not encountered this as an issue. It wasn’t until I left my consulting room to undertake a Masters in Public Health that I had my eyes opened to this global problem.
幸运的是，世界似乎也唤醒了这个问题。在英国有很多政治的andmedia最近注意这个主题。
This has included addressing the importance of the education and training of health professionals about the practice and guidance of how to manage women with FGM/C and also what to do if they identify a child at risk.
The importance of health care professionals
全科医生（GPS）处于解决FGM/C的主要位置；他们通常是患者与卫生服务的首次联系，并且熟悉他们工作的社区。皇家全科医师学院建议该课程解决与女性FGM/C相关的问题，他们已经开发了一个online learning module其中包括FGM/c。
GPs are not the only ones important in tackling the problem of FGM/C; this requires a multisectoral approach.
该学院还与国家保护儿童保护协会（NSPCC）一起生产工具包为了保护儿童和年轻人，其中包含专门针对女性女外生/c的参考。
GPs are not the only ones important in tackling the problem of FGM/C; this requires a multisectoral approach and this has been recognized in the production of准则在英国，包括医疗保健工人，社会服务，教育和警察在内的女性女也对FGM的识别，记录和报告，共同解决了这一问题。
The guidelines and educational tools are all helpful but must translate to practice and lead to reducing the number of affected women and girls. Barriers exist that may prevent GPs identifying FGM/C includinglanguage and communication difficulties或与文化敏感性有关的问题。
解决世界各地的问题
In Tackling FGM in the UK, health professionals operate in a支持立法环境。There is a link between起诉和预防。在英国，我们看到了对女医生对女医生的首次起诉；随后他今年早些时候被无罪释放。
这强调了对医生进行改进的培训的必要性，并呼吁英格兰健康教育的FGM电子学习计划对于所有妇产科学员而言是强制性的。（（Health Education England’s FGM e-learning programme）。
更远立法支持是由健康和社会护理专业人员和教师引入强制性报告女性女性受力石N的强制性报告，以及在今年7月生效的FGM保护令的引入prevent potential victimsbeing taken abroad to have FGM/C performed.
Monthly data collectionof identified cases of FGM from acute hospital trusts now occurs and identifying cases and prevalence is a further step towards prevention of the practice.
France has gone a step further with medical checks, including examination of genitalia, on all girls up to age 6 to be carried out by health professionals. However this has not been replicated in the UK due to the intrusive nature of the examination which itself could be traumatic and for concerns about alienating the patients and communities.
但是，必须记住，在某些国家，卫生专业人员不是作为解决方案的一部分，而是通过执行程序来促进实践的延续。
医疗保健专业人员和立法很重要，但在实践社区中工作以导致FGM/c的放弃至关重要。
FGM/C的这种医疗化被认为是减少危害策略，，，，being safer and leading to fewer complications. The WHO hasurged health professionals停止这种做法。它违反了医疗法规伦理and conveys approval for the procedure.
医疗保健专业人员和立法很重要，但在实践社区中工作以导致FGM/c的放弃至关重要。There are positive steps against FGM/C occurring all the time, across the globe.
就在最近，在23路November 2015 the Gambian president announced the practice would be outlawed in his country; in the same month Australia saw itsFGM的首次起诉。
It is hoped that continued effort from many players in many countries will lead to the elimination of FGM/C in one generation.
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