残割女性生殖器：修订间差异
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|2=zh-cn:柳叶刀; zh-tw:刺胳針; zh-hk:刺針; zh-sg:柳叶刀;
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{{Infobox
|labelstyle = white-space:nowrap
|image1 = [[File:Campaign road sign against female genital mutilation (cropped) 2.jpg|300px]]
|caption1 = 一幅设在[[乌干达]]的反对女性生殖器切割的广告牌（2004年）<ref>Masinde, Andrew. [http://www.newvision.co.ug/news/639566-fgm-despite-the-ban-the-monster-still-rears-its-ugly-head-in-uganda.html "FGM: Despite the ban, the monster still rears its ugly head in Uganda"] {{Wayback|url=http://www.newvision.co.ug/news/639566-fgm-despite-the-ban-the-monster-still-rears-its-ugly-head-in-uganda.html |date=20150421222240 }}, ''New Vision'', Uganda, 5 February 2013.</ref>
|label2 = 定义
|data2 = 在1997年由[[世界卫生组织|WHO]]、[[联合国儿童基金会]]和[[联合国人口基金]]定义为“女性性器官切除類型一指部分或全部切除陰蒂以及陰蒂包皮或者对女性性器官在非医治的情况下伤害。”<ref name=WHO2014>[http://www.who.int/reproductivehealth/topics/fgm/overview/en/ "Classification of female genital mutilation"] {{Wayback|url=http://www.who.int/reproductivehealth/topics/fgm/overview/en/ |date=20190921071821 }}, Geneva: World Health Organization, 2014 .</ref>
|label3 = 地区
|data3 = 主要常见于非洲的27个国家，亚洲的[[印尼]]、[[也门]]和[[伊拉克库尔德斯坦]]也存在<ref name=UNICEF2013>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf ''Female Genital Mutilation/Cutting: A Statistical Overview and Exploration of the Dynamics of Change''] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, New York: United Nations Children's Fund, July 2013.</ref>{{rp|5}}<ref name=UNICEF2016>[http://www.unicef.org/media/files/FGMC_2016_brochure_final_UNICEF_SPREAD.pdf "Female Genital Mutilation/Cutting: A Global Concern"] {{Wayback|url=http://www.unicef.org/media/files/FGMC_2016_brochure_final_UNICEF_SPREAD.pdf |date=20170210071422 }}, New York: United Nations Children's Fund, February 2016.</ref>。
|label4 = 人数
|data4 = 於上述30國內逾2亿人（2016年）<ref name=UNICEF2016/>
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{{各地中文名
|cn=残割女性生殖器<ref name="un">
|hk=残割女性生殖器<ref name="un"/>
|tw=女陰殘割<ref name="tnaer">[http://terms.naer.edu.tw/search/?q=female+genital+mutilation&field=text&op=AND&group=&num=10 Female genital mutilation中文] {{Wayback|url=http://terms.naer.edu.tw/search/?q=female+genital+mutilation&field=text&op=AND&group=&num=10 |date=20190502100758 }}，[[國家教育研究院]]雙語詞彙、學術名詞暨辭書資訊網，2016-03-16</ref>
}}
{{對女性的暴力}}
{{性與法律}}
'''-{zh-cn:残割女性生殖器;zh-hk:殘割女性生殖器;zh-tw:女陰殘割}-'''（{{lang|en|Female genital mutilation}}，FGM），又稱為「女性生殖器切割」（female genital cutting，FGC），或「女性割禮」（female circumcision）。[[世界衛生組織]]將其定義為「包括所有涉及为非医学原因，部分或全部切除[[女性外生殖器]]，或对女性生殖器官造成其它伤害的程序」<ref>{{Cite web|url=http://www.who.int/reproductivehealth/topics/fgm/overview/zh/|title=世界卫生组织 {{!}} 女性生殖器切割的分类|website=www.who.int|access-date=2016-03-27}}</ref><ref name="WHO12">[https://web.archive.org/web/20151107115822/http://www.un.org/zh/events/femalegenitalmutilationday/ "Classification of female genital mutilation"], World Health Organization, 2013 (hereafter WHO 2013).</ref>。在[[撒哈拉以南非洲|撒哈拉以南]]、[[北非]]及[[中東]]等地區，許多{{le|非洲種族|Ethnic groups of Africa|族群}}將女陰殘割視為傳統[[習俗]]的一部分，目前已知有27個國家境內具有這種風俗<ref>有關殘割、麻醉，請參見：[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013], pp. 2, 44–46。女陰殘割盛行地區報告，請參見：[http://www.unicef.org/media/files/FGMC_2016_brochure_final_UNICEF_SPREAD.pdf UNICEF 2016], p. 2.</ref>。每個地區進行女陰殘割的時間不同，有的是在出生後幾天，有的則是到[[青春期]]才進行。這27個國家中，當中只有一半的國家能夠取得統計數據。根據這些資料顯示，大多數的女孩在5歲之前就會進行女陰殘割<ref name=UNICEF2013/>{{rp|50}}。▼
▲'''
不同民族之間的執行過程不盡相同，有些切除部分[[陰蒂]]和[[陰蒂包皮]]，也有的切除整個陰蒂和[[小陰唇]]；甚至將大小陰唇全部切除，使[[陰道]]癒合，俗稱{{le|鎖陰手術|Infibulation}}，[[世界衛生組織]]（WHO）則稱為「第三型女陰殘割」。被鎖陰後的女性下體僅剩下一個小孔，讓[[尿液]]和[[經血]]排除，直到要進行[[性交]]及生育時才再次將陰道口打開。女陰殘割所造成的影響因操作程序不同而有所差異，包含反覆感染、[[囊腫]]、[[不孕症]]、生產時併發症及致命性出血<ref name="Abdulcadira2011">Jasmine Abdulcadira, et al., [http://www.smw.ch/content/smw-2011-13137/ "Care of women with female genital mutilation/cutting"] {{Wayback|url=http://www.smw.ch/content/smw-2011-13137/|date=20160718085718}}, ''Swiss Medical Weekly'', 6(14), January 2011. {{doi|10.4414/smw.2011.13137}} PMID 21213149</ref>。目前女陰殘割並沒有任何已知的醫療助益<ref name="WHO2014health2">[http://www.who.int/mediacentre/factsheets/fs241/en/ "Female genital mutilation"] {{Wayback|url=http://www.who.int/mediacentre/factsheets/fs241/en/ |date=20180402081316 }}, Geneva: World Health Organization, February 2016.</ref>。
女陰殘割是
{{le|Nahid Toubia|Nahid Toubia|Nahid F. Toubia}}, Eiman Hussein Sharief, 2003: "One of the great achievements of the past decade in the field of FGM is the shift in emphasis from the concern over the harmful physical effects it causes to understanding this act as a social phenomenon resulting from a gender definition of women's roles, in particular their sexual and reproductive roles. This shift in emphasis has helped redefine the issues from a clinical disease model (hence the terminology of eradication prevalent in the literature) to a problem resulting from the use of culture to protect social dominance over women's bodies by the patriarchal hierarchy. Understanding the operative mechanisms of patriarchal dominance must also include understanding how women, particularly older married women, are important keepers of that social hegemony."<ref>{{tsl|en|Nahid Toubia||Nahid F. Toubia}}, Eiman Hussein Sharief, [http://www.ijgo.org/article/S0020-7292%2803%2900229-7/fulltext "Female genital mutilation: have we made progress?"] {{Wayback|url=http://www.ijgo.org/article/S0020-7292%2803%2900229-7/fulltext |date=20170101060238 }}, ''International Journal of Gynecology & Obstetrics'', 82(3), September 2003, pp. 251–261. {{doi|10.1016/S0020-7292(03)00229-7}} PMID 14499972</ref>}}。截至2016年，逾2億名女性已接受過FGM，並分布於30個國家。[[联合国人口基金]]預估，截至2010年，20%的已殘割人口曾經經歷過鎖陰手術。此類習俗主要分布於北非，特別是[[吉布地]]、[[厄利垂亞]]、[[索馬利亞]]和[[蘇丹]]<ref name=UNFPATypeIIIestimate/><ref name="Yoder2008p13"
在上述具有女陰殘割習俗的國家，大多明令立法禁止這類風俗，但成效不彰。自從1970年代起，各國紛紛說服人們廢止它。2012年，[[聯合國大會]]認定女陰殘割違反人權<ref name=UN/>。但
==詞源==
===英文===
[[File:Samburu female circumcision ceremony, Kenya.jpg|thumb|300px|alt=photograph|[[肯亞]][[萊基皮亞郡|萊基皮亞高原]]的[[桑布鲁人]]在進行女性割禮，攝於2004年
1980年以前，切除女性生殖器的習俗通常被稱為“{{lang|en|female circumcision}}”（女性割禮），暗示其與[[割禮|男性割禮]]的相似性<ref>Martha Nussbaum, ''Sex and Social Justice'', New York: Oxford University Press, 1999, p. [http://books.google.com/books?id=7zoaKIolT9oC&pg=PA119 119] {{Wayback|url=http://books.google.com/books?id=7zoaKIolT9oC&pg=PA119 |date=20130921055430 }}.</ref>。1929年，在[[蘇格蘭長老會]]傳教士{{le|馬里昂·史蒂文森|Marion Scott Stevenson}}領導之下，{{le|肯亞宣教協會|Kenya Missionary Council}}開始將此習俗視為對女性的一種性傷害<ref>James Karanja, ''The Missionary Movement in Colonial Kenya: The Foundation of Africa Inland Church'', Göttingen: Cuvillier Verlag, 2009, p. [http://books.google.com/books?id=F1ezIgyomGIC&pg=PA93 93] {{Wayback|url=http://books.google.com/books?id=F1ezIgyomGIC&pg=PA93 |date=20170908222703 }}, n. 631.</ref>。到了1970年代，將FGM視為性傷害的人數增加<ref>[http://whqlibdoc.who.int/publications/2008/9789241596442_eng.pdf "Eliminating Female genital mutilation: An Interagency Statement"] {{Wayback|url=http://whqlibdoc.who.int/publications/2008/9789241596442_eng.pdf |date=20130810080948 }}, New York: World Health Organization, 2008 (hereafter WHO 2008), p. 22.</ref>。人類學家羅斯·歐德菲爾德·海耶斯（Rose Oldfield Hayes）在1975年的一篇論文標題中首次使用了「{{lang|en|female genital mutilation}}」（女陰殘割）這個名词；1979年，奧地利裔美籍學者{{le|弗蘭·霍斯肯|Fran Hosken}}在她的重要論文《霍斯肯報告：女性生殖器及性器官殘割》（''The Hosken Report: Genital and Sexual Mutilation of Females''）中，確立了「{{lang|en|female genital mutilation}}」這個名词。{{efn|Claire C. Robertson, Professor of History and Women's Studies at The Ohio State University, 2002: "The ''Hosken Report'' is the single most influential document responsible for raising consciousness of FGC."<ref>Claire C. Robertson, "Getting beyond the Ew! Factor: Rethinking U.S. Approaches to African Female Genital Cutting," in Stanlie M. James and Claire C. Robertson (eds.), ''Genital Cutting and Transnational Sisterhood'', Urbana: University of Illinois Press, 2002 (pp. 54–86), p. 60.{{pb}}
Fran Hosken, ''The Hosken Report: Genital and Sexual Mutilation of Females'', Lexington: Women's International Network, 1994 [1979].</ref>}}
其後，{{le|泛非洲影響婦女及兒童的傳統醫療實務協會|Inter-African Committee on Traditional Practices Affecting the Health of Women and Children}}於1990年始用「{{lang|en|female genital mutilation}}」這個詞彙<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, pp. 6–7.</ref>；而在1997年4月，世界衛生組織、[[聯合國兒童基金會]]（UNICEF），和[[联合国人口基金]]（UNFPA）同樣宣布採用「{{lang|en|female genital mutilation}}」一詞為描述女性割禮的術語，其他醫療人士同時也使用包括「{{lang|en|female genital cutting}}」（女性生殖器切割）之同義詞彙稱之<ref>[http://whqlibdoc.who.int/publications/2008/9789241596442_eng.pdf WHO 2008] {{Wayback|url=http://whqlibdoc.who.int/publications/2008/9789241596442_eng.pdf |date=20130810080948 }}, pp. 4, 22.</ref>。
===其他語言===
在具有女性割禮盛行的地方，則對於此習俗有許多稱呼<ref name="UNICEF2013p48/50terms"/>，通常與純潔的意象有關。比如說，[[阿拉伯語]]男性割禮（''tahur''）和女性割禮（''tahara''）中，帶有「t-h-r」的字根，而這類字根則通常帶有純潔的意思<ref>Fadwa El Guindi, "Had ''This'' Been Your Face, Would You Leave It as Is?" in Rogaia Mustafa Abusharaf (ed.), ''Female Circumcision: Multicultural Perspectives'', Philadelphia: University of Pennsylvania Press, 2007, p. [http://books.google.com/books?id=8VQxt634pfcC&pg=PA30 30] {{Wayback|url=http://books.google.com/books?id=8VQxt634pfcC&pg=PA30 |date=20170908222703 }}.</ref>。在[[
For "a young woman must 'have her bath' before she has a baby," Chantal Zabus, "'Writing with an Accent': From Early Decolonization to Contemporary Gender Issues in the African Novel in French, English, and Arabic," in Simona Bertacco (ed.), ''Language and Translation in Postcolonial Literatures'', New York: Routledge, 2013, p. [http://books.google.com/books?id=NCJiAgAAQBAJ&pg=PA40&lpg=PA40 40] {{Wayback|url=http://books.google.com/books?id=NCJiAgAAQBAJ&pg=PA40&lpg=PA40 |date=20170908222703 }}.</ref>。
聖行割禮通常又稱為陰蒂切除術，但也用於更極端的形式；[[聖行]]阿拉伯語中意為「行為」、「道路」，也意指傳統的[[穆罕默德]]，但過程其實和伊斯蘭教無關<ref>Ibrahim Lethome Asmani, Maryam Sheikh Abdi, [http://www.unfpa.org/sites/default/files/pub-pdf/De-linking%20FGM%20from%20Islam%20final%20report.pdf "De-linking Female Genital Mutilation/Cutting from Islam"] {{Wayback|url=http://www.unfpa.org/sites/default/files/pub-pdf/De-linking%20FGM%20from%20Islam%20final%20report.pdf|date=20170221230457}}, USAID/UNFPA, 2008, p. 3.
That ''sunna'' can refer to more severe forms, [[Ellen Gruenbaum]], ''The Female Circumcision Controversy: An Anthropological Perspective'', Philadelphia: University of Pennsylvania Press, 2001, p. [http://books.google.com/books?id=JOXmOLBd4E4C&pg=PA2 2].</ref>。{{le|鎖陰手術|Infibulation}}一詞的拉丁文「infibulation」源自於扣環（fibula）。據說古羅馬時期，為避免奴隸性交，會使用扣環緊扣於他們的包皮或陰唇<ref name=Kouba1985pp96-97>Leonard J. Kouba, Judith Muasher, [http://www.jstor.org/stable/524569 "Female Circumcision in Africa: An Overview"] {{Wayback|url=http://www.jstor.org/stable/524569 |date=20210108162601 }}, ''African Studies Review'', 28(1), March 1985 (pp. 95–110), pp. 96–97.</ref>，蘇丹和埃及蘇丹人將女性鎖陰手術稱為「法老的割禮」<ref name=Kouba1985pp96-97/>，但古埃及僅有男性有割禮，女性並無此習俗<ref>{{cite web|author1=Rossella Lorenzi|title=How Did Female Genital Mutilation Begin?|website=How Did Female Genital Mutilation Begin?|accessdate=2015-11-05}}</ref>。索馬利亞則稱之為「qodob」意指「縫合」<ref>[[Raqiya Haji Dualeh Abdalla|Raqiya D. Abdalla]], {{" '}}My Grandmother Called it the Three Feminine Sorrows': The Struggle of Women Against Female Circumcision in Somalia," in Abusharaf 2007, p. [http://books.google.com/books?id=8VQxt634pfcC&pg=PA190 190] {{Wayback|url=http://books.google.com/books?id=8VQxt634pfcC&pg=PA190|date=20170908222703}}.</ref>。
==割禮進行方式==
[[File:Clitoris Anatomy.svg|lang=zh|thumb|alt=diagram|[[女陰]]構造圖，包含了[[陰蒂]]、[[陰蒂海綿體]]、[[前庭球]]、以及[[陰蒂腳]]
女性割禮通常由女生家中的傳統割禮師執行
當由傳統割禮師執行儀式時，很有可能是使用沒有消毒的切割器具，包括刀子、雷射、剪刀、玻璃、磨利的石頭和指甲<ref name=Kelly2005p491>Elizabeth Kelly, Paula J. Adams Hillard, [http://journals.lww.com/co-obgyn/Abstract/2005/10000/Female_genital_mutilation.9.aspx "Female genital mutilation"] {{Wayback|url=http://journals.lww.com/co-obgyn/Abstract/2005/10000/Female_genital_mutilation.9.aspx |date=20170909054405 }}, ''Current Opinion in Obstetrics & Gynecology'', 17(5), October 2005 (pp. 490–494), p. 491. {{PMID|16141763}}</ref>。一位[[烏干達]]的護士曾在2007年的《[[柳葉刀 (雜誌)|刺胳針]]》（''The Lancet''）說，一位割禮師可能會同時用同一把刀，為30位女性執行這個儀式<ref>Wairagala Wakabi, [http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(07)60508-X/fulltext "Africa battles to make female genital mutilation history"] {{Wayback|url=http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(07)60508-X/fulltext |date=20130514171022 }}, ''The Lancet'', 369 (9567), 31 March 2007, pp. 1069–1070. {{PMID|17405200}} {{doi|10.1016/S0140-6736(07)60508-X}}</ref>。手術過程可能會進行[[全身麻醉]]或是[[局部麻醉]]，有時甚至不進行任何麻醉，取決於專業醫療人士的判斷和參與程度。曾有1995年的報導指出，在埃及，60%的情況會進行局部麻醉，13%全身麻醉，而25%完全不進行任何麻醉<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 46 (two percent were missing/don't know).</ref>。
==殘割的種類==
===分類法===
[[File:FGC Types.svg
1997年4月，[[世界卫生组织]]（WHO）、[[联合国儿童基金会]]（UNICEF）和[[联合国人口基金]]（UNFPA）發表了一份聯合聲明，明確定義了「女性殘割」的內容：「無論是因文化還是其他非治療性的原因，凡是涉及部分切除、全部切除女性外生殖器，或是其他傷害女性生殖器官的步驟流程，皆被歸類於『女性殘割』」<ref>[http://whqlibdoc.who.int/publications/2008/9789241596442_eng.pdf WHO 2008] {{Wayback|url=http://whqlibdoc.who.int/publications/2008/9789241596442_eng.pdf |date=20130810080948 }}, p. 4.</ref>。
而「女性殘割」的步驟根據不同的族群以及不同的醫療從事人員也會有所不同。 1998年在尼日爾的調查顯示，當女性受訪者被問及其自身所遭遇的「女性殘割」過程，其回答的內容超過50種不同的類型<ref name="UNICEF2013p48/50terms">[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 48.</ref>。然而，在受訪者回答其所遭遇的「女性殘割」類型，甚至是否曾經遭遇這樣簡單的問題，由於語言的隔閡，使得調查研究的數據可靠性產生質疑。有些研究甚至認為這些受訪者的受訪內容其可信度是不可靠的。而在2003年迦納的研究指出，在1995年約有4%的受訪女性不曾遭受「女性殘割」，然而在2000年，這一群女性中其中有 11 % 的受訪者，也遭受了「女性殘割」。在坦桑尼亞的研究中，有 66 %的受訪女性是曾遭受「女性殘割」，但在實際的體檢結果，卻證實了其中有73%的女性曾遭受「女性殘割」<ref>P. Stanley Yoder, Shanxiao Wang, Elise Johansen, [http://onlinelibrary.wiley.com/doi/10.1111/j.1728-4465.2013.00352.x/abstract "Estimates of Female Genital Mutilation/Cutting in 27 African Countries and Yemen"] {{Wayback|url=http://onlinelibrary.wiley.com/doi/10.1111/j.1728-4465.2013.00352.x/abstract |date=20171102130836 }}, ''Studies in Family Planning'', 44(2), June 2013 (pp. 189–204), p. 190. {{PMID|23720002}} {{doi|10.1111/j.1728-4465.2013.00352.x}}<p>
Elizabeth F. Jackson, et al., "Inconsistent reporting of female genital cutting status in northern Ghana: Explanatory factors and analytical consequences," ''Studies in Family Planning'', 34(3), 2003, pp. 200–210. {{PMID|14558322}}<p>
Elise Klouman, Rachel Manongi, Knut-Inge Klepp, [http://onlinelibrary.wiley.com/doi/10.1111/j.1365-3156.2004.01350.x/full "Self-reported and observed female genital cutting in rural Tanzania: Associated demographic factors, HIV and sexually transmitted infections"] {{Wayback|url=http://onlinelibrary.wiley.com/doi/10.1111/j.1365-3156.2004.01350.x/full |date=20170909052659 }}, ''Tropical Medicine and International Health'' 10(1), 2005, pp. 105–115. {{PMID|15655020}} {{doi|10.1111/j.1365-3156.2004.01350.x}}<p>
In Sudan in 2006, a significant percentage of infibulated women and girls reported a less severe type. See Susan Elmusharaf, Nagla Elhadi, Lars Almroth, [http://www.bmj.com/content/333/7559/124.full "Reliability of self reported form of female genital mutilation and WHO classification: cross sectional study"] {{Wayback|url=http://www.bmj.com/content/333/7559/124.full |date=20171114094427 }}, ''British Medical Journal'', 332(7559), 27 June 2006. {{PMID|16803943}} {{PMC|1502195}} {{doi|10.1136/bmj.38873.649074.55}}</ref>。
而給予受訪者的標準問卷問題內容如下：
#切割，但無肉體組織被移除 （意即穿刺，或象徵性的割禮）；
第85行 ⟶ 第89行：
#其他不確定或是未知的類型{{efn|UNICEF 2013: "These categories do not fully match the WHO typology. ''Cut, no flesh removed'' describes a practice known as nicking or pricking, which currently is categorized as Type IV. ''Cut, some flesh removed'' corresponds to Type I (clitoridectomy) and Type II (excision) combined. And ''sewn closed'' corresponds to Type III, infibulation."<ref name="UNICEF2013p48/50terms"/>}}
大多數的步驟流程皆被歸類於「切割，有部分的組織被移除」，其中還涉及完全的移除或是部分的移除女性陰蒂頭<ref name=Yoder2013p189TypeI>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 47, Table 5.2;
[http://www.ncbi.nlm.nih.gov/pubmed/23720002 Yoder, Wang and Johansen, 2013] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pubmed/23720002 |date=20171019061100 }}, p. 189.</ref>。
===世界衛生組織分類第一型與第二型===
世界衛生組織目前根據組織被移除的多寡，將女性割禮很詳盡地歸類為類型I - III，而類型 III 指的是「完全縫合密閉」。另外，類型 IV則是對於象徵性的割禮與其他雜項步驟流程進行描述<ref>[http://www.who.int/reproductivehealth/topics/fgm/overview/en/ WHO 2014] {{Wayback|url=http://www.who.int/reproductivehealth/topics/fgm/overview/en/ |date=20190921071821 }}; [http://whqlibdoc.who.int/publications/2008/9789241596442_eng.pdf WHO 2008] {{Wayback|url=http://whqlibdoc.who.int/publications/2008/9789241596442_eng.pdf |date=20130810080948 }}, p. 4, and Annex 2, p. 24, for Types I–IV; Annex 2, pp. 23–28, for a more detailed discussion.</ref>。
;類型 I 又可細分為Ia與Ib兩細項：
*Ia：切除[[陰蒂包皮]]（很少單獨執行切除）{{efn|"[There is a] common tendency to describe Type I as removal of the prepuce, whereas this has not been documented as a traditional form of female genital mutilation. However, in some countries, medicalized female genital mutilation can include removal of the prepuce only (Type Ia) (Thabet and Thabet, 2003), but this form appears to be relatively rare (Satti et al, 2006). Almost all known forms of female genital mutilation that remove tissue from the clitoris also cut all or part of the clitoral glans itself."<ref>[http://whqlibdoc.who.int/publications/2008/9789241596442_eng.pdf WHO 2008] {{Wayback|url=http://whqlibdoc.who.int/publications/2008/9789241596442_eng.pdf |date=20130810080948 }}, p. 25. Also see [[Nahid Toubia]], [http://www.nejm.org/doi/full/10.1056/NEJM199409153311106 "Female Circumcision as a Public Health Issue"] {{Wayback|url=http://www.nejm.org/doi/full/10.1056/NEJM199409153311106 |date=20190610134401 }}, ''The New England Journal of Medicine'', 331(11), 1994, pp. 712–716. {{PMID|8058079}} {{doi|10.1056/NEJM199409153311106}}<p>
Carol R. Horowitz, J. Carey Jackson, Mamae Teklemariam, [http://www.nejm.org/doi/full/10.1056/NEJM199409153311106#t=letters "Female Circumcision" (letters)] {{Wayback|url=http://www.nejm.org/doi/full/10.1056/NEJM199409153311106#t=letters |date=20190610134401 }}, ''The New England Journal of Medicine'', 332, 19 January 1995, pp. 188–190; Toubia's [http://www.nejm.org/doi/full/10.1056/NEJM199409153311106#t=letters reply] {{Wayback|url=http://www.nejm.org/doi/full/10.1056/NEJM199409153311106#t=letters |date=20190610134401 }}. {{doi|10.1056/NEJM199501193320313}}</ref>}}
*Ib：即陰蒂切除術，此類型較1為普遍。即部分或是完全的切除陰蒂頭與陰蒂包皮。Susan與Nahid Toubia曾在論述中提及：「陰蒂頭被以拇指和食指捏著拉出來，並以尖銳的物品切下。」<ref>Susan Izett, Nahid Toubia, [https://web.archive.org/web/20130921053613/https://apps.who.int/dsa/cat98/fgmbook.htm ''Female Genital Mutilation: An Overview''], World Health Organization, 1998.</ref>
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===第三型===
第三型（{{le|鎖陰手術|infibulation}}或殘暴割禮），屬於縫合類別，是將外陰部去除並將兩側傷口互相縫合。小（或和大陰唇）會被切除，陰蒂則不一定。第三a型是將小陰唇去除縫合，而第三b則處理外陰唇{{efn|WHO 2014: "Narrowing of the vaginal orifice with creation of a covering seal by cutting and appositioning the labia minora and/or the labia majora, with or without excision of the clitoris (infibulation).<p>"Type IIIa, removal and apposition of the labia minora; Type IIIb, removal and apposition of the labia majora."<ref>[http://www.who.int/reproductivehealth/topics/fgm/overview/en/ WHO 2014] {{Wayback|url=http://www.who.int/reproductivehealth/topics/fgm/overview/en/ |date=20190921071821 }}.</ref>}}。此作法常見於位於非洲東北部的吉布地、厄立垂亞、衣索比亞、索馬利亞和蘇丹（不包含南蘇丹）。數據估計之變化：根據一篇2008年的研究，超過800萬非洲女性有此經歷{{efn|USAID 2008: "Infibulation is practiced largely in countries located in northeastern Africa: Djibouti, Eritrea, Ethiopia, Somalia, and Sudan. ... Sudan alone accounts for about 3.5 million of the women. ... [T]he estimate of the total number of women infibulated in [Djibouti, Somalia, Eritrea, northern Sudan, Ethiopia, Guinea, Mali, Burkina Faso, Senegal, Chad, Nigeria, Cameroon and Tanzania, for women 15–49 years old] comes to 8,245,449, or just over eight million women."<ref name=Yoder2008p13>P. Stanley Yoder, Shane Khan, [http://dhsprogram.com/pubs/pdf/WP39/WP39.pdf "Numbers of women circumcised in Africa: The Production of a Total"] {{Wayback|url=http://dhsprogram.com/pubs/pdf/WP39/WP39.pdf |date=20171122012927 }}, USAID, DHS Working Papers, No. 39, March 2008, pp. 13–14. Also see Appendix B, Table 2 ("Types of FGC"), p. 19.</ref>}}。根據聯合國人口基金會於2010年的調查顯示，20%接受女陰殘割的女性被施行縫陰手術<ref name=UNFPATypeIIIestimate>[http://www.unfpa.org/resources/promoting-gender-equality "Frequently Asked Questions on Female Genital Mutilation/Cutting"] {{Wayback|url=http://www.unfpa.org/resources/promoting-gender-equality |date=20150104112106 }}, UNFPA, April 2010: "Types I and II are the most common, with variation among countries. Type III, infibulation, constitutes about 20 percent of all affected women and is most likely in Somalia, northern Sudan and Djibouti."</ref>。
{{quote box
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|source= — 2011年{{le|瑞士醫學週刊|Swiss Medical Weekly}}<ref name=Abdulcadira/>}}
專業助產士{{le|卡姆福特·莫莫|Comfort Momoh}}如此描述鎖陰手術：「年長女性和親友們會將女孩調整至{{le|膀胱切石臥位|Lithotomy position|切石臥位}}。之後她們會快速地深切兩側的陰蒂根部，直至[[小阴唇系带|小系帶]]。之後再使用剃刀直接切除大小陰唇。」<ref name="Momoh2005p7quote">[[Comfort Momoh]], "Female genital mutilation" in Comfort Momoh (ed.), ''Female Genital Mutilation'', Oxford: Radcliffe Publishing, 2005, p. [http://books.google.com/books?id=dVjIP0RfVAMC&pg=PA7 7] {{Wayback|url=http://books.google.com/books?id=dVjIP0RfVAMC&pg=PA7|date=20160504121142}}; also see [[Edna Adan Ismail]], [http://www.ednahospital.org/female-genital-mutilation.pdf "Female genital mutilation survey in Somaliland"] {{
確認之後，執刀者會在傷口中插入物品（如樹枝），為女性的陰部留下一個 2–3 mm 的開口，供經血和尿液排出{{efn|Jasmine Abdulcadira, ''Swiss Medical Weekly'', 2011:"In the case of infibulation, the urethral orifice and part of the vaginal opening are covered by the scar. In a virgin infibulated woman the small opening left for the menstrual fluid and the urine is not wider than 2–3 mm; in sexually active women and after the delivery the vaginal opening is wider but the urethral orifice is often still covered by the scar."<ref>[http://www.smw.ch/content/smw-2011-13137/ Abdulcadira et al. 2011] {{Wayback|url=http://www.smw.ch/content/smw-2011-13137/ |date=20160718085718 }}.</ref>}}<ref>For a twig, Momoh 2005, p. [http://books.google.com/books?id=dVjIP0RfVAMC&pg=PA7 7] {{Wayback|url=http://books.google.com/books?id=dVjIP0RfVAMC&pg=PA7 |date=20160504121142 }}.</ref>，並以手術用縫線（也可能是[[龍舌蘭屬|龍舌蘭]]或[[金合歡屬]]植物的刺）縫合外陰。有些手術者會在傷口敷上藥膏，藥膏可能是以生蛋、藥草或是砂糖等調配而成<ref>[http://journals.lww.com/co-obgyn/Abstract/2005/10000/Female_genital_mutilation.9.aspx Kelly and Hillard 2005] {{Wayback|url=http://journals.lww.com/co-obgyn/Abstract/2005/10000/Female_genital_mutilation.9.aspx |date=20170909054405 }}, p. 491; for the poultice, [http://www.ednahospital.org/female-genital-mutilation.pdf Ismail 2009] {{
專業助產士{{le|卡姆福特·莫莫|Comfort Momoh}} 亦曾如此描述：
第137行 ⟶ 第141行：
（陰道開口處）是由鼓膜般的皮膚延伸覆蓋外陰處所餘之小孔。在執行切除的情況下，女孩多半會被牢牢固定住，但亦可能因劇烈掙扎，導致切口不受控制或雜亂無章；甚至可能因掙扎時用力過度而骨折或脫臼。<ref name=Momoh2005p7quote/></blockquote>
若女孩的家人認為鎖陰手術後留下的開口太大，會再進行鎖陰手術<ref>Abdalla 2007, p. [http://books.google.com/books?id=8VQxt634pfcC&pg=PA190 190] {{Wayback|url=http://books.google.com/books?id=8VQxt634pfcC&pg=PA190 |date=20170908222703 }}.</ref>。陰部的洞會在結婚後為了性交而開啟，第一次可能是助產士用小刀先割開，也有可能是她的先生直接用陰莖頂破。在包括索馬利蘭在內的一些國家，新郎及新娘的女性親友會觀看新娘陰部的開口，以確認她婚前未進行過性行為<ref>Abdalla 2007, pp. [http://books.google.com/books?id=8VQxt634pfcC&pg=PA191 191], [http://books.google.com/books?id=8VQxt634pfcC&pg=PA198 198] {{Wayback|url=http://books.google.com/books?id=8VQxt634pfcC&pg=PA198 |date=20170908222903 }}; for the relatives, [http://www.ednahospital.org/female-genital-mutilation.pdf Ismail 2009] {{
▲Abdalla 2007, p. [http://books.google.com/books?id=8VQxt634pfcC&pg=PA190 190].</ref>。陰部的洞會在結婚後為了性交而開啟，第一次可能是助產士用小刀先割開，也有可能是她的先生直接用陰莖頂破。在包括索馬利蘭在內的一些國家，新郎及新娘的女性親友會觀看新娘陰部的開口，以確認她婚前未進行過性行為<ref>Abdalla 2007, pp. [http://books.google.com/books?id=8VQxt634pfcC&pg=PA191 191], [http://books.google.com/books?id=8VQxt634pfcC&pg=PA198 198]; for the relatives, [http://www.ednahospital.org/female-genital-mutilation.pdf Ismail 2009] {{webarchive|url=https://web.archive.org/web/20160402172434/http://www.ednahospital.org/female-genital-mutilation.pdf |date=2016-04-02 }}, p. 14.</ref>。心理學家洪尼萊特富特 - 克萊因（Hanny Lightfoot-Klein）在1980年代採訪過上百對蘇丹的女性及男性，訪問有關接受鎖陰手術後的性行為：
<blockquote style="background:none; margin-right:5em; margin-left:0; border-left:solid 5px #ccc; padding:1.5em;">
若新娘已進行過鎖陰手術，新郎想直接用陰莖頂破鎖陰手術處，插入陰道進行性行為，以一般夫妻行房的頻率，約需要三至四天至數個月不等。有些男性因為鎖陰手術，完全無法進行陰道插入式性行為（在我的研究中，約佔15%），一般會由助產士進行手術切開，不過因為這反映男性的性能力較弱，因此會在非常秘密的情形下進行。有些無法進行插入式性行為的男性，即使在鎖陰手術的開口未打開的情形下，仍設法要讓妻子懷孕，若妻子懷孕了，其陰部的開口會切開以便分娩。有些（也許是所有）有這類情形的男性會用小刀協助打開妻子陰部的開口，過程中會疼痛，因為其陰部是漸漸撕裂越來越多，直到開口處可以讓陰莖插入為止。<ref>Hanny Lightfoot-Klein, [http://www.jstor.org/stable/3812643 "The Sexual Experience and Marital Adjustment of Genitally Circumcised and Infibulated Females in The Sudan"] {{Wayback|url=http://www.jstor.org/stable/3812643 |date=20201004233951 }}, ''The Journal of Sex Research'', 26(3), 1989 (pp. 375–392), p. 380.<p>
Also see El Dareer 1982, pp. 42–49; Hanny Lightfoot-Klein, ''Prisoners of Ritual: An Odyssey Into Female Genital Circumcision in Africa'', New York: Routledge, 1989.</ref></blockquote>
<!--{{anchor|defibulation|deinfibulation|reinfibulation}}-->
女性在分娩時陰部被再次打開，分娩後再將之縫合，此過程稱為去縫陰手術和再縫陰手術。再縫陰手術包含再次剪開陰道來重建回第一次縫陰手術保留的那針孔大小的陰道口。此手術大約在婚前、分娩後、離婚和喪偶時執行{{efn|Elizabeth Kelly, Paula J. Adams Hillard, ''Current Opinion in Obstetrics & Gynecology'', 2005: "Women commonly undergo reinfibulation after a vaginal delivery. In addition to reinfibulation, many women in Sudan undergo a second type of re-suturing called El-Adel, which is performed to recreate the size of the vaginal orifice to be similar to the size created at the time of primary infibulation. Two small cuts are made around the vaginal orifice to expose new tissues to suture, and then sutures are placed to tighten the vaginal orifice and perineum. This procedure, also called re-circumcision, is primarily performed after vaginal delivery, but can also be performed before marriage, after cesarean section, after divorce, and sometimes even in elderly women as a preparation before death."<ref>[http://journals.lww.com/co-obgyn/Abstract/2005/10000/Female_genital_mutilation.9.aspx Kelly and Hillard 2005] {{Wayback|url=http://journals.lww.com/co-obgyn/Abstract/2005/10000/Female_genital_mutilation.9.aspx |date=20170909054405 }}, p. 491.</ref>}}<ref>Asma El Dareer, ''Woman, Why Do You Weep: Circumcision and its Consequences'', London: Zed Press, 1982, pp. 56–64.<p>
Also see Rebecca J. Cooke, Bernard M. Dickens, [http://www.ijgo.org/article/S0020-7292%2810%2900045-7/abstract "Special commentary on the issue of reinfibulation"] {{Wayback|url=http://www.ijgo.org/article/S0020-7292%2810%2900045-7/abstract |date=20170101055347 }}, ''International Journal of Gynaecology and Obstetrics'', 109(2), May 2010, pp. 97–99. {{PMID|20178881}} {{doi|10.1016/j.ijgo.2010.01.004}}<p>
Gamal I. Serour, [http://www.ijgo.org/article/S0020-7292%2810%2900010-X/fulltext "The issue of reinfibulation"] {{Wayback|url=http://www.ijgo.org/article/S0020-7292%2810%2900010-X/fulltext |date=20170101055916 }}, ''International Journal of Gynaecology and Obstetrics'', 109(2), May 2010, pp. 93–96. {{PMID|20138274}} {{doi|10.1016/j.ijgo.2010.01.001}}<p>
Olukunmi O. Balogun, et al., [http://onlinelibrary.wiley.com/enhanced/doi/10.1002/14651858.CD009872.pub2 "Interventions for improving outcomes for pregnant women who have experienced genital cutting"] {{Wayback|url=http://onlinelibrary.wiley.com/enhanced/doi/10.1002/14651858.CD009872.pub2 |date=20200410064039 }}, ''Cochrane Database of Systematic Reviews'', 2, 2013. {{PMID|23450610}} {{doi|10.1002/14651858.CD009872.pub2}}</ref>。
===第四型===
[[File:
世界衛生組織定義第四型為「所有其他對女性外生殖器有害
For the rest, Brigitte Bagnol and Esmeralda Mariano, "Politics of Naming Sexual Practices," in Tamale 2011, pp. [http://books.google.com/books?id=xSqIrrswbG0C&pg=PA272 272–276] {{Wayback|url=http://books.google.com/books?id=xSqIrrswbG0C&pg=PA272 |date=20170908222903 }} (p. 272 for Uganda).</ref>
世界衛生組織在1995年針對女陰殘割的定義有包括在尼日及奈及利亞進行的{{le|吉西里切割|gishiri cutting}}{{efn|「''gishiri''」出自[[豪薩語]]，為「鹽」之意。}}（gishiri cutting）或安古利亞切割（angurya cutting）。因為有關其發生率及程序資訊的不足，世界衛生組織2008年的定義中已不包括這些方式<ref name=WHO2008p27/>。吉西里切割是為了處理不孕及難產等幾種問題，用刀片切割陰道前壁或後壁。在奈及利亞醫生馬里奧·烏斯曼·曼達拉（Mairo Usman Mandara）的研究中，進行過吉西里切割的女性，超過30%會有[[膀胱陰道瘺]]的問題。安古利亞切割是將[[處女膜]]切除，會在出生後第七天進行<ref name=Mandara2000p98>Mairo Usman Mandara, "Female genital cutting in Nigeria: View of Nigerian Doctors on the Medicalization Debate," in Bettina Shell-Duncan and Ylva Hernlund (eds.), ''Female "Circumcision" in Africa: Culture Controversy and Change'', Boulder: Lynne Rienner Publishers, 2000 (pp. 253–282), pp. [http://books.google.com/books?id=rhhRXiJIGEcC&pg=PA98 98] {{Wayback|url=http://books.google.com/books?id=rhhRXiJIGEcC&pg=PA98 |date=20170908222903 }}, 100; for fistulae, p. 102.<p>
Mairo Usman Mandara, [http://www.ijgo.org/article/S0020-7292%2803%2900277-7/abstract "Female genital mutilation in Nigeria"] {{Wayback|url=http://www.ijgo.org/article/S0020-7292%2803%2900277-7/abstract |date=20170101055213 }}, ''International Journal of Gynecology & Obstetrics'', 84(3), pp. 291–298. {{PMID|15001386}} {{doi|10.1016/j.ijgo.2003.06.001}}</ref>。
==併發症==
第174行 ⟶ 第177行：
|align=right
|salign=right
|source= — Stephanie Sinclair, 紐約時報<ref>Stephanie Sinclair, [http://www.nytimes.com/slideshow/2008/01/20/magazine/20080120_CIRCUMCISION_SLIDESHOW_index.html "Inside a Female-Circumcision Ceremony"] {{Wayback|url=http://www.nytimes.com/slideshow/2008/01/20/magazine/20080120_CIRCUMCISION_SLIDESHOW_index.html |date=20201214094335 }}, ''The New York Times Magazine'', April 2006, slideshow of images from Indonesia ([http://www-nc.nytimes.com/2008/01/20/magazine/20circumcision-t.html article] {{Wayback|url=http://www-nc.nytimes.com/2008/01/20/magazine/20circumcision-t.html |date=20170705062653 }}).</ref>}}
女陰殘割對女性一生的身體及情緒健康都是有害的<ref name=Berg2014>Rigmor C. Berg, et al., [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4244458/ "Effects of female genital cutting on physical health outcomes: a systematic review and meta-analysis"] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4244458/ |date=20210308105220 }}, ''BMJ Open'', 4(11), 2014: e006316. {{PMID|25416059}} {{doi|10.1136/bmjopen-2014-006316}}</ref><ref name=RieselCreighton2015p49>Dan Reisel, Sarah M. Creighton, [http://www.maturitas.org/article/S0378-5122%2814%2900326-0/pdf "Long term health consequences of Female Genital Mutilation (FGM)"] {{Wayback|url=http://www.maturitas.org/article/S0378-5122%2814%2900326-0/pdf |date=20170101055716 }}, ''Maturitas'', 80(1), January 2015 (pp. 48–51), p. 49. {{PMID|25466303}} {{doi|10.1016/j.maturitas.2014.10.009}}</ref>，對於健康沒有任何已知的幫助<ref name=WHO2014health>[http://www.who.int/mediacentre/factsheets/fs241/en/ "Female genital mutilation"] {{Wayback|url=http://www.who.int/mediacentre/factsheets/fs241/en/ |date=20180402081316 }}, New York: World Health Organization, February 2014.</ref>
。其短期及後續的[[併發症]]和進行的女陰殘割種類，施行者是否有手術經驗，是否有用抗生素、用未消毒的手術器材或是醫療用的單次使用器材有關。若是進行鎖陰手術，後遺症的嚴重程度有許多影響因子，包含手術後所留下的孔穴大小、縫合是用手術用縫線還是植物的刺，以及程序是否進行不只一次（例如因為留下的孔穴太大而重新縫合，或是因為留下的孔穴太小而再開啟一個孔穴）等<ref name="Abdulcadira">Abdulcadira, Jasmine; Margairaz, C.; Boulvain, M; Irion, O. [http://www.smw.ch/content/smw-2011-13137/ "Care of women with female genital mutilation/cutting"] {{Wayback|url=http://www.smw.ch/content/smw-2011-13137/ |date=20160718085718 }}, ''Swiss Medical Weekly'', 6(14), January 2011 (review).</ref>。
手術後的常見併發症包括腫脹、出血過多、疼痛、[[尿滯留]]，或傷口感染。2015年的一份採集了56篇研究的回顧文章中提到，逾十分之一的女性在女陰殘割後發生了上述的併發症，其中的女陰殘割甚至包括象徵性的陰蒂切口（第四型），不過第三型的風險仍是最高的，報告也中認為此結果可能有低估<ref>Rigmor C. Berg, Vigdis Underland, [http://www.kunnskapssenteret.no/en/publications/immediate-health-consequences-of-female-genital-mutilation-cutting-fgm-c ''Immediate health consequences of female genital mutilation/cutting (FGM/C)''] {{Wayback|url=http://www.kunnskapssenteret.no/en/publications/immediate-health-consequences-of-female-genital-mutilation-cutting-fgm-c|date=20150906001628}}, ''Kunnskapssenteret'' (Norwegian Knowledge Centre for the Health Services), systematic review no. 8, 2014, pp. 4–5 ([http://www.kunnskapssenteret.no/en/publications/_attachment/166848?_ts=14853c40320&download=false full text] {{Wayback|url=http://www.kunnskapssenteret.no/en/publications/_attachment/166848?_ts=14853c40320&download=false|date=20161230003956}}). ISBN 978-82-8121-856-7</ref>。其他短期症狀包括致命的大量出血、[[贫血]]、[[泌尿道感染]]、[[敗血症]]、[[破傷風]]、[[坏疽]]、[[坏死性筋膜炎]]（細菌將組織"吃掉"）及[[子宫内膜炎]]<ref name=Abdulcadira/><ref name=RieselCreighton2015p49/><ref>Christos Iavazzo, Thalia A. Sardi, Ioannis D. Gkegkes, [http://link.springer.com/article/10.1007%2Fs00404-012-2708-5 "Female genital mutilation and infections: a systematic review of the clinical evidence"] {{Wayback|url=http://link.springer.com/article/10.1007%2Fs00404-012-2708-5 |date=20201020102925 }}, ''Archives of Gynecology and Obstetrics'', 287(6), June 2013, pp. 1137–1149. {{PMID|23315098}} {{doi|10.1007/s00404-012-2708-5}}</ref>。因為這類的併發症可能沒有識別或是匯報，因此不確定有多少名女性因為這些併發症而死亡<ref>[http://www.unicef-irc.org/publications/pdf/fgm_eng.pdf UNICEF 2005] {{Wayback|url=http://www.unicef-irc.org/publications/pdf/fgm_eng.pdf |date=20180928122738 }}, p. 16.</ref><ref name=RC2015p50>[http://www.maturitas.org/article/S0378-5122%2814%2900326-0/pdf Reisel and Creighton 2015] {{Wayback|url=http://www.maturitas.org/article/S0378-5122%2814%2900326-0/pdf |date=20170101055716 }}, p. 50.</ref>。手術者可能會用同一套器具為不同的人進行手術，這可能也會造成[[B型肝炎]]、[[C型肝炎]]及[[HIV]]的擴散，不過還沒有流行病學的研究可以證實這一點<ref name=RC2015p50/>。
後續的併發症因女陰割殘的類型不同而異<ref name=Abdulcadira/>
由於[[月經]]期產生的經血淤塞、滯留在陰道和子宮而造成的[[痛經]]也很常見。如果陰道完全堵塞，會造成[[陰道積血]]或{{le|子宮積血|Hematometra}}<ref name=Abdulcadira/>。由於經血淤積造成的腹部腫脹和不來月經，使女孩看起來像是懷孕。雅斯瑪·艾爾·達理爾（Asma EI Dareer）醫生在1979年報告，一名有上述症狀的年輕蘇丹女孩被其家人所殺<ref>El Dareer 1982, p. 37. Also see Asma El Dareer, "Preliminary report on a study on prevalence and epidemiology of female circumcision in Sudan today," WHO seminar, Khartoum, 10–15 February 1979; Asma el Dareer, "Female circumcision and its consequences for mother and child," Yaounde, 12–15 December 1979, cited in [http://www.sciencedirect.com/science/article/pii/S1110570413000520 Rushwan 2013] {{Wayback|url=http://www.sciencedirect.com/science/article/pii/S1110570413000520 |date=20170118065735 }}.</ref>。
===懷孕與生產===
第202行 ⟶ 第205行：
|align=right
|salign=right
|source= — Nahid Toubia, RAINBO, 1999<ref>Nahid Toubia, ''Caring for Women with Circumcision: A Technical Manual for Health Care Providers'', New York: RAINBO, 1999, cited in Mumtaz Rashid, Mohammed H. Rashid, [http://onlinelibrary.wiley.com/doi/10.1576/toag.9.2.095.27310/pdf "Obstetric management of women with female genital mutilation"] {{Wayback|url=http://onlinelibrary.wiley.com/doi/10.1576/toag.9.2.095.27310/pdf |date=20170909052837 }}, ''The Obstetrician and Gynaecologist'', 9(2), April 2007, pp. 95–101. {{doi|10.1576/toag.9.2.095.27310}}</ref>}}
女陰殘割會提高女性在懷孕及生產時的風險，女陰殘割的普及率越高，這部份越明顯<ref name=Abdulcadira/>。接受鎖陰手術的婦女會為了使生產容易一些，會在懷孕期間吃的較少，以減小胎兒的體積<ref>[http://onlinelibrary.wiley.com/doi/10.1576/toag.9.2.095.27310/pdf Rashid and Rashid 2007] {{Wayback|url=http://onlinelibrary.wiley.com/doi/10.1576/toag.9.2.095.27310/pdf |date=20170909052837 }}, p. 99.</ref>。若女性有膀胱陰道瘺或是直腸陰道瘺，很難在產前檢查中採集到純淬的尿液檢體，因此更不容易診斷出[[妊娠毒血症]]<ref name=Kelly2005pp491-2/>。在分娩時無法進行宮頸評估，可能會造成[[滯產]]或[[難產]]。鎖陰手術的婦女更常出現三度撕裂傷，肛門括約肌損傷及緊急的[[剖宫产]]<ref name=Abdulcadira/><ref>[http://onlinelibrary.wiley.com/doi/10.1576/toag.9.2.095.27310/pdf Rashid and Rashid 2007] {{Wayback|url=http://onlinelibrary.wiley.com/doi/10.1576/toag.9.2.095.27310/pdf |date=20170909052837 }}, p. 97.</ref>。
女陰殘割也會提高[[新生兒死亡]]的比例。世界衛生組織在2006年針對非洲部份地區統計，在統計每一千名出生的新生兒中，就有10至20個新生兒死亡是因為女陰殘割造成。此 統計資料是由布基纳法索、加纳、肯尼亚、尼日利亚、塞内加尔和苏丹的28个产科中心，对28393分娩妇女進行的研究。上述地區的研究發現，各種的女陰殘 割都會提高新生兒死亡的風險，其中第一型女陰殘割佔15%，第二型及第三型女陰殘割分別佔32% 及55%，其原因還不清楚，但可能和性器官及泌尿道的感染以及瘢痕组织的存在所造成。研究者認為女陰殘割和母親[[會陰]]的受損及[[產後出血]]有關，也可能會讓嬰兒需要接受[[心肺复苏]]，甚至[[死產]]，其原因可能和[[分娩]]中，胎兒娩出的第二階段時間過長有關<ref name=Banks2006>Emily Banks, et al, [http://www.who.int/reproductivehealth/publications/fgm/fgm-obstetric-study-en.pdf?ua=1 "Female genital mutilation and obstetric outcome: WHO collaborative prospective study in six African countries"] {{Wayback|url=http://www.who.int/reproductivehealth/publications/fgm/fgm-obstetric-study-en.pdf?ua=1 |date=20151117023348 }}, ''The Lancet'', 367(9525), 3 June 2006, pp. 1835–1841. {{PMID|16753486}} {{doi|10.1016/S0140-6736(06)68805-3}}<p>[http://www.who.int/mediacentre/news/releases/2006/pr30/en/index.html "New study shows female genital mutilation exposes women and babies to significant risk at childbirth"] {{Wayback|url=http://www.who.int/mediacentre/news/releases/2006/pr30/en/index.html |date=20131027190751 }}, World Health Organization, 2 June 2006.</ref>。
===心理影響、房事===
關於女陰殘割造成的心理影響，根據一篇2015年發表的[[系統綜述]]表明，現行幾乎沒有可靠的信息。一些小型的調查發現，受過女陰殘割的女性遭受焦慮、抑鬱和[[創傷後心理壓力緊張症候群]]的困擾<ref name=RC2015p50/>。當受過女陰殘割的女性離開進行割禮的文化社群，發現女陰殘割並不是一種正常現象之後，她們會感到恥辱和被背叛；但如果這些受過女陰殘割的女性依然留在進行割禮的文化社群中，她們會為自己受過割禮而感到驕傲，因為對於她們來說，女陰殘割意味著美麗、尊重傳統、和貞潔<ref name=Abdulcadira/>。
幾乎沒有研究探討女陰殘割對性功能造成的影響<ref name=RC2015p50/>。一份在2013年發表的[[元分析]]報告，在分析了15個調查、總共涵蓋了來自7個國家的12,671名受過女陰殘割的女性後發現，受過割禮的女性感到毫無性慾的可能性是未受過割禮女性的兩倍，而且報告性交疼痛的機率高52%。一共有1/3的調查者報告性慾減退<ref>Rigmor C. Berg, Eva Denison, [http://www.tandfonline.com/doi/full/10.1080/07399332.2012.721417#tabModule "A Tradition in Transition: Factors Perpetuating and Hindering the Continuance of Female Genital Mutilation/Cutting (FGM/C) Summarized in a Systematic Review"] {{Wayback|url=http://www.tandfonline.com/doi/full/10.1080/07399332.2012.721417#tabModule|date=20181106211138}}, ''[[Health Care for Women International]]'', 34(10), March 2013. {{PMID|23489149}} {{PMC|3783896}} {{doi|10.1080/07399332.2012.721417}}.<p>
For a summary of Berg and Denison, see [http://www.maturitas.org/article/S0378-5122%2814%2900326-0/pdf Reisel and Creighton 2015] {{Wayback|url=http://www.maturitas.org/article/S0378-5122%2814%2900326-0/pdf|date=20170101055716}}, p. 51.<p>
Also see S. Sibiani and A. A. Rouzi, [http://www.fertstert.org/article/S0015-0282%2808%2901813-X/fulltext "Sexual function in women with female genital mutilation"] {{Wayback|url=http://www.fertstert.org/article/S0015-0282%2808%2901813-X/fulltext|date=20210828084004}}, ''Fertility and Sterility'', 93(3), September 2008, pp. 722–724. {{PMID|19028385}} {{doi|10.1016/j.fertnstert.2008.10.035}}</ref>。
==分佈==
第225行 ⟶ 第228行：
| image1 = FGM prevalence UNICEF 2015.svg
| alt1 = map
| caption1 = 29個女陰殘割比例較高的國家中，15至49歲女性接受女陰殘割的比例（联合国儿童基金会2014年資料）<ref name=UNICEF2015table9>[http://www.data.unicef.org/corecode/uploads/document6/uploaded_pdfs/corecode/SOWC_2015_Summary_and_Tables_210.pdf ''The State of the World's Children 2015: Executive Summary''] {{Wayback|url=http://www.data.unicef.org/corecode/uploads/document6/uploaded_pdfs/corecode/SOWC_2015_Summary_and_Tables_210.pdf |date=20200728202743 }}, New York: UNICEF, November 2014, Table 9, pp. 84–89.</ref>也參考[[Special:Filepath/AfricaCIA-HiRes.jpg|非洲地圖]].
| image2 = FGM prevalence 15–49 (2014).svg
| alt2 = graph
}}
女陰殘割的盛行區域位於非洲，東迄索馬利亞，西至[[塞內加爾]]，南至[[坦尚尼亞]]、北至[[埃及]]。政治科學家{{le|Gerry Mackie|Gerry Mackie}}稱此區域為「令人感興趣的連續區」（{{lang|en|intriguingly contiguous}}）<ref>Gerry Mackie, John LeJeune, [https://web.archive.org/web/20131014151512/http://www.polisci.ucsd.edu/~gmackie/documents/UNICEF.pdf "Social Dynamics of Abandonment of Harmful Practices: A New Look at the Theory"], Innocenti Working Paper No. 2008-XXX, UNICEF Innocenti Research Centre, 2008, p. 5.</ref>。{{As of|2014年}}，29個盛行國家中，已有1.3億名女性已經接受過女陰殘割。預估到2050年，此數字會隨人口增加而上升至2億{{efn|聯合國兒童基金會2014年報告：「如果現在到2050年之間沒有任何減緩，從2013年每年有360萬女童受到割禮的數量將會成長到2050年的660萬。但如果在過去三十年的不斷成長的數率有所維持，受影響的女童數目將會從現在的每年360萬增加到2050年的410萬。」<p>「不論是上面兩種的哪一個情境，受到女性割禮的兒童與成人將會因為人口成長的關係持續增加。如果什麼都不做，受影響的女童與成人的數量將會從現在的1億3千3百萬成長到2015年的3億2千5百萬人。然而，如果現在的成果有維持住，現在受影響的1億3千3百萬到2050年將會有1億9千6百萬人，幾乎1億3千萬的女童將會免於這場對於其人權的重大侵犯。」<p>
（英文原文）UNICEF 2014: "If there is no reduction in the practice between now and 2050, the number of girls cut each year will grow from 3.6 million in 2013 to 6.6 million in 2050. But if the rate of progress achieved over the last 30 years is maintained, the number of girls affected annually will go from 3.6 million today to 4.1 million in 2050.<p>"In either scenario, the total number of girls and women cut will continue to increase due to population growth. If nothing is done, the number of girls and women affected will grow from 133 million today to 325 million in 2050. However, if the progress made so far is sustained, the number will grow from 133 million to 196 million in 2050, and almost 130 million girls will be spared this grave assault to their human rights."<ref>[http://data.unicef.org/corecode/uploads/document6/uploaded_pdfs/corecode/FGM-C-Brochure-7_15-Final-LR_167.pdf UNICEF 2014] {{
2013年時埃及、衣索比亞和奈及利亞有最多的女性與女孩遭遇女陰殘割，估計分別是2720萬人、2380萬人以及1990萬人<ref>UNICEF 2013, p. 2.</ref>（埃及於2007將女陰殘割視為違法行為、衣索比亞在2004年、奈及利亞則是在2015年）<ref>[http://www.unfpa.org/sites/default/files/pub-pdf/UNICEF-UNFPA%20Joint%20Programme%20AR_final_v14.pdf UNFPA–UNICEF 2012] {{Wayback|url=http://www.unfpa.org/sites/default/files/pub-pdf/UNICEF-UNFPA%20Joint%20Programme%20AR_final_v14.pdf |date=20180316152947 }}, p. 12.</ref><ref name=Egyptban>[http://egypt.unfpa.org/english/fgmStaticpages/3f54a0c6-f088-4bec-8671-5e9421d2adee/National_Legislations_Decrees_and_Statements_banning_fgm.aspx "National Legislation, Decrees and Statements Banning FGM/C"] {{
上述的資料是由{{le|人口與健康調查組織|Demographic and Health Surveys}}（DHS）的家戶調查而來，是由Macro International所提供，資金來源主要是來自[[美国国际开发署]]及{{le|多指標集調查組織|Multiple Indicator Cluster Surveys}}提供，由[[聯合國兒童基金會]]提供的技術及財務支援<ref name=Yoder2013p190>[http://www.ncbi.nlm.nih.gov/pubmed/23720002 Yoder, Wang and Johansen, 2013] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pubmed/23720002 |date=20171019061100 }}, p. 190.</ref>。調查是在非洲、亞洲及拉丁美洲等地進行，自1984年及1995年進行，約每五年進行一次<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, Box 1.1, p. 4.</ref><ref>[http://www.ncbi.nlm.nih.gov/pubmed/23720002 Yoder, Wang and Johansen, 2013] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pubmed/23720002 |date=20171019061100 }}, p. 190; [http://www.dhsprogram.com/What-We-Do/Survey-Types/DHS.cfm "DHS overview"] {{Wayback|url=http://www.dhsprogram.com/What-We-Do/Survey-Types/DHS.cfm |date=20141016202457 }}, Demographic and Health Surveys; [http://www.childinfo.org/mics5_questionnaire.html "Questionnaires and Indicator List"] {{Wayback|url=http://www.childinfo.org/mics5_questionnaire.html |date=20190603024658 }}, Multiple Indicator Cluster Surveys, UNICEF.</ref>。
第一份有關女陰殘割的調查是1989年至1990年由人口與健康調查組織（DHS）在北蘇丹進行的調查，第一份估計女陰殘割盛行率的出版物是1997年由Macro International的Dara Carr製作，根據七個國家的DHS資料整理而得<ref>[http://www.ncbi.nlm.nih.gov/pubmed/23720002 Yoder, Wang and Johansen, 2013] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pubmed/23720002 |date=20171019061100 }}, p. 191; Dara Carr, ''Female genital cutting: Findings from the Demographic and Health Surveys program'', Calverton, MD: Macro International Inc., 1997.</ref>。聯合國兒童基金會2013年根據70份調查所得的報告，指出女陰殘割集中在非洲的27個國家、葉門及伊拉克的庫德族<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, pp. 3, 5.</ref>，在這些國家中有1.33億位女性進行了女陰殘割<ref name=133million>[http://data.unicef.org/corecode/uploads/document6/uploaded_pdfs/corecode/FGM-C-Brochure-7_15-Final-LR_167.pdf ''Female Genital Mutilation/Cutting: What Might the Future Hold?''] {{Wayback|url=http://data.unicef.org/corecode/uploads/document6/uploaded_pdfs/corecode/FGM-C-Brochure-7_15-Final-LR_167.pdf |date=20141021224539 }}, New York: UNICEF, 22 July 2014 (hereafter UNICEF 2014), pp. 3, 6.</ref>。
在上述29個國家以外，在印度、阿聯、以色列的{{le|內蓋夫貝都因人|Negev Bedouin|貝都因人}}有女陰殘割的記錄，在哥倫比亞、剛果、阿曼、秘魯及斯里蘭卡也有出現過，但不常見<ref>[http://whqlibdoc.who.int/publications/2008/9789241596442_eng.pdf WHO 2008] {{Wayback|url=http://whqlibdoc.who.int/publications/2008/9789241596442_eng.pdf |date=20130810080948 }}, pp. 29–30.</ref>。在約旦、沙烏地阿拉伯、印尼及馬來西亞以及澳洲、紐西蘭、歐洲、斯堪的納維亞、美國及加拿大的移民群體也有這類的情形{{efn|UNICEF 2014: "Although no nationally representative data on FGM/C are available for countries including Colombia, Jordan, Oman, Saudi Arabia and parts of Indonesia and Malaysia, evidence suggests that the procedure is being performed."<ref name="unicef2">[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 23.</ref>}}<ref>For Australia, New Zealand, Europe, Scandinavia, the United States and Canada, [http://www.unicef-irc.org/publications/pdf/fgm_eng.pdf UNICEF 2005] {{Wayback|url=http://www.unicef-irc.org/publications/pdf/fgm_eng.pdf |date=20180928122738 }}, p. 4.</ref>。
===種族===
第254行 ⟶ 第257行：
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|source= — UNICEF 2013<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 34.</ref>}}
在有女陰殘割的國家中，多半不是所有女性接受女陰殘割，而是會隨著種族而不同<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, pp. 28–37.</ref>。例如在伊拉克，女陰殘割主要是出現在[[库尔德人]]中，分佈在[[阿尔贝拉]]（15至49歲的當地库尔德女性有58%接受女陰殘割）、[[蘇萊曼尼亞]]（54%）及[[基爾庫克]]（約20%），全國接受女陰殘割女性比例有8%<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, pp. 27 (for eight percent), 31 (for the regions).<p>
Berivan A. Yasin, et al, [http://www.biomedcentral.com/1471-2458/13/809 "Female genital mutilation among Iraqi Kurdish women: a cross-sectional study from Erbil city"] {{Wayback|url=http://www.biomedcentral.com/1471-2458/13/809 |date=20151121034517 }}, ''BMC Public Health'', 13, September 2013. {{PMID|24010850}} {{PMC|3844478}} {{doi|10.1186/1471-2458-13-809}}</ref>。
有時女陰殘割是一個種族的標誌，但有時也會隨所在家而不同。衣索比亞和肯亞的東北部鄰近索馬利亞。在這三個國家[[索馬里人]]女陰殘割的比例相近<ref>[http://www.ncbi.nlm.nih.gov/pubmed/23720002 Yoder, Wang and Johansen, 2013] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pubmed/23720002 |date=20171019061100 }}, p. 196, 198.</ref>。不過根據2001年的問卷，所有幾內亞的[[富拉尼人]]女性都有進行女陰殘割<ref name="DHS">{{cite book|last1=Yoder|first1=P. Stanley|title=Female Genital Cutting in Guinea: Qualitative and Quantitative Research Strategies|date=2001-06|publisher=MEASURE DHS+|pages=3|url=https://dhsprogram.com/pubs/pdf/AS5/AS5.pdf|accessdate=2016-03-19|archive-date=2016-10-19|archive-url=https://web.archive.org/web/20161019234626/https://dhsprogram.com/pubs/pdf/AS5/AS5.pdf|dead-url=no}}</ref>，在查德的富拉尼人只有12%進行過，而在奈及利亞，富拉尼人是唯一不進行女陰殘割的主要族群<ref>For Chad, [http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, pp. 35–36; for Nigeria, T. C. Okeke, et al, [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3507121/ "An Overview of Female Genital Mutilation in Nigeria"] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3507121/ |date=20171001112540 }}, ''Annals of Medical Health Sciences Research'', 2(1), Jan–June 2012, pp. 70–73. {{PMID|23209995}} {{PMC|3507121}} {{doi|10.4103/2141-9248.96942}} FGM is practised in Nigeria by the Yoruba, Hausa, Ibo, Ijaw and Kanuri people.</ref>。
中东的[[库尔德]]地区也广泛存在女陰殘割的行為，2011年6月，伊拉克库尔德三省将女性割礼和家庭暴力列入刑事犯罪，这是个具有里程碑意义的法律，但始终无法获得有效实施。在伊拉克北部库尔德三省，享有很大的自主权，库尔德当地人平均寿命特别是女性也比伊拉克其他省份要好。但在当地有切割女性生殖器官的传统。据德国非政府组织2010年的对当地1700名妇女的调查中发现在[[埃尔比勒]]和[[苏莱曼尼亚]]两个省份中72.7％的女性都被切割了生殖器，某些地区几乎100％。此外许多库尔德女性由于畏惧[[强奸]]和[[荣誉谋杀]]而自愿将下体缝合，部分人甚至选择切除输卵管并将下體完全缝合，终身不嫁。<ref>{{cite news
===地區、經濟能力及教育程度===
研究發現女陰殘割較常出現在鄉村地區，最富裕家庭的女性進行女陰殘割的比例較少。大部份國家中，若女性接受小學或小學以上的教育，其女兒接受女陰殘割的比例會較少，但蘇丹及索馬利亞例外，索馬利亞女性若接受中學或中學以上的教育，她的女兒接受 女陰殘割的比例反而會增加。在蘇丹境內，女性只要有接受教育，女兒接受女陰殘割的比例就會上昇<ref>For rural areas, [http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 28; for wealth, p. 40; for education, p. 41.</ref>。
===女陰殘割的種類===
在問卷中，以下是有關女陰殘割種類的問題<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 134–135.</ref>
<blockquote style="background:none; margin-right:0; margin-left:0; border-left:solid 5px #ccc; padding:1.5em;">
第274行 ⟶ 第277行：
*女陰部位有縫合（鎖陰手術）嗎？</blockquote>
大部份有受過手術的女性會回答：「切除部份部位」，屬於WHO分類的第1類及第2類<ref name=Yoder2013p189TypeI/>。第1類及第2類在埃及都有人進行{{efn|Mohammed A. Tag-Eldin (World Health Organization, 2008): "The most common forms of FGC still widely practised throughout Egypt are type I (commonly referred to as clitoridectomy) and type II (commonly referred to as excision)."<ref>Mohammed A. Tag-Eldin, [http://www.who.int/bulletin/volumes/86/4/07-042093/en/ "Prevalence of female genital cutting among Egyptian girls"] {{Wayback|url=http://www.who.int/bulletin/volumes/86/4/07-042093/en/ |date=20170518101904 }}, ''Bulletin of the World Health Organization'', 86(4), April 2008.</ref>}}Mackie在2003年提出第2型比較常見<ref>[[Gerry Mackie]], [http://pages.ucsd.edu/~gmackie/documents/FGCHarmlessPractice.pdf "Female Genital Cutting: A Harmless Practice?"] {{Wayback|url=http://pages.ucsd.edu/~gmackie/documents/FGCHarmlessPractice.pdf|date=20170808210842}}, ''Medical Anthropology Quarterly'', 17(2), 2003 (pp. 135–158), p. 148.</ref>，而2011年的一份研究指出第1型比較常見<ref name=Rasheedemail2011/>。在奈及利亞南部較常看到第1型，北部則是更嚴格的女陰殘割<ref>For north and south, [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3507121/ Okeke, et al 2012] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3507121/ |date=20171001112540 }}, pp. 70–73.</ref>。
第3型（鎖陰手術）集中在非洲東北部、特別是[[吉布地]]、[[厄利垂亞]]、[[索馬利亞]]及[[蘇丹]]<ref>[http://dhsprogram.com/pubs/pdf/WP39/WP39.pdf Yoder and Khan 2008] {{Wayback|url=http://dhsprogram.com/pubs/pdf/WP39/WP39.pdf |date=20171122012927 }}, pp. 13–14.</ref>。在2002年至2006年的問卷中，吉布地進行過女陰殘割的女性中，有30%是進行鎖陰手術，在厄利垂亞和索馬利亞分別是38%及63%<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 47, Table 5.2.<p></ref>。在尼日及塞內加爾的女性進行鎖陰手術的比例也比較高<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 114: "In Somalia, Eritrea, Niger, Djibouti and Senegal, more than one in five girls have undergone the most radical form of the practice known as infibulation ..."</ref>。2013年在奈及利亞14歲以下的女童中，估計有3%有進行鎖陰手術<ref>[http://data.unicef.org/corecode/uploads/document6/uploaded_country_profiles/corecode/30/Countries/FGMC_NGA.pdf "Nigeria: Statistical profile on female genital mutilation/cutting"] {{
===進行女陰殘割的年齡===
第292行 ⟶ 第295行：
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|source= — UNICEF 2013<ref name=UNICEF2013p50>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 50.</ref>}}
女陰殘割不一定是從女孩變為女人之間的[[成年禮]]，不過常常在女兒年齡較小時進行<ref>Gerry Mackie, [https://web.archive.org/web/20131029210333/http://www.polisci.ucsd.edu/~gmackie/documents/BeginningOfEndMackie2000.pdf "Female Genital Cutting: The Beginning of the End"], in Shell-Duncan and Hernlund 2000 (pp. 253–282), p. 275.</ref>。女性一般是在剛過15歲之後進行<ref name=UNICEF2013p50/>。在一些國家有相關的統計數據，其中有一半的國家其女性是在約五歲時進行女陰殘割<ref name=UNICEF2013p50/>。在奈及利亞、馬里、迦納及茅利塔尼亞有進行女陰殘割的女性中，有80%是在五歲前進行女陰殘割<ref name=UNICEFage/>。1997年葉門的人口及健康統計指出76%的女嬰是在出生後二週就進行女陰殘割<ref>[http://www.unicef-irc.org/publications/pdf/fgm_eng.pdf UNICEF 2005] {{Wayback|url=http://www.unicef-irc.org/publications/pdf/fgm_eng.pdf |date=20180928122738 }}, p. 6.</ref>。
在索馬利亞、埃及、查德及中非共和國的情形則所有不同，進行女陰殘割的有80%是在五歲至十四歲之間進行<ref name=UNICEFage>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, pp. 47, 183.</ref>。女陰殘割的種類和種族有關，平均年齡也是，在肯亞，{{le|Kisi族|Kisi people}}平均在十歲進行女陰殘割，[[坎巴族]]則是在十六歲<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 51.</ref>。
===盛行率的變化===
根據UNICEF 2013年的調查，在29個國家中比較15至19歲和45至49歲女陰殘割的比例，有一半的國家呈現下降的趨勢<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 99.</ref>。女陰殘割比例很高的國家，其變化不大，但原本女陰殘割比例就較低的國家，其比例正在下降，或者採用較輕微的方式<ref>[http://www.ncbi.nlm.nih.gov/pubmed/23720002 Yoder, Wang and Johansen, 2013] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pubmed/23720002 |date=20171019061100 }}, p. 193; [http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, pp. 99, 114.</ref>。根據UNICEF 2014年的資料，女孩接受女陰殘割的比例較30年前低了1/3<ref name=UNICEF22July2014>[http://data.unicef.org/corecode/uploads/document6/uploaded_pdfs/corecode/FGM-C-Brochure-7_15-Final-LR_167.pdf UNICEF 2014] {{
[[File:FGM prevalence 0–14 (2014).svg|thumb|300px|alt=graph|Togo和貝寧在0至14歲的女陰殘割比率(UNICEF，2014年11月)大約巳降至0<ref name=UNICEF2015table9/>，其他UNICEF的報告中，這些國家此年齡的實施比率為0.4%和0.3%<ref>[http://data.unicef.org/corecode/uploads/document6/uploaded_country_profiles/corecode/30/Countries/FGMC_TGO.pdf Togo] {{
回應有關女陰殘割問卷的女性，是表示她們之前是否有進行過女陰殘割，因此15歲到49歲的發生率不表示目前的趨勢<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, pp. 85, 113.</ref>。UNICEF以15歲到49歲為基準，因為14歲以下的女孩都有後續會進行女陰殘割的風險{{efn|UNICEF 2003: "The percentage of girls and women of reproductive age (15 to 49) who have experienced any form of FGM/C is the first indicator used to show how widespread the practice is in a particular country ... A second indicator of national prevalence measures the extent of cutting among daughters aged 0 to 14, as reported by their mothers. Prevalence data for girls reflect their current – not final – FGM/C status, since many of them may not have reached the customary age for cutting at the time of the survey. They are reported as being uncut but are still at risk of undergoing the procedure. Statistics for girls under age 15 therefore need to be interpreted with a high degree of caution ..."<ref name="unicef2"/>}}。另一個造成發生率判斷上的困擾是在反對女陰殘割的國家，母親比較不會說自己的女兒其實已進行了女陰殘割<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, pp. 25, 100; [http://www.ncbi.nlm.nih.gov/pubmed/23720002 Yoder, Wang and Johansen, 2013] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pubmed/23720002 |date=20171019061100 }}, p. 196.</ref>。
在2010年時DHS及MICS的問卷開始問婦女她們的女兒是否有進行女陰殘割
埃及在2008年至2010年之間有進行一項研究（埃及在2007年法律禁止女陰殘 割，2008年視為犯罪行為），針對[[索哈傑]]及[[基納]]大學醫院中的4158名女性以及5歲至25歲的女孩進行有關女陰殘割的問卷。研究者指出 在埃及以第1型的女陰殘割最為常見。在2000至2009年之間，受訪者有3711個已進行了女陰殘割，[[患病率|比率]]達89.2%{{efn|"From 2000 to 2009, 3711 of the young participants (89.2%) underwent FGM and 447 (10.8%) did not. The mean age at the time of FGM was 8.2 ± 0.9 years. About three quarters (74.3%) of the procedures were performed at home and the remaining 25.7% at private clinics."<ref name=Rasheedemail2011/>}}。2000年進行女陰殘割的[[發病率|比率]]有9.6%，在2006年開始下降，2009年下降到7.7%。在2007年後大部份的女陰殘割是由一般的外科醫生進行，研究者推測這是因為女陰殘割視為犯罪行為，婦產科醫生不願意執行，因此改由一般外科醫生進行<ref name=Rasheedemail2011>Salah M. Rasheedemail, Ahmed H. Abd-Ellah, Fouad M. Yousef, [http://www.ijgo.org/article/S0020-7292%2811%2900127-5/abstract "Female genital mutilation in Upper Egypt in the new millennium"], ''International Journal of Gynecology and Obstetrics'', 114(1), July 2011, pp. 47–50. {{doi|10.1016/j.ijgo.2011.02.003}} PMID 21513937</ref>。▼
▲埃及在2008年至2010年之間有進行一項研究（埃及在2007年法律禁止女陰殘
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[[联合国儿童基金会]]的研究表明，来自埃及、埃塞俄比亚、肯尼亚、塞内加尔以及苏丹等5个非洲国家的数据显示，在消除女性外生殖器切割的做法上出现了进步。这种伤害性的习俗在埃及、埃塞俄比亚和苏丹普遍存在，但是在肯尼亚及塞内加尔这种做法仅出现在某些特定人群之中。联合国儿童基金会的研究显示，15到49岁女性的态度发生了深刻的变化。例如，这项研究表明，2000年埃塞俄比亚有60%的女性同意外生殖器切割的做法，而5年以后的调查数据显示，这个百分比 已经下降了一半。与此同时在埃及和苏丹，赞同这种习俗的人数明显减少，而在肯尼亚和塞内加尔，否定这种做法的态度则已经非常普遍了。但是联合国儿童基金会发言人梅尔卡多说，不少家庭不愿意放弃切割生殖器的传统，因为他们认为这种做法有利于他们女儿。主要原因是，将自己女儿性器切割可以在某种意义上真正为他们的家庭带来经济及社会的安全保障。他们要保证自己的女儿能被社会接受，嫁人和过正常生活。在很多这种习俗通行的文化中，不进行切割，就會受到歧視。<ref>{{cite news | publisher = 美国之音 | title =UN: 取缔女性生殖器切割获成效 | url=http://www.voanews.com/chinese/news/20101118-FEMALE-GENITAL-108923504.html}}</ref>
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==原因==
===女性的支持===
索馬里的女詩人Dahabo Musa在其1988的詩中將鎖陰手術描述為「三次女性的傷痛」：鎖陰手術本身、在新婚的初夜將陰部打開、在分娩後再將陰部縫合<ref>Abdalla 2007, p. [http://books.google.com/books?id=8VQxt634pfcC&pg=PA187 187] {{Wayback|url=http://books.google.com/books?id=8VQxt634pfcC&pg=PA187 |date=20131009024234 }}.</ref>。雖然有明顯的痛苦，但在有女陰殘割習俗的地區，都是女性在組織管理包括鎖陰手術在內的各種的女陰殘割。人類學家 Rose Oldfield Hayes在1975年提到住在城市的受教育男性不希望其女兒接受鎖陰手術（比較傾向接受陰蒂切除術），但可能某一天他的母親安排親戚來訪，也就幫孫女作了鎖陰手術<ref>[http://www.jstor.org/stable/643328 Hayes 1975] {{Wayback|url=http://www.jstor.org/stable/643328 |date=20201115002444 }}, pp. 620, 624.</ref>。Gerry Mackie比較女陰殘割及[[缠足]]。缠足和女陰殘割有些類似，都是因為榮譽、女性貞節、認為對婚姻有益，也都是受到其他女性長輩的支持{{efn|[[Gerry Mackie]], 1996: "Footbinding and infibulation correspond as follows. Both customs are nearly universal where practiced; they are persistent and are practiced even by those who oppose them. Both control sexual access to females and ensure female chastity and fidelity. Both are necessary for proper marriage and family honor. Both are believed to be sanctioned by tradition. Both are said to be ethnic markers, and distinct ethnic minorities may lack the practices. Both seem to have a past of contagious diffusion. Both are exaggerated over time and both increase with status. Both are supported and transmitted by women, are performed on girls about six to eight years old, and are generally not initiation rites. Both are believed to promote health and fertility. Both are defined as aesthetically pleasing compared with the natural alternative. Both are said to properly exaggerate the complementarity of the sexes, and both are claimed to make intercourse more pleasurable for the male."<ref>Gerry Mackie, [http://pages.ucsd.edu/~gmackie/documents/MackieASR.pdf "Ending Footbinding and Infibulation: A Convention Account"] {{Wayback|url=http://pages.ucsd.edu/~gmackie/documents/MackieASR.pdf |date=20170807142229 }}, ''American Sociological Review'', 61(6), December 1996 (pp. 999–1017), pp. 999–1000. Also see [https://web.archive.org/web/20131029210333/http://www.polisci.ucsd.edu/~gmackie/documents/BeginningOfEndMackie2000.pdf Mackie 2000], p. 256.</ref>}}。
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|source= — Stephanie Walsh, Newhouse News Service<ref>[http://www.pulitzer.org/works/1996-Feature-Photography "Stephanie Welsh"] {{Wayback|url=http://www.pulitzer.org/works/1996-Feature-Photography |date=20151007101527 }}, 1996 Pulitzer Prize winners</ref>}}
實現女陰殘割的人認為女陰殘割主要是表示性別的差異，依此觀點，女陰殘割是對女性的去男性化，而男性的割禮是對男性的去女性化<ref>Rogaia Mustafa Abusharaf, "Introduction: The Custom in Question," in Abusharaf 2007, p. [http://books.google.com/books?id=8VQxt634pfcC&pg=PA8 8] {{Wayback|url=http://books.google.com/books?id=8VQxt634pfcC&pg=PA8 |date=20170908222903 }}; El Guindi 2007, pp. [http://books.google.com/books?id=8VQxt634pfcC&pg=PA36 36–37].</ref>。{{le|Fuambai Ahmadu|Fuambai Ahmadu}}是[[塞拉利昂|獅子山]]{{le|科诺族|Kono people}}的人類學家，在進入{{le|桑德社群|Sande society}}時接受了[[阴蒂切除术]]，作為成人的象徵。她認為強調陰蒂在女性性機能中重要性的想法是男性中心的假設，非洲的女性符號是子宮的受孕<ref>[[Fuambai Ahmadu]], "Rites and Wrongs: An Insider/Outsider Reflects on Power and Excision," in Shell-Duncan and Hernlund 2000, pp. [http://books.google.com/books?id=rhhRXiJIGEcC&pg=PA284 284–285].</ref>，鎖陰手術強調封閉及受孕的概念。加拿大人類學家Janice Boddy提到：「阴蒂切除完成了孩童性器官的社會定義，去除了外在輪廓上的雌雄同体。因此女性的身體是被包覆的、封閉的，有生育能力的血液封閉在其中，而男性的身體是不隱藏的、開放的，暴露的。」<ref>Janice Boddy, ''Civilizing Women: British Crusades in Colonial Sudan'', Princeton: Princeton University Press, 2007, pp. [http://books.google.com/books?id=T77ui7IPNwkC&pg=PA112 112]. Also see [http://www.jstor.org/stable/25064860 Silverman 2004] {{Wayback|url=http://www.jstor.org/stable/25064860 |date=20201102154225 }}, p. 429.</ref>
在習慣進行鎖陰手術的族群中，一般會希望女性的生殖器是光滑、乾燥、無氣味的，不論男性或女性都會排斥自然正常的外陰<ref>Ellen Gruenbaum, [http://www.jstor.org/stable/4005473 "Socio-Cultural Dynamics of Female Genital Cutting: Research Findings, Gaps, and Directions"] {{Wayback|url=http://www.jstor.org/stable/4005473 |date=20201103171324 }}, ''Culture, Health & Sexuality'', 7(5), September–October 2005 (pp. 429–441), pp. 435–436.</ref>。男性似乎會享受用陰莖將鎖陰部位頂開的成果<ref>[http://www.jstor.org/stable/4005473 Gruenbaum 2005] {{Wayback|url=http://www.jstor.org/stable/4005473|date=20201103171324}}, p. 437; Gruenbaum 2001, p. 140; [[Janice Boddy]], ''Wombs and Alien Spirits: Women, Men, and the Zar Cult in Northern Sudan'', Madison: University of Wisconsin Press, 1989, p. [http://books.google.com/books?id=TK6NIp5uVwsC&pg=PA52 52] {{Wayback|url=http://books.google.com/books?id=TK6NIp5uVwsC&pg=PA52|date=20130921060824}}.</ref>。由於進行過鎖陰手術的外陰較光滑，這些族群也認為鎖陰手術有助於清潔衛生<ref>[http://www.jstor.org/stable/4005473 Gruenbaum 2005] {{Wayback|url=http://www.jstor.org/stable/4005473 |date=20201103171324 }}, p. 437.</ref>。女性會為了[[乾陰道性交|減少陰道潤滑]]而在陰道中塞入樹葉、树皮、牙膏<!--and Vicks menthol rub-->等物品。世界衛生組織將這類的行為歸類在第4型女陰殘割中，因為這些在性交中增加的摩擦會造成破皮，也會提高感染的風險<ref>Bagnol and Mariano 2011, pp. [http://books.google.com/books?id=xSqIrrswbG0C&pg=PA277 277–281]; for Type IV, [http://whqlibdoc.who.int/publications/2008/9789241596442_eng.pdf WHO 2008] {{Wayback|url=http://whqlibdoc.who.int/publications/2008/9789241596442_eng.pdf |date=20130810080948 }}, pp. 27–28.</ref>。
在問卷中女性支持女陰殘割的常見理由包括社會認同、宗教、清潔衛生、保持貞節、適於結婚及增加男性的性快感<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 67.</ref>。在一份1983年發表，針對北蘇丹的研究中指出，3210名女性中只有558人（17.4%）反對女陰殘割，贊成的人贊成陰唇切除及鎖陰手術過於陰蒂切除術<ref>Asma El Dareer, [http://ije.oxfordjournals.org/content/12/2/138.abstract "Attitudes of Sudanese People to the Practice of Female Circumcision"] {{Wayback|url=http://ije.oxfordjournals.org/content/12/2/138.abstract |date=20151101151017 }}, ''International Journal of Epidemiology'', 12(2), 1983 (pp. 138–144), p. 140. {{PMID|6874206}} {{doi|10.1093/ije/12.2.138}}</ref>。不過女性的態度也在慢慢改變。2000年時蘇丹有42%知道女陰殘割的女性認為此作法需繼續實施<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 178.</ref>。在2006年時，在馬里、幾內亞、獅子山、索馬利亞、岡比亞及埃及有超過50%的女性認為應該繼續女陰殘割，而在非洲其他地區、伊拉克及葉門的大部份女性認為不應該再進行女陰殘割，不過在一些國家中，贊成和反對的比例其實差距不大<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 52: "The highest levels of support can be found in Mali, Guinea, Sierra Leone, Somalia, Gambia and Egypt, where more than half the female population think the practice should continue." Also see Figure 6.1, p. 54 and Figures 8.1A – 8.1D, pp. 90–91.</ref>。
===社會規定===
[[File:Molly Melching, Tostan, 2007.jpg|thumb|300px|alt=photograph|Molly Melching在在2007年於塞內加爾舉行的禁止女陰殘割十週年紀念會]]
針對那些願意為其女兒進行女陰殘割的女性，联合国儿童基金会認為這是：「自我執行的社會習俗」，這些家庭認為需要遵守，以避免沒進行女陰殘割的女兒遭到社會的排斥<ref name=UNICEF20123p15>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 15.</ref>。
美國人類學家Ellen Gruenbaum在1970年代研究指出，阿拉伯人中已接受女性殘割的女孩會嘲笑哪些沒有接受女性殘割的{{le|哲爾馬人|Zabarma people|哲爾馬}}女孩：「嘿！髒鬼！」（''Ya, Ghalfa!''），哲爾馬女孩會反諷他們「mutmura」（mutmura是一種穀倉，常需要打開及關閉，就像接受鎖陰手術的女性一樣）。不過她們仍會感受到壓力，回去會問母親說：「怎麼回事！我們沒有像阿拉伯人一樣的小刀（可以進行鎖陰手術）嗎？」<ref>[http://www.jstor.org/stable/4005473 Gruenbaum 2005] {{Wayback|url=http://www.jstor.org/stable/4005473 |date=20201103171324 }}, pp. 432–433.</ref>
由於相關的醫學資訊的不足，也因為施行女陰殘割者會對女陰殘割的後果加以淡化，因此，女性不會將其身體健康的情形和女陰殘割聯想到一起。拉拉·白爾德（Lala Baldé）是塞內加爾梅迪納·謝里夫村（Medina Cherif）的女性組織領袖，她在1998年告訴Mackie說，當女孩們生病甚至死亡時，會歸因於邪靈的影響。當其他女性知道女陰殘割和健康惡化之間的因果關係時，她們崩溃痛哭。他認為在提供這些資訊前後的調查，可以看出對女陰殘割的支持程度有非常明顯的變化<ref>[http://pages.ucsd.edu/~gmackie/documents/FGCHarmlessPractice.pdf Mackie 2003] {{Wayback|url=http://pages.ucsd.edu/~gmackie/documents/FGCHarmlessPractice.pdf |date=20170808210842 }}, pp. 147–148.</ref>。
1991年由Molly Melching成立的美國非營利組織{{le|Tosta|Tostan}}在許多國家提出了社區赋权方案，著重在識字、衛生相關教育及地區的民主，讓女性可以做自己的決定<ref>[https://www.unfpa.org/webdav/site/global/shared/documents/publications/2013/UNICEF-UNFPA%20Joint%20Programme%20AR_final_v14.pdf UNICEF-UNFPA 2012] {{Wayback|url=https://www.unfpa.org/webdav/site/global/shared/documents/publications/2013/UNICEF-UNFPA%20Joint%20Programme%20AR_final_v14.pdf|date=20140611084959}}, pp. 21–22.
Nafissatou J. Diop, Amadou Moreau, Hélène Benga, [http://www.unicef.org/wcaro/wcaro_SEN_TOSTAN_EarlyMarriage.pdf "Evaluation of the Long-term Impact of the TOSTAN Programme on the Abandonment of FGM/C and Early Marriage: Results from a qualitative study in Senega"] {{Wayback|url=http://www.unicef.org/wcaro/wcaro_SEN_TOSTAN_EarlyMarriage.pdf|date=20190503104707}}, UNICEF, January 2008.
Louisa Kasdon, [http://www.louisakasdon.com/userFiles/file/32_pdfver.pdf "A Tradition No Longer"] {{
Jean Faraca, [http://wpr.net/webcasting/audioarchives_display.cfm?Code=hoe&StartRow=173&Repeats=no "Confronting Female Genital Cutting"], Wisconsin Public Radio, interview with [[Molly Melching]] and [[Gerry Mackie]], 3 November 2011, from 2:43 mins.</ref>。1997年Malicounda Bambara配合Tostan方案，成為第一個廢止女陰殘割的村莊，在2014年在八個國家已有超過七千個社群放弃女陰殘割和[[童婚]]<ref>For Malicounda Bambara, [https://web.archive.org/web/20131029210333/http://www.polisci.ucsd.edu/~gmackie/documents/BeginningOfEndMackie2000.pdf Mackie 2000], p. 256ff; for over 7,000 communities, [http://www.tostan.org/community-empowerment-program "Our Success"] {{Wayback|url=http://www.tostan.org/community-empowerment-program |date=20170315032617 }}, Tostan, accessed 25 October 2014.</ref>。有一個聯合國人口基金會和联合国儿童基金会的聯合計劃2014年為止已在非洲十五個國家進行，也是依相同的方式進行<ref name=UNICEF20123p15/>。
===宗教===
<!--{{further|Religious views on female genital mutilation}}-->
[[File:Keur Simbara, Senegal (8592417042).jpg|thumb|left|300px|alt=photograph|塞內加爾的Keur Simbara地區，在三年Tostan的計劃後，在1998年禁止女陰殘割<ref>Malick Gueye, [http://www.tostan.org/blog/social-norm-change-theorists-meet-again-keur-simbara-senegal "Social Norm Change Theorists meet again in Keur Simbara, Senegal"] {{Wayback|url=http://www.tostan.org/blog/social-norm-change-theorists-meet-again-keur-simbara-senegal |date=20170311194456 }}, Tostan, 4 February 2014.</ref>]]
問卷發現非洲有許多人認為女陰殘割是宗教上的要求，特別是在馬里，茅利塔利亞，幾內亞及埃及等國家，有此想法的人特別的多<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, pp. 69–70; Figure 6.12, p. 71.</ref>。格林鲍姆（Gruenbaum）提到當地的人不太會區分此實務是出於宗教、習俗還是貞操，因此不太容易說明這數據進一步的意義<ref>Gruenbaum 2001, p. [http://books.google.com/books?id=JOXmOLBd4E4C&pg=PA50 50]; [https://web.archive.org/web/20131014151512/http://www.polisci.ucsd.edu/~gmackie/documents/UNICEF.pdf Mackie and LeJeune 2008], p. 8.</ref>在一個[[联合国人口基金]]及[[聯合國兒童基金會]]合作的計劃案中，在2008年到2013年間，有20941位宗教領袖及傳統領袖公開說明女陰殘割和宗教無關，宗教領袖發出了2898篇宗教敕令，反對女陰殘割<ref name=jointprogrammeevaluationp26>[https://www.unfpa.org/webdav/site/global/shared/documents/publications/2014/Joint%20Programme%20on%20FGMC%20Summary%20Report.pdf ''UNFPA-UNICEF Joint Programme on Female Genital Mutilation/Cutting: Accelerating Change]{{dead link|date=February 2016}}, Summary Report of Phase I, 2008–2013'' (hereafter 2013 UNFPA-UNICEF Joint Programme evaluation), p. 26.</ref>。
雖然女陰殘割最早出現在東北非的時間是在伊斯蘭教之前，不過因為伊斯蘭教強調女性的貞操及隔離，因此此一實務開始認為和伊斯蘭教有關{{efn|Gerry Mackie, 1996: "FGM is pre-Islamic but was exaggerated by its intersection with the Islamic modesty code of family honor, female purity, virginity, chastity, fidelity, and seclusion."<ref>[http://pages.ucsd.edu/~gmackie/documents/MackieASR.pdf Mackie 1996] {{Wayback|url=http://pages.ucsd.edu/~gmackie/documents/MackieASR.pdf |date=20170807142229 }}, p. 1008.</ref>}}。在[[可蘭經]]中沒有提到女陰殘割，在數篇[[聖訓]]（一般認為是記錄[[穆罕默德]]的言行錄）中讚賞這種行為，認為是高貴的，但不是必須的，其中也有建議使用較溫和的方式，對婦女比較仁慈{{efn|[[Gerry Mackie]], 1996: "The Koran is silent on FGM, but several ''hadith'' (sayings attributed to Mohammed) recommend attenuating the practice for the woman's sake, praise it as noble but not commanded, or advise that female converts refrain from mutilation because even if pleasing to the husband it is painful to the wife."<ref>[http://pages.ucsd.edu/~gmackie/documents/MackieASR.pdf Mackie 1996] {{Wayback|url=http://pages.ucsd.edu/~gmackie/documents/MackieASR.pdf |date=20170807142229 }}, pp. 1004–1005.</ref>}}<ref>Also see Ibrahim Lethome Asmani, Maryam Sheikh Abdi, [http://www.unfpa.org/sites/default/files/pub-pdf/De-linking%20FGM%20from%20Islam%20final%20report.pdf "De-linking Female Genital Mutilation/Cutting from Islam"] {{Wayback|url=http://www.unfpa.org/sites/default/files/pub-pdf/De-linking%20FGM%20from%20Islam%20final%20report.pdf |date=20170221230457 }}, USAID/UNFPA, 2008.</ref>
也有[[泛靈論]]的族群進行女陰殘割，特別是在幾內亞及馬里。也有基督徒進行女陰殘割的情形<ref>For animist groups, [http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 175; for Christians, p. 73.</ref>，例如在尼日，約有55%的基督徒婦女及女孩進行了女陰殘割，而穆斯林族群中只有2%<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, front page: "Niger. 55% of Christian girls and women have undergone FGM/C, compared to 2% of Muslim girls and women," and p. 73.</ref>。[[聖經]]上只提到男性的割禮，沒提到女陰殘割，而到非洲的宣教士是最早反對女陰殘割的一群人之一<ref>Samuel Waje Kunhiyop, ''African Christian Ethics'', Zondervan, 2008, p. 297: "Nowhere in all of Scripture or in any of recorded church history is there even a hint that women were to be circumcised."<p>
For missionaries, Jocelyn Murray, [http://www.jstor.org/stable/1594780 "The Church Missionary Society and the 'Female Circumcision' Issue in Kenya 1929–1932"] {{Wayback|url=http://www.jstor.org/stable/1594780 |date=20170101060007 }}, ''Journal of Religion in Africa'', 8(2), 1976, pp. 92–104.</ref>。非洲的猶太教族群中只有衣索比亞的[[贝塔以色列|貝塔以色列人]]有進行女性器切除。猶太教要求男性實行割禮，反對女陰殘割<ref>Shaye J. D. Cohen, ''Why Aren't Jewish Women Circumcised? Gender and Covenant In Judaism'', Berkeley: University of California Press, 2005, p. [http://books.google.com/books?id=PmL-LogqJ-YC&pg=PA59 59] {{Wayback|url=http://books.google.com/books?id=PmL-LogqJ-YC&pg=PA59|date=20131009083441}}; [[Adele Berlin]] (ed.), "Circumcision," ''The Oxford Dictionary of the Jewish Religion'', New York: Oxford University Press, 2011, p. [http://books.google.com/books?id=hKAaJXvUaUoC&pg=PA173 173].</ref>。
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|source= ——來自埃及棺木上的一段銘文，公元前1991-1786<ref>Mary Knight, [http://www.jstor.org/stable/3080631 "Curing Cut or Ritual Mutilation?: Some Remarks on the Practice of Female and Male Circumcision in Graeco-Roman Egypt"] {{Wayback|url=http://www.jstor.org/stable/3080631 |date=20190502192047 }}, ''Isis'', 92(2), June 2001 (pp. 317–338), p. 330.<p>
Also see Adriaan de Buck and Alan H. Gardiner, ''The Egyptian Coffin Texts'', Chicago: Chicago University Press, 1961, Vol. 7, pp. 448–450.</ref>}}
現在不清楚女陰殘割的起源<ref>[http://pages.ucsd.edu/~gmackie/documents/MackieASR.pdf Mackie 1996] {{Wayback|url=http://pages.ucsd.edu/~gmackie/documents/MackieASR.pdf |date=20170807142229 }}, p. 1003; Abusharaf 2007, p. 2.</ref>。Gerry Mackie根據女陰殘割的分布，猜測這是起源自[[麥羅埃]]文明和帝国的一夫多妻制，這是在伊斯蘭教興起之前，為了增加父親的信任<ref>[https://web.archive.org/web/20131029210333/http://www.polisci.ucsd.edu/~gmackie/documents/BeginningOfEndMackie2000.pdf Mackie 2000], pp. 264, 267; [http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 30; Shell-Duncan and Hernlund 2000, p. [http://books.google.com/books?id=rhhRXiJIGEcC&pg=PA13 13]; [http://pages.ucsd.edu/~gmackie/documents/MackieASR.pdf Mackie 1996] {{Wayback|url=http://pages.ucsd.edu/~gmackie/documents/MackieASR.pdf |date=20170807142229 }}, p. 1003.<p>
Also see C. G. Seligman, [http://www.jstor.org/stable/2843546 "Aspects of the Hamitic problems in the Anglo-Egyptian Sudan"] {{Wayback|url=http://www.jstor.org/stable/2843546 |date=20191101040104 }},''The Journal of the Royal Anthropological Institute of Great Britain and Ireland'', 1913, 40(3), (pp. 593–705), pp. 639–646; Esther K. Hicks, ''Infibulation: Female Mutilation in Islamic Northeastern Africa'', Transaction Publishers, 1996, p. [http://books.google.com/books?id=ogWxTnAulzEC&pg=PA19 19ff].</ref>。
根據歷史學家Mary Knight的研究，[[古埃及]]{{le|棺材文本|Coffin Texts}}中的咒語1117用[[圣书体]]提到一名未受女陰殘割的女子（'m't）：
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<center><hiero>a-m-a:X1-D53-B1</hiero></center></blockquote>
上述的咒語出現在Sit-hedjhotep的[[石棺]]中，石棺現在在[[埃及博物館]]，大約是埃及[[中王國時期]]的產物（Paul F. O'Rourke認為'm't 可能反而是指一個受女陰殘割的女子）<ref>[http://www.jstor.org/stable/3080631 Knight 2001] {{Wayback|url=http://www.jstor.org/stable/3080631 |date=20190502192047 }}, p. 330. Knight adds that Egyptologists are uncomfortable with the translation to ''uncircumcised'', because there is no information about what constituted the circumcised state.<p>
Paul F. O'Rourke, [http://www.degruyter.com/dg/viewarticle/j$002fzaes.2007.134.issue-2$002fzaes.2007.134.2.166$002fzaes.2007.134.2.166.xml "The 'm't-Woman"] {{Wayback|url=http://www.degruyter.com/dg/viewarticle/j$002fzaes.2007.134.issue-2$002fzaes.2007.134.2.166$002fzaes.2007.134.2.166.xml |date=20190502191030 }}, ''Zeitschrift für Ägyptische Sprache und Altertumskunde'', 134(2), February 2007 (pp. 166–172), pp. 166ff (hieroglyphs), 172 (menstruating woman). {{doi|10.1524/zaes.2007.134.2.166}}</ref>
在[[大英博物馆]]中有一份西元前163年的希臘文[[莎草紙]]，上面提到一個應該已經被女陰殘割（但其實沒有進行）的埃及女孩Tathemis：
<blockquote style="background:none; margin-right:5em; margin-left:0; border-left:solid 5px #ccc; padding:1.5em;">
在這件事之後，Nephoris（Tathemis的媽媽）騙我，而且開始焦慮，因為依照埃及人的習俗，那時應該是Tathemis要接受割禮的時候。她要我給她她
澳洲病理學家 Grafton Elliot Smith 在二十世紀初檢查了上百具[[木乃伊]]，指出無法從木乃伊找到進行女陰殘割的證據。由其陰部來看，像是第三型的女陰殘割，因為在製作木乃伊的 過程中，大陰唇的皮膚被拉到肛門處以覆蓋[[陰裂]]，可能是為了避免性暴力。因為軟組織可能被尸体防腐者除去或是已被腐化分解，因此也無法確定是否有進 行過第一型或第二型的女陰殘割<ref>[http://www.jstor.org/stable/3080631 Knight 2001] {{Wayback|url=http://www.jstor.org/stable/3080631|date=20190502192047}}, p. 331, citing G. Elliot Smith, ''A Contribution to the Study of Mummification in Egypt'', Cairo: L'Institut Egyptien, 1906, p. 30, and [[Marc Armand Ruffer]], ''Studies in the Paleopathology of Egypt'', Chicago: University of Chicago Press, 1921, p. 171.</ref>。
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|source= －[[斯特拉波]]，Geographica，西元前25年<ref>[http://www.jstor.org/stable/3080631 Knight 2001] {{Wayback|url=http://www.jstor.org/stable/3080631 |date=20190502192047 }}, p. 318.</ref>}}
希臘地理學家[[斯特拉波]]（西元前64年至西元23年）在西元前25年造訪埃及後，寫下了有關女陰殘割的描述（如右）{{efn|[[Strabo]], ''[[Geographica]]'', c. 25 BCE: "One of the customs most zealously observed among the Aegyptians is this, that they rear every child that is born, and circumcise [περιτέμνειν, ''peritemnein''] the males, and excise [''ektemnein''] the females, as is also customary among the Jews, who are also Aegyptians in origin, as I have already stated in my account of them."<ref>[[Strabo]], ''[[Geographica]]'', [http://penelope.uchicago.edu/Thayer/E/Roman/Texts/Strabo/17B*.html#ref273 Book VII, chapter 2], 17.2.5. Cohen 2005, p. [http://books.google.com/books?id=PmL-LogqJ-YC&pg=PA59 59ff] {{Wayback|url=http://books.google.com/books?id=PmL-LogqJ-YC&pg=PA59 |date=20131009083441 }}, argues that Strabo conflated the Jews with the Egyptians).</ref>{{pb}}
[http://penelope.uchicago.edu/Thayer/E/Roman/Texts/Strabo/16D*.html Book XVI, chapter 4], 16.4.9: "And then to the Harbour of Antiphilus, and, above this, to the Creophagi [meat-eaters], of whom the males have their sexual glands mutilated [''kolobos''] and the women are excised [''ektemnein''] in the Jewish fashion."}}{{efn|Knight 2001 writes that there is one extant reference from antiquity, from [[Xanthus (historian)|Xanthus of Lydia]] in the fifth century BCE, that may allude to FGM outside Egypt. Xanthus wrote, in a history of [[呂底亞|Lydia]]: "The Lydians arrived at such a state of delicacy that they were even the first to 'castrate' their women." Knight argues that the "castration", which is not described, may have kept women youthful, in the sense of allowing the Lydian king to have intercourse with them without pregnancy. Knight concludes that it may have been a reference to sterilization, not FGM.<ref>[http://www.jstor.org/stable/3080631 Knight 2001] {{Wayback|url=http://www.jstor.org/stable/3080631 |date=20190502192047 }}, p. 326.</ref>}}。哲學家[[斐洛]]（西元前20年至西元50年）也寫道：「埃及人依照其國家的習俗，會在十四歲的少年及少女舉行割禮，那時少年已開始有精子，少女也開始有月經。」<ref>[http://www.jstor.org/stable/3080631 Knight 2001] {{Wayback|url=http://www.jstor.org/stable/3080631 |date=20190502192047 }}, p. 333.</ref>有一份認為是希臘醫師[[盖伦]]寫的文章中也有提到：「當年輕女性的陰蒂大幅度伸出時，埃及人會認為應該將其切除。」<ref>[http://www.jstor.org/stable/3080631 Knight 2001] {{Wayback|url=http://www.jstor.org/stable/3080631 |date=20190502192047 }}, p. 326 (Knight writes that the attribution to Galen is suspect).</ref>
另一位希臘醫生{{le|阿弥陀的埃提乌斯|Aëtius of Amida}}（第 5世紀中至第6 世紀中）在其"Sixteen Books on Medicine"中的第16本中，引用了醫生Philomenes的話。當陰蒂長的太大，或是當和衣服磨擦時會引發性衝動時，就會進行女陰殘割。埃提乌斯說：「這種情形下，埃及人似乎認為在陰蒂大幅變大之前切除會比較妥當，尤其是少女快要嫁人的時候。」
第428行 ⟶ 第430行：
手術是以這樣的方式進行：少女坐在椅子上，一個充滿肌肉的少年站在她後面，手臂在少女的大腿下面，讓少女的腿分開，並且穩住身體及腿。醫生站在少女前面，用左手的泛口钳夾住少女的陰蒂，並且往外拉，右手從钳夾住的點割下陰蒂。
陰蒂不會完全切除，會保留部份的組織，長度大約會和鼻孔相當。手術只是為了切除過多的組織。因為陰蒂是類似皮膚的組織，若割除太多，怕會出現尿瘘的情形<ref name=Knight2001p327>[http://www.jstor.org/stable/3080631 Knight 2001] {{Wayback|url=http://www.jstor.org/stable/3080631 |date=20190502192047 }}, pp. 327–328 (a paragraph break has been added for ease of reading).</ref></blockquote>
接下來會用海綿、[[乳香]]粉、酒或冰水清理外陰道，然後用浸滿醋的亞麻繃帶包紮至第七天，接著使用[[爐甘石洗劑]]、玫瑰花瓣、棗核或是「烤過黏土製成的陰部塗抹粉末」<ref>[http://www.jstor.org/stable/3080631 Knight 2001] {{Wayback|url=http://www.jstor.org/stable/3080631 |date=20190502192047 }}, p. 328.</ref>。
鎖陰手術的起源不明，但後來演變成和奴隸有關。Mackie曾引述葡萄牙宣教士 {{le|João dos Santos|João dos Santos}}在1609年提到[[摩加迪休]]群島上人們的文字：“他們的習俗㑹將女性（的陰部）縫合，特別是年輕的女奴，使她們無法生育，也讓女奴 比較好賣，一方面是貞節，也有助於主人對她們的信任。”英國的探險家{{le|威廉·乔治·布朗|William George Browne}}在1799年也寫到埃及人會進行女陰殘割，而且會為女奴進行鎖陰手術以避免懷孕<ref>[http://pages.ucsd.edu/~gmackie/documents/MackieASR.pdf Mackie 1996] {{Wayback|url=http://pages.ucsd.edu/~gmackie/documents/MackieASR.pdf |date=20170807142229 }}, p. 1003.</ref>。Mackie認為是：「一項和女奴有關的手術變成了榮譽的象徵。」<ref>[http://pages.ucsd.edu/~gmackie/documents/MackieASR.pdf Mackie 1996] {{Wayback|url=http://pages.ucsd.edu/~gmackie/documents/MackieASR.pdf |date=20170807142229 }}, p. 1009.</ref>
===歐洲及美國===
[[File:Isaac Baker Brown.jpg|thumb|220px|alt=portrait|{{le|艾萨克·贝克·布朗|Isaac Baker Brown}}「只要他找到機會，就會動手切除陰蒂。」<ref>J. F. C. "Isaac Baker Brown, F.R.C.S.", ''Medical Times and Gazette'', 8 February 1873, p. [http://books.google.com/books?id=gZ4EAAAAQAAJ&pg=PA155 155].</ref>]]
19世紀歐洲及美國的婦產科醫生用切除陰蒂的方式來治療精神錯亂及女性的自慰<ref>Sarah W. Rodriguez, [http://jhmas.oxfordjournals.org/content/63/3/323 "Rethinking the History of Female Circumcision and Clitoridectomy: American Medicine and Female Sexuality in the Late Nineteenth Century"] {{Wayback|url=http://jhmas.oxfordjournals.org/content/63/3/323 |date=20170101055239 }}, ''Journal of the History of Medicine and Allied Sciences''. 63(3), July 2008, pp. 323–347. {{PMID|18065832}} {{doi|10.1093/jhmas/jrm044}}</ref>。英國醫生罗伯特·托马斯在1813年建議用切除陰蒂來治療色情狂<ref>Robert Thomas, ''The Modern Practice of Physick'', London: Longman, Hurst, Rees, Orme, and Brown, 1813, pp. [http://books.google.com/books?id=yK9YAAAAcAAJ&pg=PA585 585–586].<p>
Edward Shorter, ''From Paralysis to Fatigue: A History of Psychosomatic Illness in the Modern Era'', New York: Simon and Schuster, 2008, p. [http://books.google.com/books?id=I87S-xL6Q1wC&pg=PA82 82] {{Wayback|url=http://books.google.com/books?id=I87S-xL6Q1wC&pg=PA82 |date=20140705103700 }}.</ref>。第一個有記錄的西方[[陰蒂切除術|切除陰蒂]]是記載在1825年的《[[柳葉刀 (雜誌)|柳葉刀]]》雜誌上，是1822年在柏林由{{le|卡尔·费迪南德·冯·格雷夫|Karl Ferdinand von Graefe}}進行，是對一位十五歲，自慰過度的女性所施行的手術<ref>Shorter 2008, p. [http://books.google.com/books?id=I87S-xL6Q1wC&pg=PA82 82] {{Wayback|url=http://books.google.com/books?id=I87S-xL6Q1wC&pg=PA82 |date=20140705103700 }}; Uriel Elchalal, et al., [http://journals.lww.com/obgynsurvey/Abstract/1997/10000/Ritualistic_Female_Genital_Mutilation__Current.22.aspx "Ritualistic Female Genital Mutilation: Current Status and Future Outlook"] {{Wayback|url=http://journals.lww.com/obgynsurvey/Abstract/1997/10000/Ritualistic_Female_Genital_Mutilation__Current.22.aspx |date=20141028074433 }}, ''Obstetrical & Gynecological Survey'', 52(10), October 1997, pp. 643–651. {{PMID|9326757}}</ref>。
{{le|艾萨克·贝克·布朗|Isaac Baker Brown}}是英國的婦產科醫生，{{le|伦敦医学会|Medical Society of London}}的主席，也是1845年倫敦[[倫敦聖瑪麗醫院|聖瑪麗醫院]]的共同創辦人，他相信自慰，或是「對於陰蒂的不正常刺激」會造成耻骨神经末梢的兴奋，會造成[[歇斯底里]]、脊髓刺激、痙攣、白痴、癫狂甚至死亡」<ref>[http://www.ncbi.nlm.nih.gov/pubmed/9326757 Elchalal, et al, 1997] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pubmed/9326757 |date=20131105011843 }}; Peter Lewis Allen, ''The Wages of Sin: Sex and Disease, Past and Present'', Chicago: University of Chicago Press, 2000, p. [http://books.google.com/books?id=SpQOUx5zoBEC&pg=PA106 106] {{Wayback|url=http://books.google.com/books?id=SpQOUx5zoBEC&pg=PA106 |date=20140102072854 }}.</ref>。依照在1873年《医疗时报公报》中訃聞中提到內容，「只要他有機會，就會動手切除陰蒂。」<ref>J. F. C. 1873, p. [http://books.google.com/books?id=gZ4EAAAAQAAJ&pg=PA155 155]; Allen 2000, p. [http://books.google.com/books?id=SpQOUx5zoBEC&pg=PA106 106] {{Wayback|url=http://books.google.com/books?id=SpQOUx5zoBEC&pg=PA106 |date=20140102072854 }}.</ref>布朗醫生在1859年到1866之間進行了多次的陰蒂切除手術。他後來發表了《对女性某些形式的精神错乱，癫痫，僵住症，和歇斯底里的可治癒性》（1866年），倫敦的醫師指責他是騙子，並將他趕出{{le|倫敦產科協會|Obstetrical Society of London}}<ref>John Black, [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1296388/pdf/jrsocmed00038-0048.pdf "Female genital mutilation: a contemporary issue, and a Victorian obsession"] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1296388/pdf/jrsocmed00038-0048.pdf |date=20211223001942 }}, ''Journal of the Royal Society of Medicine'', 90, July 1997 (pp. 402–405), p. 403, 404–405. {{PMID|9290425}} {{PMC|1296388}}<p>
Allen 2000, p. [http://books.google.com/books?id=SpQOUx5zoBEC&pg=PA106 106] {{Wayback|url=http://books.google.com/books?id=SpQOUx5zoBEC&pg=PA106 |date=20140102072854 }}; also see Elizabeth Sheehan, [http://www.jstor.org/stable/647794?seq=2 "Victorian Clitoridectomy: Isaac Baker Brown and His Harmless Operative Procedure"] {{Wayback|url=http://www.jstor.org/stable/647794?seq=2 |date=20190503042141 }}, ''Medical Anthropology Newsletter'', 12(4), August 1981. {{PMID|12263443}}</ref>。
美國的[[J.·馬里恩·西姆斯]]延續了布朗醫師的研究，在1862年在一名女性病患主訴經痛、抽搐和膀胱问题後，切開其子宮頸，並且切除陰蒂，「用布朗醫師建議的方式來緩解緊張及歇斯底里的状态。」<ref>Deborah Kuhn McGregor, ''From Midwives to Medicine: The Birth of American Gynecology'', New Brunswick: Rutgers University Press, 1998, p. 146.</ref>。在同一世紀，紐奧蘭的外科醫生A. J. Bloch因一名二歲的女童持續性的自慰，切除其陰蒂<ref>John Milton Hoberman, ''Testosterone Dreams: Rejuvenation, Aphrodisia, Doping'', University of California Press, 2005, p. [http://books.google.com/books?id=bT_2oWnOaXgC&pg=PA63 63].</ref>。依照1985年产科和妇科调查的論文，1960年代美國還有用切除陰蒂來治療歇斯底里，色情狂和[[女同性恋]]<ref>Lawrence Cutner, [http://journals.lww.com/obgynsurvey/Citation/1985/07000/Female_Genital_Mutilation_.4.aspx "Female genital mutilation"] {{Wayback|url=http://journals.lww.com/obgynsurvey/Citation/1985/07000/Female_Genital_Mutilation_.4.aspx |date=20141028073249 }}, ''Obstetrical & Gynecological Survey'', 40(7), July 1985, pp. 437–443. {{PMID|4022475}} Cited in Nawal M. Nour, [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2582648/ "Female Genital Cutting: A Persisting Practice"] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2582648/ |date=20210112200005 }}, ''Reviews in Obstetrics and Gynecology'', 1(3), Summer 2008, pp. 135–139. {{PMID|19015765}} {{PMC|2582648}}<p>Also see G. J. Barker-Benfield, ''The Horrors of the Half-Known Life: Male Attitudes Toward Women and Sexuality in Nineteenth-Century America'', New York: Routledge, 1999, p. [http://books.google.com/books?id=0QKUAgAAQBAJ&pg=PA113 113].</ref>。
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第471行 ⟶ 第473行：
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|source= — ''Muthirigu'' (1929),<br />基庫尤人舞蹈时的歌曲，對抗教會對於女陰殘割的反對<ref>Kenneth Mufuka, [http://www.irss.uoguelph.ca/article/viewFile/176/218 "Scottish Missionaries and the Circumcision Controversy in Kenya, 1900–1960"] {{Wayback|url=http://www.irss.uoguelph.ca/article/viewFile/176/218 |date=20160304094322 }}, ''International Review of Scottish Studies'', 28, 2003, p. 55.</ref>
}}
二十世紀初，{{le|约翰·阿瑟|John Arthur}}加入在[[英屬東非]]（現今[[肯亞]]）基庫尤的蘇格蘭福音會（CSM）服事，新教传教士當時就開始反對女性割禮的活動。[[基庫尤人]]是肯亞的主要族群，他們稱男
For ''irua'', Jomo Kenyatta, ''Facing Mount Kenya'', New York: Vintage Books, 1962 [1938], p. 129; for ''irugu'' being outcasts, Kenyatta, p. 127, and Zabus 2008, pp. 48–49.</ref>
第480行 ⟶ 第482行：
[[File:Hulda Stumpf, Africa Inland Mission conference.jpg|thumb|left|alt=photograph|宣教士{{le|霍爾達·史敦夫|Hulda Stumpf}}（左下方）因為反對女陰殘割，在1930年在基庫尤被謀殺。]]
1925年起，蘇格蘭福音會開始宣佈非洲的基督徒禁止進行女陰殘割，許多非洲的宣教機構也有類似的聲明。蘇格蘭福音會宣佈進行女陰殘割的非洲人會被逐出教會，因此有上百人離開教會或是被趕出教會<ref>Klaus Fiedler, ''Christianity and African Culture'', Leiden: Brill, 1996, p. 75.</ref>。這樣的對峙使得女陰殘割成為肯亞獨立運動的焦點，肯亞在1929年至1931年有 {{le|1929年至1932年肯亞反對女陰殘割運動|Campaign against female genital mutilation in Kenya in 1929–32}}<ref>Boddy 2007, pp. [http://books.google.com/books?id=T77ui7IPNwkC&pg=PA241 241–245] {{Wayback|url=http://books.google.com/books?id=T77ui7IPNwkC&pg=PA241 |date=20131013205006 }}.<p>
Also see Ronald Hyam, ''Empire and Sexuality: The British Experience'', Manchester: Manchester University Press, 1990; [http://www.jstor.org/stable/1594780 Murray 1976] {{Wayback|url=http://www.jstor.org/stable/1594780 |date=20170101060007 }}, pp. 92–104.</ref>，殖民政府及教會反對女陰殘割，而基庫尤人反對殖民政府及教會的作法。
1929年肯亞宣教協會開始認為女陰殘割不是割禮，而是「對女性的性残害」，而個人是否進行女陰殘割也就代表他忠於基督教會或是忠於{{le|基庫尤中央聯盟|Kikuyu Central Association}}<ref>Thomas 2000, p. 132; for the "sexual mutilation of women", Karanja 2009, p. [http://books.google.com/books?id=F1ezIgyomGIC&pg=PA93 93] {{Wayback|url=http://books.google.com/books?id=F1ezIgyomGIC&pg=PA93 |date=20170908222703 }}, n. 631.<p>
Also see Robert Strayer, Jocelyn Murray, "The CMS and Female Circumcision", in Robert Strayer (ed.), ''The Making of Missionary Communities in East Africa'', New York: State University of New York Press, 1978, p. [http://books.google.com/books?id=9kpLvKnZCR8C&pg=PA139 139ff].</ref>。{{le|霍爾達·史敦夫|Hulda Stumpf}}是{{le|非洲內地會|Africa Inland Mission}}的美國宣教士，在她協助成立的女子學校中反對女陰殘割，在1930年被謀殺。肯亞總督[[爱德华·格里格]]告訴肯亞[[殖民地部|殖民地辦公室]]說，兇手試圖要為史敦夫進行女陰殘割<ref>Boddy 2007, pp. [http://books.google.com/books?id=T77ui7IPNwkC&pg=PA241 241] {{Wayback|url=http://books.google.com/books?id=T77ui7IPNwkC&pg=PA241 |date=20131013205006 }}, [http://books.google.com/books?id=T77ui7IPNwkC&pg=PA241 244] {{Wayback|url=http://books.google.com/books?id=T77ui7IPNwkC&pg=PA241 |date=20131013205006 }}.<p>
Dana Lee Robert, ''American Women in Mission: A Social History of Their Thought and Practice'', Macon: Mercer University Press, 1996, p. [http://books.google.com/books?id=98eI044RjlwC&pg=PA230 230].</ref>。
1956年時[[梅魯族]]長老協會（Njuri Nchecke）宣佈禁止女陰殘割。然而此舉卻引起族人反抗，之後的三年內，數千名少女用小刀為彼此進行女陰殘割。這個活動在梅魯族稱為「Ngaitana」（自行割禮），如此命名是因為雖然手術是由女孩的朋友所執行，但為了避免提及操刀者的名字，女孩會說是他們自己動刀的。歷史學家萊恩·湯瑪斯（Lynn Thomas）將這個視為是女陰殘割歷史中的重要內容，因為清楚的看出女陰殘割的受害者也成為了加害者<ref>Thomas 2000, pp. [http://books.google.com/books?id=rhhRXiJIGEcC&pg=PA129 129–131] {{Wayback|url=http://books.google.com/books?id=rhhRXiJIGEcC&pg=PA129 |date=20130921054614 }} (p. 131 for the girls as "central actors"); Lynn Thomas, ''Politics of the Womb: Women, Reproduction, and the State in Kenya'', Berkeley: University of California Press, 2003, pp. 89–91.<p>
Also see Lynn M. Thomas, [http://onlinelibrary.wiley.com/doi/10.1111/j.1468-0424.1996.tb00062.x/abstract Ngaitana (I will circumcise myself)': The Gender and Generational Politics of the 1956 Ban on Clitoridectomy in Meru, Kenya"] {{Wayback|url=http://onlinelibrary.wiley.com/doi/10.1111/j.1468-0424.1996.tb00062.x/abstract |date=20160510204425 }}, ''Gender and History'', 8(3), November 1996, pp. 338–363.<p>
Kenya banned FGM in 2011; see [http://www.unfpa.org/sites/default/files/pub-pdf/UNICEF-UNFPA%20Joint%20Programme%20AR_final_v14.pdf UNFPA–UNICEF 2012] {{Wayback|url=http://www.unfpa.org/sites/default/files/pub-pdf/UNICEF-UNFPA%20Joint%20Programme%20AR_final_v14.pdf |date=20180316152947 }}, p. 14.</ref>
===反對聲浪持續擴大===
[[File:Nawal el Saadawi 01.JPG|thumb|220px|alt=photograph|[[納瓦勒·薩達]]是一位批評女陰殘割的非洲女權主義者。]]
1920年代在埃及展開反對女陰殘割的活動，這是目前已知第一場不是由殖民政府或是傳教士發起的反對女陰殘割活動。當時埃及醫師社群號召禁止女陰殘割<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 10, calls the Egyptian Doctors' Society opposition the "first known campaign" against FGM; for independence, Boddy 2007, p. 147.</ref>，同時蘇丹的宗教領袖及英
聯合國在1959年要求世界衛生組織調查女陰殘割，但世界衛生組織回應這不是醫療相關議題<ref>Boyle 2002, p. 41.</ref>。女性主義者在1970年代開始提出此一議題<ref>Bagnol and Mariano 2011, p. 281.</ref>。埃及女醫生[[納瓦勒·薩達]]在1972年出版的《女人與性》（Women and Sex）中批評女陰殘割，這本書在埃及是禁書，她也因為失去了公共衛生總幹事的工作<ref name=Khaleeli2010>Gruenbaum 2001, p. 22.<p>
Homa Khaleeli, [http://www.theguardian.com/lifeandstyle/2010/apr/15/nawal-el-saadawi-egyptian-feminist "Nawal El Saadawi: Egypt's radical feminist"] {{Wayback|url=http://www.theguardian.com/lifeandstyle/2010/apr/15/nawal-el-saadawi-egyptian-feminist |date=20150926003949 }}, ''The Guardian'', 15 April 2010.<p>
Jenna Krajeski, [http://www.newyorker.com/books/page-turner/the-books-of-nawal-el-saadawi "The Books of Nawal El Saadawi"] {{Wayback|url=http://www.newyorker.com/books/page-turner/the-books-of-nawal-el-saadawi |date=20210123060841 }}, ''The New Yorker'', 7 March 2011.<p>
Jenna Krajeski, [http://www.newyorker.com/magazine/2011/03/14/rebellion-2 "Rebellion"] {{Wayback|url=http://www.newyorker.com/magazine/2011/03/14/rebellion-2 |date=20171031203444 }}, ''The New Yorker'', 14 March 2011.</ref>。她在1980年出版的《夏娃隱藏的臉：阿拉伯世界的女性》（''The Hidden Face of Eve: Women in the Arab World''）中〈女孩的割禮〉一節中描述她自己在六歲時接受陰蒂切除術的情形：
<blockquote style="background:none; margin-right:5em; margin-left:0; border-left:solid 5px #ccc; padding:1.5em;">
我不知道他們從我身上切除了什麼，我沒有去找。我只是哭，向我的媽媽呼喚求助。但最令人驚嚇的是我環顧四周，發現她就站在我身邊，是的，就是她，我沒有弄錯，身為我的媽媽，站在這一群陌生人之間，和他們微笑及說話，就好像他們幾分鐘前沒有參與殺害她女兒的行動一樣<ref>Nawal El Saadawi, ''The Hidden Face of Eve'', London: Zed Books, 2007 [1980], p. [http://books.google.com/books?id=u5n9zUZuVI8C&pg=PA14 14].</ref>。</blockquote>
1975年時，美國社會科學家羅斯·歐德菲爾德·海耶斯（Rose Oldfield Hayes）發表女陰殘割相關記錄，她是第一位發表這類記錄的女性學者，她是在和蘇丹的女性直接討論此議題後，
四年之後的1979年，奧地利裔美籍的女性主義者{{le|弗蘭·霍斯肯|Fran Hosken}}出版了《霍斯肯報告：女性生殖器及性器官殘割》（The Hosken Report: Genital and Sexual Mutilation of Females，1979）。霍斯肯在此本著作中估計，全球約有110,529,000名女性實施過女陰殘割，分布於20個非洲國家<ref>[http://dhsprogram.com/pubs/pdf/WP39/WP39.pdf Yoder and Khan 2008] {{Wayback|url=http://dhsprogram.com/pubs/pdf/WP39/WP39.pdf |date=20171122012927 }}, p. 2.</ref>。這是第一篇提出女陰殘割實施人數的文獻，該數據雖為估計值，但後來進行的幾次調查也大略符合此數字。Mackie認為霍斯肯的著作雖然對於數據與資料來源稍嫌不嚴謹，但喚醒世界對於此議題的重視<ref>[http://pages.ucsd.edu/~gmackie/documents/FGCHarmlessPractice.pdf Mackie 2003] {{Wayback|url=http://pages.ucsd.edu/~gmackie/documents/FGCHarmlessPractice.pdf |date=20170808210842 }}, p. 139.</ref>。霍斯肯用「男性暴力的訓練場」來描述女陰殘割，將其中女性的參與者稱為是「參與了毀滅同類的活動」<ref>Hosken 1994 [1979], p. 5.</ref>。這段話造成西方及非洲女性主義者之間的衝突。聯合國在1980年7月於哥本哈根舉行的十年中期會議，非洲女性主義者就杯葛其中一個以霍斯肯為主題的會議<ref>Boyle 2002, p. 47; Bagnol and Mariano 2011, p. 281.</ref>。
在1979年，世界衛生組織在蘇丹[[喀土木]]舉辦「傳統習俗影響婦女與孩童健康研討會」，1981年{{le|巴拜克巴德里婦女研究科學協會|Babiker Badri Scientific Association for Women's Studies}}（BBSAWS）也在喀土木舉辦了三天的研習營「攜手對抗女性割禮對女性造成的殘疾與危害」（''Female Circumcision Mutilates and Endangers Women – Combat it!''） 。活動結束後有150位學者與活躍人士簽署，宣示對抗女陰殘割。另一個巴拜克巴德里婦女研究科學協會在1984年舉辦的研習營，其中邀請國際社群，簽署給聯合國的聯合聲明。簽署者同意他們在聯合聲明中所寫到的「女性割禮是對人權的暴力，侵犯女性的[[尊嚴]]，剝奪女性的性慾，並且是對於女性健康的無端羞辱。」<ref>Shahira Ahmed, "Babiker Badri Scientific Association for Women's Studies", in Abusharaf 2007, pp. 176–180.</ref>其中包括了：
第515行 ⟶ 第517行：
*應設計替代儀式，現在一般會稱為「替代式成人禮」<ref>Ahmed 2007, p. 180.</ref></blockquote>
{{le|泛非洲影響婦女及兒童的傳統醫療實務協會|The Inter-African Committee on Traditional Practices Affecting the Health of Women and Children}}1984年成立於[[塞內加爾]]的[[達喀爾]]，此協會呼籲中止女性割禮這項習俗，1993年在[[維也納]]舉辦的聯合國[[世界人權會議]]也提出類似訴求。這次會議將女陰殘割列為[[对妇女的暴力行为]]，並認定此議題是違反人權的議題，不只是醫學議題而已<ref>[[Anika Rahman]] and [[Nahid Toubia]], ''Female Genital Mutilation: A Guide to Laws and Policies Worldwide'', New York: Zed Books, 2000, p. [http://books.google.com/books?id=kEG6GaudxQEC&pg=PA110 10–11]; for Vienna, [http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf|date=20150405083031}} p. 8.</ref>。在1990年代到2000年年代，非洲政府嚴懲或是限制女性割禮。在2003年七月，[[非洲聯盟]]批准了{{le|馬普拖協議|Maputo Protocol}}中關於女權的部分，支持禁絕女陰殘割<ref>Emma Bonino, [http://www.nytimes.com/2004/09/15/opinion/15iht-edbonino_ed3_.html "A brutal custom: Join forces to banish the mutilation of women"] {{Wayback|url=http://www.nytimes.com/2004/09/15/opinion/15iht-edbonino_ed3_.html |date=20150531165453 }}, ''The New York Times'', 15 September 2004; [https://web.archive.org/web/20110409114818/http://www.africa-union.org/root/au/Documents/Treaties/Text/Protocol%20on%20the%20Rights%20of%20Women.pdf Maputo Protocol], pp. 7–8.</ref>。截至2015年，27個實行女陰殘割的非洲國家中，至少有23個通過禁止法令，不過少數國家仍未完全禁止{{efn|For example, UNICEF 2013 lists Mauritania as having passed legislation against FGM, but (as of that year) it was banned only from being conducted in government facilities or by medical personnel.<ref name="UNICEF2013p8"/>The following countries, in which FGM is concentrated, have placed restrictions on it. An asterisk indicates a ban:
:Benin (2003), Burkina Faso (1996*), Central African Republic (1966, amended 1996), Chad (2003), Côte d'Ivoire (1998), Djibouti (1995, amended 2009*), Egypt (2008*), Eritrea (2007*), Ethiopia (2004*), Ghana (1994, amended 2007), Guinea (1965, amended 2000*), Guinea-Bissau (2011*), Iraq (2011*), Kenya (2001, amended 2011*), Mauritania (2005), Niger (2003), Nigeria (2015*), Senegal (1999*), Somalia (2012*), Sudan, some states (2008–2009), Tanzania (1998), Togo (1998), Uganda (2010*), Yemen (2001*).<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, pp. 8–9;[http://www.unfpa.org/sites/default/files/pub-pdf/UNICEF-UNFPA%20Joint%20Programme%20AR_final_v14.pdf UNFPA–UNICEF 2012 annual report] {{Wayback|url=http://www.unfpa.org/sites/default/files/pub-pdf/UNICEF-UNFPA%20Joint%20Programme%20AR_final_v14.pdf |date=20180316152947 }}, p. 12].</ref>}}。
===聯合國===
[[File:Mary Karooro Okurut (cropped) (cropped).jpg|thumb|300px|alt=照片|{{le|瑪麗·卡羅羅·歐古魯特|Mary Karooro Okurut}}是烏干達的性別、勞動暨社會發展部長，在2014年英國政府與聯合國兒童基金會於倫敦共同舉辦的女性高峰會上演講]]
[[聯合國大會]] 於1993年12月提出的48/104決議案，亦即《[[消除对妇女的暴力行为宣言]]》，就包含了女陰殘割。聯合國在2003年起，將每年2月6日訂為{{le|女陰殘割國際零容忍日|International Day of Zero Tolerance to Female Genital Mutilation}}<ref>[http://www.un.org/documents/ga/res/48/a48r104.htm "48/104. Declaration on the Elimination of Violence against Women"] {{Wayback|url=http://www.un.org/documents/ga/res/48/a48r104.htm |date=20150220051911 }}, United Nations General Assembly, 20 December 1993.<p>
Charlotte Feldman-Jacobs, [http://www.prb.org/Articles/2009/fgmc.aspx "Commemorating International Day of Zero Tolerance to Female Genital Mutilation"] {{Wayback|url=http://www.prb.org/Articles/2009/fgmc.aspx |date=20100213125942 }}, Population Reference Bureau, February 2009.</ref>。同年，[[聯合國兒童基金會]]（UNICEF）開始推廣以Gerry Mackie發展的實證性{{le|社會規範方法|social norms approach}}評估介入行為。Gerry 在對於中國如何放棄[[纏足]]的習俗研究中，利用[[賽局理論]]推估社群究竟如何取得最終共識，而UNICEF也利用此一研究的基礎來進行分析FGM<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 15; Francesca Moneti, David Parker, [http://www.unicef-irc.org/publications/pdf/fgm_insight_eng.pdf ''The Dynamics of Social Change''] {{Wayback|url=http://www.unicef-irc.org/publications/pdf/fgm_insight_eng.pdf |date=20190503024120 }}, Florence: UNICEF Innocenti Research Centre, October 2010, p. 6.</ref>，並於2005年，在[[佛羅倫斯]]的{{le|因諾琴蒂研究中心|Innocenti Research Centre}}發表該組織的第一份相關研究報告<ref>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 15; Michael Miller and Francesca Moneti, [http://www.unicef-irc.org/publications/pdf/fgm_eng.pdf ''Changing a harmful social convention: Female genital cutting/mutilation''] {{Wayback|url=http://www.unicef-irc.org/publications/pdf/fgm_eng.pdf |date=20180928122738 }}, Florence: UNICEF Innocenti Research Centre, 2005.</ref>。
2008年，[[聯合國人權事務高級專員辦事處]]等多個[[聯合國]]組織在內，共同發表了一份聲明，認定女陰殘割是對人權的侵犯<ref>[http://whqlibdoc.who.int/publications/2008/9789241596442_eng.pdf WHO 2008] {{Wayback|url=http://whqlibdoc.who.int/publications/2008/9789241596442_eng.pdf |date=20130810080948 }}, p. 8; [http://www.ncbi.nlm.nih.gov/pubmed/23720002 Yoder, Wang and Johansen, 2013] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pubmed/23720002 |date=20171019061100 }}, p. 190.</ref>。在2012年12月時，聯合國大會通過67/146號決議，要求致力消除女陰殘割<ref name="UN">[http://www.un.org/en/ga/search/view_doc.asp?symbol=A/RES/67/146 "67/146. Intensifying global efforts for the elimination of female genital mutilation"] {{Wayback|url=http://www.un.org/en/ga/search/view_doc.asp?symbol=A%2FRES%2F67%2F146 |date=20210129034239 }}, United Nations General Assembly, adopted 20 December 2012.
Emma Bonino, [http://www.nytimes.com/2012/12/20/opinion/global/banning-female-genital-mutilation.html "Banning Female Genital Mutilation"] {{Wayback|url=http://www.nytimes.com/2012/12/20/opinion/global/banning-female-genital-mutilation.html |date=20190926064610 }}, ''The New York Times'', 19 December 2012.</ref>。而在2014年7月[[聯合國兒童基金會]]和英國政府共同主辦了第一屆女童高峰會（Girl Summit），目標為結束女陰殘割和[[童婚]]的習俗<ref>[http://www.unicef.org/media/media_74524.html "No time to lose: New UNICEF data show need for urgent action on female genital mutilation and child marriage"] {{Wayback|url=http://www.unicef.org/media/media_74524.html |date=20141102053603 }}, UNICEF, 22 July 2014; [http://www.theguardian.com/global-development/girl-summit "Girl Summit"] {{Wayback|url=http://www.theguardian.com/global-development/girl-summit |date=20170909095302 }}, ''The Guardian''.</ref>。▼
▲</ref>。而在2014年7月[[聯合國兒童基金會]]和英國政府共同主辦了第一屆女童高峰會（Girl Summit），目標為結束女陰殘割和[[童婚]]的習俗<ref>[http://www.unicef.org/media/media_74524.html "No time to lose: New UNICEF data show need for urgent action on female genital mutilation and child marriage"], UNICEF, 22 July 2014; [http://www.theguardian.com/global-development/girl-summit "Girl Summit"], ''The Guardian''.</ref>。
2007年，[[联合国人口基金]]（UNFPA） 和 UNICEF 發起一項聯合計畫，旨在使15歲以下少女進行女陰殘割的比例減少四成，並使至少一個國家根絕該習俗。在2008年參與該計畫的國家共15國，包含：[[吉布地]]、[[埃及]]、[[衣索比亞]]、[[幾內亞]]、[[幾內亞比索]]、[[肯亞]]、[[塞內加爾]]，和[[蘇丹]]。隔年，[[布吉內法索]]、[[甘比亞]]、[[索馬利亞]]和[[烏干達]]加入；2011年，[[
[
2013年的計畫中已經讓12,753個社區宣布不進行女陰殘割，整合了5,571個關於女陰殘割的先天與后天的照護預防治療的衛生設施，並且培訓了超過10萬個在照護與預防女陰殘割相關領域的醫生，護士以及助產士。這項計畫幫助了建置烏干達與肯亞的通過儀式替代方案，並在蘇丹支援了早已存在的兒童保護計畫的 Saleema 行動。Saleema 在阿拉伯文的意思是＂完整＂，這個行動促使了這個名詞成為對尚未施行女陰殘割女性的完整表述<ref>[https://www.unfpa.org/webdav/site/global/shared/documents/publications/2014/Joint%20Programme%20on%20FGMC%20Summary%20Report.pdf 2013 UNFPA-UNICEF Joint Programme evaluation]{{dead link|date=February 2016}}, pp. 4, 16–17; for alternative rites of passage and the Saleema initiative, pp. 22–23.</ref>。此計劃也注意到反女陰殘割的執法成效薄弱，即使有進行逮捕，也會因為檢查機關取證的不充份而失效<ref>[http://www.unfpa.org/sites/default/files/pub-pdf/UNICEF-UNFPA%20Joint%20Programme%20AR_final_v14.pdf UNFPA–UNICEF 2012] {{Wayback|url=http://www.unfpa.org/sites/default/files/pub-pdf/UNICEF-UNFPA%20Joint%20Programme%20AR_final_v14.pdf |date=20180316152947 }}, p. 48.</ref>。因此這個計劃在八個國家（吉布提、厄立特里亚、埃塞俄比亚、几内亚、几内亚比绍、肯尼亚、塞内加尔和乌干达）培訓了3011人執行相關法律，並且支援相關宣傳，提昇當地的意識<ref>[http://www.unfpa.org/sites/default/files/pub-pdf/UNICEF-UNFPA%20Joint%20Programme%20AR_final_v14.pdf UNFPA–UNICEF 2012] {{Wayback|url=http://www.unfpa.org/sites/default/files/pub-pdf/UNICEF-UNFPA%20Joint%20Programme%20AR_final_v14.pdf |date=20180316152947 }}, pp. 12–13.</ref>。
===不執行女陰殘割的國家===
第541行 ⟶ 第540行：
====概述====
{{As of|2013}}為止，在非洲及中東以外的國家，已有33個國家立法禁止女陰殘割<ref name=UNICEF2013p8>[http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 8.</ref>。女陰殘割由移民帶入澳洲、紐西蘭、歐洲、北美、斯堪地那維亞半島等地；這些地區立法禁止女陰殘割<!--either entirely or from being performed on minors-->{{efn|UNICEF 2005: "Beyond economic factors, migratory patterns have frequently reflected links established in the colonial past. For instance, citizens from Benin, Chad, Guinea, Mali, Niger and Senegal have often chosen France as their destination, while many Kenyan, Nigerian and Ugandan citizens have migrated to the United Kingdom.<p>"In the 1970s, war, civil unrest and drought in a number of African states, including Eritrea, Ethiopia and Somalia, resulted in an influx of refugees to Western Europe, where some countries, such as Norway and Sweden, had been relatively unaffected by migration up to that point. Beyond Western Europe, Canada and the USA in North America, and Australia and New Zealand in Australasia also host women and children who have been subjected to FGM/C, and are home to others who are at risk of undergoing this procedure."<ref>[http://www.unicef-irc.org/publications/pdf/fgm_eng.pdf UNICEF 2005] {{Wayback|url=http://www.unicef-irc.org/publications/pdf/fgm_eng.pdf |date=20180928122738 }}, p. 4.</ref>}}<ref>Australia: [http://www.ag.gov.au/Publications/Documents/ReviewofAustraliasfemalegenitalmutilationlegalframework/Review%20of%20Australias%20female%20genital%20mutilation%20legal%20framework.pdf "Review of Australia's Female Genital Mutilation Legal Framework"] {{Wayback|url=http://www.ag.gov.au/Publications/Documents/ReviewofAustraliasfemalegenitalmutilationlegalframework/Review%20of%20Australias%20female%20genital%20mutilation%20legal%20framework.pdf |date=20160305202920 }}, Attorney General's Department, Government of Australia.<p>
New Zealand: [http://www.legislation.govt.nz/act/public/1961/0043/latest/DLM329734.html#DLM329734 "Section 204A – Female genital mutilation – Crimes Act 1961"] {{Wayback|url=http://www.legislation.govt.nz/act/public/1961/0043/latest/DLM329734.html#DLM329734 |date=20111123061721 }}, New Zealand Parliamentary Counsel Office.<p>
Europe: [http://ec.europa.eu/justice/gender-equality/gender-violence/eliminating-female-genital-mutilation/index_en.htm "Eliminating female genital mutilation"] {{Wayback|url=http://ec.europa.eu/justice/gender-equality/gender-violence/eliminating-female-genital-mutilation/index_en.htm |date=20140808183953 }}, European Commission.<p>
United States: [http://www.law.cornell.edu/uscode/text/18/116 "18 U.S. Code § 116 – Female genital mutilation"] {{Wayback|url=http://www.law.cornell.edu/uscode/text/18/116 |date=20140803012933 }}, Legal Information Institute, Cornell University Law School.<p>
Canada: [http://laws-lois.justice.gc.ca/eng/acts/C-46/section-268.html Section 268] {{Wayback|url=http://laws-lois.justice.gc.ca/eng/acts/C-46/section-268.html |date=20190502191321 }}, Criminal Code.</ref>。而在1982年頒布禁令的瑞典，成為第一個對於女陰殘割做出法規限制的西方國家<ref>Birgitta Essén, Sara Johnsdotter, [https://web.archive.org/web/20130414232252/http://www.hmb.utoronto.ca/HMB303H/Case_Studies/Kenya-FGM/FGM_%26_Cosmetic_Surgery.pdf "Female Genital Mutilation in the West: Traditional Circumcision versus Genital Cosmetic Surgery"], ''Acta Obstetricia Gynecologica Scandinavica'', 83(7), July 2004 (pp. 611–613), p. 611. PMID 15225183</ref>。前殖民列強如[[比利時]]、[[英國]]、[[法國]]、[[荷蘭]]等國也隨後進行立法禁止，或是做出聲明釐清該手術違反現行法條<ref>Boyle 2002 p. 97.</ref>。
====北美====
加拿大於1994年7月授予來自索馬利亞的卡德拉·哈桑·法拉赫難民身份時，即認定女陰殘割是一種對女性的迫害<ref name=Farnsworth1994>Clyde H. Farnsworth, [http://www.nytimes.com/1994/07/21/world/canada-gives-somali-mother-refugee-status.html "Canada Gives Somali Mother Refugee Status"] {{Wayback|url=http://www.nytimes.com/1994/07/21/world/canada-gives-somali-mother-refugee-status.html |date=20170813224305 }}, ''The New York Times'', 21 July 1994.</ref>；卡德拉·哈桑·法拉赫在加拿大避難以避免她的女兒遭受女陰殘割之苦。加拿大政府於1997年修改{{le|加拿大刑法法典|Criminal Code of Canada}}268條法條中的部分法條，明令禁止女陰殘割，但若接受手術之人已滿18歲且沒有因此造成身體傷害則不在禁止範圍內<ref>[http://laws-lois.justice.gc.ca/eng/acts/C-46/section-268.html Section 268] {{Wayback|url=http://laws-lois.justice.gc.ca/eng/acts/C-46/section-268.html |date=20190502191321 }}, Criminal Code; [http://www.unicef.org/media/files/FGCM_Lo_res.pdf UNICEF 2013] {{Wayback|url=http://www.unicef.org/media/files/FGCM_Lo_res.pdf |date=20150405083031 }}, p. 8.<p>
Also see Audrey Macklin, "The Double-Edged Sword: Using the Criminal Law Against Female Genital Mutilation," in Abusharaf 2007, p. [http://books.google.com/books?id=8VQxt634pfcC&pg=PA211 211ff]; [http://sogc.org/wp-content/uploads/2013/10/gui299CPG1311E.pdf "Female Genital Cutting"] {{Wayback|url=http://sogc.org/wp-content/uploads/2013/10/gui299CPG1311E.pdf |date=20160115090558 }}, Clinical practice guidelines, No. 299, The Society of Obstetricians and Gynaecologists of Canada, November 2013.</ref>。截止至2015年2月，仍未有針對女陰殘割的訴訟<ref>Also see Mobina S. B. Jaffer, [http://www.parl.gc.ca/Content/Sen/Chamber/411/Debates/079db_2012-05-15-e.htm "Criminal Code, Bill to Amend – Second Reading] {{Wayback|url=http://www.parl.gc.ca/Content/Sen/Chamber/411/Debates/079db_2012-05-15-e.htm |date=20160728022949 }}, Debates of the Senate (Hansard), 1st Session, 41st Parliament, 148(79), 15 May 2012.</ref>。
[[美國疾病控制與預防中心]]（CDC在1997年時預估，在1990年時美國有16.8萬名女性經歷過女陰殘割或是在這樣的風險當中<ref>Wanda K. Jones, et al., [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1381943/pdf/pubhealthrep00038-0014.pdf "Female Genital Mutilation/Female Circumcision: Who Is at Risk in the U.S.?"] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1381943/pdf/pubhealthrep00038-0014.pdf |date=20170902060609 }}, ''Public Health Reports'', 112, September/October 1997 (pp. 368–377), p. 372.</ref>。據[[美國疾病控制與預防中心]]2015年的一份初步且未公開的研究預測，美國大約有50萬名女性曾經歷過女陰殘割，或是有可能經歷過女陰殘割<ref>Julie Turkewitz, [http://www.nytimes.com/2015/02/06/us/genital-cutting-cases-seen-more-as-immigration-rises.html "Effects of Ancient Custom Present New Challenge to U.S. Doctors: Genital Cutting Cases Seen More as Immigration Rises"] {{Wayback|url=http://www.nytimes.com/2015/02/06/us/genital-cutting-cases-seen-more-as-immigration-rises.html |date=20180131004639 }}, ''The New York Times'', 6 February 2015.<p>
Alexandra Topping, [http://www.theguardian.com/society/2015/feb/05/fgm-numbers-affected-us-women "FGM affects three times more people in the US than previously thought"] {{Wayback|url=http://www.theguardian.com/society/2015/feb/05/fgm-numbers-affected-us-women |date=20201216053349 }}, ''The Guardian'', 5 February 2015.</ref>。1994年3月，一名尼日的女性因其女有可能遭受女陰殘割之苦成功抗辯美國政府驅逐出境的命令<ref>Patricia Dysart Rudloff, [http://www.law-lib.utoronto.ca/Diana/fulltext/rudl.htm "In Re: Oluloro: Risk of female genital mutilation as 'extreme hardship' in immigration proceedings"] {{
Celia W. Dugger, [http://query.nytimes.com/gst/fullpage.html?res=9C05E1DB1439F935A25755C0A960958260 "June 9–15; Asylum From Mutilation"],''The New York Times'', 16 June 1996.<p>
[http://www.justice.gov/eoir/efoia/kasinga7.pdf "In re Fauziya KASINGA, file A73 476 695"] {{Wayback|url=http://www.justice.gov/eoir/efoia/kasinga7.pdf |date=20150328004129 }}, U.S. Department of Justice, Executive Office for Immigration Review, decided 13 June 1996.</ref>。不過截至2006年為止，一些聯邦上訴法庭主張父母不應因害怕其子女遭受女陰殘割為理由接受庇護，尤其是在案中兒童是美國合法居民或公民的情況下<ref>Alida Yvonne Lasker, [https://litigation-essentials.lexisnexis.com/webcd/app?action=DocumentDisplay&crawlid=1&doctype=cite&docid=32+Brooklyn+J.+Int%27l+L.+231&srctype=smi&srcid=3B15&key=17539a7c5a414f20b2c223bccb2eb89f "NOTE: Solomon's Choice: The Case for Granting Derivative Asylum to Parents"] {{Wayback|url=https://litigation-essentials.lexisnexis.com/webcd/app?action=DocumentDisplay&crawlid=1&doctype=cite&docid=32+Brooklyn+J.+Int%27l+L.+231&srctype=smi&srcid=3B15&key=17539a7c5a414f20b2c223bccb2eb89f |date=20151117014849 }}, 32 ''Brooklyn Journal of International Law'', 231, 2006.</ref>。
1996年{{le|美國法典第18卷|Title 18 of the United States Code}}116條將以非醫療目的對未成年少女施行女陰殘割定義為非法行為<ref>[http://www.gpo.gov/fdsys/pkg/USCODE-2011-title18/html/USCODE-2011-title18-partI-chap7-sec116.htm "§116. Female genital mutilation"] {{Wayback|url=http://www.gpo.gov/fdsys/pkg/USCODE-2011-title18/html/USCODE-2011-title18-partI-chap7-sec116.htm |date=20180917095057 }}, U.S. Government Printing Office; [http://www.law.cornell.edu/uscode/text/18/116 "18 U.S. Code § 116 – Female genital mutilation"] {{Wayback|url=http://www.law.cornell.edu/uscode/text/18/116 |date=20140803012933 }}, Legal Information Institute, Cornell University Law School.<p>
[http://reproductiverights.org/sites/default/files/documents/pub_bp_fgmlawsusa.pdf "Legislation on Female Genital Mutilation in the United States"] {{Wayback|url=http://reproductiverights.org/sites/default/files/documents/pub_bp_fgmlawsusa.pdf |date=20201028013824 }}, Center for Reproductive Rights, November 2004, p. 3.<p>
Abusharaf 2007, p. [http://books.google.com/books?id=8VQxt634pfcC&pg=PA22 22].<p>
<p>Susan Deller Ross, ''Women's Human Rights: The International and Comparative Law Casebook'', Philadelphia: University of Pennsylvania Press, 2008, pp. [http://books.google.com/books?id=1TmUgmeGziUC&pg=PA509 509–511] {{Wayback|url=http://books.google.com/books?id=1TmUgmeGziUC&pg=PA509 |date=20140704183943 }}.</ref>，{{le|2013會計年度美國國防授權法案| National Defense Authorization Act for Fiscal Year 2013|2013年美國國防授權法案}}禁止以女陰殘割為目的將未成年人運送出國<ref>[http://www.gpo.gov/fdsys/pkg/PLAW-112publ239/pdf/PLAW-112publ239.pdf "Public Law 112–239 - Jan. 2, 2013 - National Defense Authorization Act for Fiscal Year 2013"] {{Wayback|url=http://www.gpo.gov/fdsys/pkg/PLAW-112publ239/pdf/PLAW-112publ239.pdf |date=20181203180337 }}, 2 January 2013, Sec 1088, p. 340.</ref>。[[美國小兒科學會]]反對任何形式的女陰殘割。小兒科學會於2010年提出「針刺或切割陰蒂的皮膚」沒有危害且可以滿足父母要求，但在遭投訴後撤回了此說法<ref>Current policy: [http://pediatrics.aappublications.org/content/102/1/153.short "Female Genital Mutilation"] {{Wayback|url=http://pediatrics.aappublications.org/content/102/1/153.short |date=20201117231331 }}, ''Pediatrics'', 102(1), 1 July 1998, pp. 153–156. {{PMID|9651425}}<p>
Withdrawn policy: [http://pediatrics.aappublications.org/content/125/5/1088.full "Ritual Genital Cutting of Female Minors"] {{Wayback|url=http://pediatrics.aappublications.org/content/125/5/1088.full |date=20141020034936 }}, ''Pediatrics'', 25(5), 1 May 2010, pp. 1088–1093. {{PMID|20530070}} {{doi|10.1542/peds.2010-0187}}<p>
Pam Belluck, [http://www.nytimes.com/2010/05/07/health/policy/07cuts.html "Group Backs Ritual 'Nick' as Female Circumcision Option"] {{Wayback|url=http://www.nytimes.com/2010/05/07/health/policy/07cuts.html |date=20180118095546 }}, ''The New York Times'', 6 May 2010.<p>Susan Bewley, Sarah Creighton and Comfort Momoh, [http://www.jstor.org/stable/20734534 "Female genital mutilation: Paediatricians should resist its medicalisation"] {{Wayback|url=http://www.jstor.org/stable/20734534 |date=20200916200953 }}, ''British Medical Journal'', 340(7760), 19 June 2010, pp. 1317–1318.</ref>。美國首例女陰殘割定罪案是在2006年，一位衣索比亞移民{{le|哈立德·阿德姆|Khalid Adem}}因為以剪刀切除兩歲女兒的陰蒂而被判處十年徒刑<ref>[http://usatoday30.usatoday.com/news/nation/2006-11-01-georgia_x.htm "Man gets 10-year sentence for circumcision of 2-year-old daughter"] {{Wayback|url=http://usatoday30.usatoday.com/news/nation/2006-11-01-georgia_x.htm |date=20170902134855 }}, Associated Press, 1 November 2006.<p>In 2014 President [[Barack Obama]] spoke about FGM for the first time, calling it "a tradition that's barbaric and should be eliminated"; see Nedra Pickler, [http://www.huffingtonpost.com/2014/07/28/nelson-mandela-obama_n_5626543.html "Obama To Rename Africa Young Leaders Program For Nelson Mandela"] {{Wayback|url=http://www.huffingtonpost.com/2014/07/28/nelson-mandela-obama_n_5626543.html |date=20140728173927 }}, ''Huffington Post'', 28 July 2014.</ref>。
====歐洲====
<!--{{further|Female genital mutilation in the United Kingdom}}-->
[[File:Efua Dorkenoo.jpg|thumb|200px|alt=photograph|{{le|Efua Dorkenoo|Efua Dorkenoo}} (1949–2014)由於她反對在英國實行女阴残割，在1994年獲得[[大英帝國勳章]]<ref>Douglas Martin, [http://www.nytimes.com/2014/10/28/health/efua-dorkenoo-dies-at-65-key-foe-of-genital-cutting.html "Efua Dorkenoo Dies at 65; Key Foe of Genital Cutting in Africa, Middle East"] {{Wayback|url=http://www.nytimes.com/2014/10/28/health/efua-dorkenoo-dies-at-65-key-foe-of-genital-cutting.html |date=20171022200824 }}, ''The New York Times'', 27 October 2014.<p>
Efua Dorkenoo, ''Cutting the Rose: Female Genital Mutilation, the Practice and its Prevention'', London: Minority Rights Group, 1994.</ref>]]
歐洲議會稱歐洲截至至{{as of|2009|03|lc=y}}時有近50萬名婦女受過女陰殘割<ref>[http://www.ncbi.nlm.nih.gov/pubmed/23720002 Yoder, Wang and Johansen, 2013] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pubmed/23720002 |date=20171019061100 }}, p. 195.</ref>。法國考慮到移民的[[同化]]對法國民族身分與團結至關重要，因此以嚴厲對待女陰殘割出名。<ref name=Kool/>。法國有大約三萬名婦女經歷過女陰殘割。家庭計畫輔導員科萊特·加勒德寫到：女陰殘割首次在法國出現時，公眾的反應是西方人不要干預此事；直到1982年兩名女童因女陰殘割死亡後（其中一名三個月大）公眾看法才得到改變<ref>Colette Gallard, [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2549952/pdf/bmj00597-0050.pdf "Female genital mutilation in France"] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2549952/pdf/bmj00597-0050.pdf |date=20211223002026 }}, ''British Medical Journal'', 310, 17 June 1995, p. 1592. {{PMID|7787655}} {{PMC|2549952}}<p>That one girl was three months old, Megan Rowling [http://www.trust.org/item/?map=france-reduces-genital-cutting-with-prevention-prosecutions-lawyer/ "France reduces genital cutting with prevention, prosecutions – lawyer"] {{Wayback|url=http://www.trust.org/item/?map=france-reduces-genital-cutting-with-prevention-prosecutions-lawyer%2F |date=20170603064552 }}, Thomson Reuters Foundation, 27 September 2012.</ref>。法國刑法中涉及兒童暴力的條款禁止女陰殘割<ref name="Rowling">{{cite news|author1=Megan Rowling|title="France reduces genital cutting with prevention, prosecutions – lawyer"|url=http://www.trust.org/item/?map=france-reduces-genital-cutting-with-prevention-prosecutions-lawyer/|agency=Thomson Reuters Foundation|date=2012-09-27|accessdate=2020-09-11|archive-date=2017-06-03|archive-url=https://web.archive.org/web/20170603064552/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2549952/pdf/bmj00597-0050.pdf|dead-url=no}}</ref>。所有在法國出生的兒童在六歲之前需要進行包括檢查生殖器在內的體檢；醫生若檢查到女陰殘割，有義務舉報<ref name=Kool/>。1982年法國出现了首宗關於女陰殘割的民事訴訟，1993年出現了首宗刑事訴訟<ref>For 1982, [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2549952/pdf/bmj00597-0050.pdf Gallard 1995] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2549952/pdf/bmj00597-0050.pdf |date=20211223002026 }}, p. 1593; for 1993, [http://www.nytimes.com/1994/07/21/world/canada-gives-somali-mother-refugee-status.html Farnsworth (''New York Times'') 1994] {{Wayback|url=http://www.nytimes.com/1994/07/21/world/canada-gives-somali-mother-refugee-status.html |date=20170813224305 }}.</ref>。1999年一名女性因為對48位女孩施行女陰殘割而被判八年徒刑<ref>{{le|David Gollaher|David Gollaher}}, ''Circumcision: A History of the World's Most Controversial Surgery'', New York: Basic Books, 2000, p. 189.</ref>。截至2014年，在超过四十宗刑事案件中起诉了超過一百名父母及兩位從事女陰殘割的人員<ref name=Kool>Renée Kool and Sohail Wahedi, [http://www.ccsenet.org/journal/index.php/ilr/article/view/36076 "Criminal Enforcement in the Area of Female Genital Mutilation in France, England and the Netherlands: A Comparative Law Perspective"] {{Wayback|url=http://www.ccsenet.org/journal/index.php/ilr/article/view/36076 |date=20170101055729 }}, ''International Law Research'', 3(1), 2014, pp. 3–5. {{doi|10.5539/ilr.v3n1p1}}</ref><ref name=Rowling/>。
在2011年約13.7萬名居住在英格兰與威爾斯地區的女性，出生於施行女陰殘割的國家<ref>Alison Macfarlane and [[Efua Dorkenoo]], [http://www.equalitynow.org/sites/default/files/FGM%20EN%20City%20Estimates.pdf "Female Genital Mutilation in England and Wales"] {{Wayback|url=http://www.equalitynow.org/sites/default/files/FGM%20EN%20City%20Estimates.pdf
[http://books.google.com/books?id=pdbzAwAAQBAJ&printsec=frontcover "Female genital mutilation: the case for a national plan"], House of Commons Home Affairs Committee, Second Report of Session 2014–15.
Also see [http://www.equalitynow.org/sites/default/files/UK_FGM_Workshop_Report.pdf "Female Genital Mutilation: Report of a Research Methodological Workshop on Estimating the Prevalence of FGM in England and Wales"] {{Wayback|url=http://www.equalitynow.org/sites/default/files/UK_FGM_Workshop_Report.pdf For an earlier report, [[Efua Dorkenoo]], Linda Morison, Alison Macfarlane, [http://www.forwarduk.org.uk/download/96 "A Statistical Study to Estimate the Prevalence of Female Genital Mutilation in England and Wales"] {{
J. A. Black, G. D. Debelle, [http://www.bmj.com/content/310/6994/1590 "Female genital mutilation in Britain"], ''British Medical Journal'', 310, 17 June 1995. {{PMID|7787654}} {{PMC|2549951}} {{doi|10.1136/bmj.310.6994.1590}}</ref>。1985年，英國頒布{{le|1985年英國禁止女性割禮法案|Prohibition of Female Circumcision Act 1985|相關禁令}}禁止對兒童或成人實施女陰殘割<ref name=KoolEngland>[http://www.ccsenet.org/journal/index.php/ilr/article/view/36076 Kool and Wahedi 2014], pp. 5–7; [http://www.legislation.gov.uk/ukpga/1985/38/contents "Prohibition of Female Circumcision Act 1985"], legislation.gov.uk.</ref>。該法案被{{le|2003年女陰殘割法案|Female Genital Mutilation Act 2003}}與{{le|2005年蘇格蘭禁止女陰殘割法案|Prohibition of Female Genital Mutilation (Scotland) Act 2005}}取代，新法案中進一步禁止將英國公民或永久居民帶出國外實行女陰殘割的行為<ref>[http://www.legislation.gov.uk/ukpga/2003/31 "Female Genital Mutilation Act 2003"] and [http://www.legislation.gov.uk/asp/2005/8/contents "Prohibition of Female Genital Mutilation (Scotland) Act 2005"], legislation.gov.uk.</ref>{{efn|{{le|2003年女陰殘割法案|Female Genital Mutilation Act 2003}}: "A person is guilty of an offence if he excises, infibulates or otherwise mutilates the whole or any part of a girl's labia majora, labia minora or clitoris," unless "necessary for her physical or mental health." Although the legislation refers to girls, it applies to women too.<ref>[http://www.legislation.gov.uk/ukpga/2003/31 "Female Genital Mutilation Act 2003"], legislation.gov.uk, and [http://www.cps.gov.uk/legal/d_to_g/female_genital_mutilation/#a02 "Female Genital Mutilation Act 2003"] (legal guidance), Crown Prosecution Service: "The Act refers to 'girls', though it also applies to women."</ref>}}。聯合國[[消除對婦女一切形式歧視公約]]在2013年要求各國政府「務必在立法上完整規範女陰殘割」<ref>[http://www.scottishhumanrights.com/application/resources/documents/ConcObsCEDAW.doc "Concluding observations on the seventh periodic report of the United Kingdom of Great Britain and Northern Ireland"] {{webarchive|url=https://web.archive.org/web/20150924095513/http://www.scottishhumanrights.com/application/resources/documents/ConcObsCEDAW.doc |date=2015-09-24 }}, United Nations Convention on the Elimination of All Forms of Discrimination against Women, 26 July 2013, p. 6, paras 36, 37.</ref>。次年有一男子與一醫生被起訴；該醫生將一名曾受女陰殘割的婦女陰部打開後重新縫合。2015年兩人無罪獲釋<ref>Sandra Laville, [http://www.theguardian.com/society/2015/feb/04/doctor-not-guilty-fgm-dhanuson-dharmasena "Doctor found not guilty of FGM on patient at London hospital"], ''The Guardian'', 4 February 2015.</ref><!--NOTE: PLEASE CONSIDER ADDING EXTRA DETAILS ABOUT THE UK INSTEAD TO [[Female genital mutilation in the United Kingdom]]. MANY THANKS!-->。▼
▲J. A. Black, G. D. Debelle, [http://www.bmj.com/content/310/6994/1590 "Female genital mutilation in Britain"] {{Wayback|url=http://www.bmj.com/content/310/6994/1590|date=20171113181243}}, ''British Medical Journal'', 310, 17 June 1995. {{PMID|7787654}} {{PMC|2549951}} {{doi|10.1136/bmj.310.6994.1590}}</ref>。1985年，英國頒布{{le|1985年英國禁止女性割禮法案|Prohibition of Female Circumcision Act 1985|相關禁令}}禁止對兒童或成人實施女陰殘割<ref name=KoolEngland>[http://www.ccsenet.org/journal/index.php/ilr/article/view/36076 Kool and Wahedi 2014] {{Wayback|url=http://www.ccsenet.org/journal/index.php/ilr/article/view/36076 |date=20170101055729 }}, pp. 5–7; [http://www.legislation.gov.uk/ukpga/1985/38/contents "Prohibition of Female Circumcision Act 1985"] {{Wayback|url=http://www.legislation.gov.uk/ukpga/1985/38/contents |date=20170101055729 }}, legislation.gov.uk.</ref>。該法案被{{le|2003年女陰殘割法案|Female Genital Mutilation Act 2003}}與{{le|2005年蘇格蘭禁止女陰殘割法案|Prohibition of Female Genital Mutilation (Scotland) Act 2005}}取代，新法案中進一步禁止將英國公民或永久居民帶出國外實行女陰殘割的行為<ref>[http://www.legislation.gov.uk/ukpga/2003/31 "Female Genital Mutilation Act 2003"] {{Wayback|url=http://www.legislation.gov.uk/ukpga/2003/31 |date=20170714134537 }} and [http://www.legislation.gov.uk/asp/2005/8/contents "Prohibition of Female Genital Mutilation (Scotland) Act 2005"] {{Wayback|url=http://www.legislation.gov.uk/asp/2005/8/contents |date=20170714134537 }}, legislation.gov.uk.</ref>{{efn|{{le|2003年女陰殘割法案|Female Genital Mutilation Act 2003}}: "A person is guilty of an offence if he excises, infibulates or otherwise mutilates the whole or any part of a girl's labia majora, labia minora or clitoris," unless "necessary for her physical or mental health." Although the legislation refers to girls, it applies to women too.<ref>[http://www.legislation.gov.uk/ukpga/2003/31 "Female Genital Mutilation Act 2003"] {{Wayback|url=http://www.legislation.gov.uk/ukpga/2003/31 |date=20170714134537 }}, legislation.gov.uk, and [http://www.cps.gov.uk/legal/d_to_g/female_genital_mutilation/#a02 "Female Genital Mutilation Act 2003"] {{Wayback|url=http://www.cps.gov.uk/legal/d_to_g/female_genital_mutilation/#a02 |date=20130908183829 }} (legal guidance), Crown Prosecution Service: "The Act refers to 'girls', though it also applies to women."</ref>}}。聯合國[[消除對婦女一切形式歧視公約]]在2013年要求各國政府「務必在立法上完整規範女陰殘割」<ref>[http://www.scottishhumanrights.com/application/resources/documents/ConcObsCEDAW.doc "Concluding observations on the seventh periodic report of the United Kingdom of Great Britain and Northern Ireland"] {{
==對反對意見的評論==
第580行 ⟶ 第583行：
人類學家{{le|埃里克·西爾弗曼|Eric Silveman}}於2004年寫到，她認為女陰殘割已成為「當代人類學中最重要的道德議題之一」。
一些文化價值觀嚴重扭曲的人類學家們指控「支持廢除女陰殘割者」為文化殖民主義者；相對地，這些人類學家也因為所持的[[道德相對主義]]及未能成功捍衛[[人權]]普世概念而被批評<ref>[http://www.jstor.org/stable/25064860 Silverman 2004] {{Wayback|url=http://www.jstor.org/stable/25064860 |date=20201102154225 }}, pp. 420 (for the quote), 427.</ref>。根據針對反對方的批評，認為反對方所提的生物還原論、不認同女陰殘割背後的文化價值，逐漸在削弱施行殘割的機制，並以此將其邊緣化
[[File:Obioma Nnaemeka (cropped) 2.jpg|thumb|250px|alt=photograph|歐比歐瑪·那亞米卡：「西方人在佔有命名權方面的速度往往快別人一步……」<ref>Nnaemeka 2005, p. [http://books.google.com/books?id=XjctVvOzzcQC&pg=PA34 34].</ref>]]
第587行 ⟶ 第590行：
在這場命名遊戲中，雖然討論的是非洲女性，卻隱含著西方文明與試圖滌淨所謂野蠻的非洲文化和穆斯林文化的關聯性（甚至是必要性），這標誌著殖民主義和傳教士熱衷於（zeal）定義何謂「文明」，並想著如何及何時要強迫沒有要求得到這些的人們接受這一切<ref>Nnaemeka 2005, pp. [http://books.google.com/books?id=XjctVvOzzcQC&pg=PA34 34–35].</ref></blockquote>
烏干達法學教授{{le|西爾維亞·塔馬利|Sylvia Tamale}}認為早期西方世界對於女陰殘割的反對聲浪來自於[[犹太教-基督教伦理|猶太教-基督教價值觀]]，他們認為非洲社會的家庭價值和性觀念是原始且必須矯治的，包含[[乾陰道性交]]、[[一夫多妻制]]、[[聘禮]]，以及[[夫兄弟婚]]等等<ref name=Tamale2011pp19-20>Tamale 2011, pp. [http://books.google.com/books?id=xSqIrrswbG0C&pg=PA19 19–20].</ref>。塔馬利表示，非洲女權主義者「不容忍這些非洲世界傳統舉措產生的負面影響」，卻「完全容忍帝國主義、種族歧視，以及對於非洲女性的稚化鄙視。」<ref name=Tamale2011pp19-20/>
人類學者和女權主義者一直對於女陰殘割的存廢爭論不休，蓋因人類學者主要關注
For the statement, Bagnol and Mariano 2011, p. 281; for Hosken, Daly and Lightfoot-Klein, Robertson 2002, p. [http://books.google.com/books?id=t_5a39rTNB8C&pg=PA60 60] {{Wayback|url=http://books.google.com/books?id=t_5a39rTNB8C&pg=PA60 |date=20170908222703 }}.</ref>
另外有一些人認為，部分
For the photographs, [http://www.pulitzer.org/works/1996-Feature-Photography "Stephanie Welsh"] {{Wayback|url=http://www.pulitzer.org/works/1996-Feature-Photography |date=20151007101527 }}, 1996 Pulitzer Prize winners; for other examples, Nnaemeka 2005, pp. [http://books.google.com/books?id=XjctVvOzzcQC&pg=PA30 30–33].</ref>
===和其他類似手術的比較===
歐畢歐馬·內梅卡（Obioma Nnaemeka）提出一個比起女陰殘割更廣泛的重要議題：為什麼包含西方國家在內，全世界有那麼多地方「虐待及汙化」女性身體的舉措<ref>Nnaemeka 2005, pp. [http://books.google.com/books?id=XjctVvOzzcQC&pg=PA38 38–39].</ref>？許多作家將女陰殘割與整形手術提出來做比較<ref name=Johnsdotter2010p32>Sara Johnsdotter and Birgitta Essén, [http://www.iscgmedia.com/uploads/6/0/9/7/6097060/johnsdotter_cvs.pdf "Genitals and ethnicity: the politics of genital modifications"] {{
Samar A. Farage, "Female Genital Alteration: A Sociological Perspective", in Miranda A. Farage and Howard I. Maibach (eds.), ''The Vulva: Anatomy, Physiology, and Pathology'', New York: Informa Healthcare USA, 2006, p. [http://books.google.com/books?id=beenEjKmvPwC&pg=PA267 267].<p>
Marge Berer, [http://www.bmj.com/content/334/7608/1335.2 "It's female genital mutilation and should be prosecuted"] {{Wayback|url=http://www.bmj.com/content/334/7608/1335.2 |date=20171113202005 }}, ''British Medical Journal'', 334(7608), 30 June 2007, p. 1335. {{PMID|17599983}} {{PMC|1906631}} {{doi|10.1136/bmj.39252.646042.3A}}</ref>[[愛爾蘭皇家外科醫學院]]的羅南·康羅伊在2006年寫到生殖器整形手術「驱动著女性生殖器殘割前进」，因其鼓勵女性將自然個體上的差異視為缺陷<ref name=Conroy2006>Ronán M. Conroy, [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1502236/ "Female genital mutilation: whose problem, whose solution?"] {{Wayback|url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1502236/ |date=20170201111859 }}, ''British Medical Journal'', 333(7559), 15 July 2006. {{PMID|16840444}} {{PMC|1502236}}</ref>。人類學家{{le|法德瓦·拉·金蒂|Fadwa El Guindi}}將女陰殘割與隆乳互相比較，因為乳房具有的哺育功能竟然次於取悅男性性快感<ref>El Guindi 2007, p. [http://books.google.com/books?id=8VQxt634pfcC&pg=PA33 33].</ref>。{{le|博奴瓦特·格魯|Benoîte Groult}}在1975年提出類似的論點，點出女陰殘割與整形手術並將其視為男性沙文主義與父系社會的威權<ref>Lora Wildenthal, ''The Language of Human Rights in West Germany'', Philadelphia: University of Pennsylvania Press, 2012, p. 148.</ref>。
[[File:Martha Nussbaum wikipedia 10-10.jpg|thumb|270px|alt=photograph|[[瑪莎·努斯鮑姆]]提出女陰殘割在道德及法律上議題是它大部份都是用利用肢體暴力來對待孩童，施行女陰殘割]]
卡拉·歐巴瑪雅主張女陰殘割有助於女性與社群好好相處，[[隆鼻]]與男性割包皮也有相同的道理<ref>[http://csde.washington.edu/fogarty/casestudies/shellduncanmaterials/day%202/Obermeyer,%20C.%20%281999%29%20Female%20genital%20surgeries.pdf Obermeyer 1999] {{
世界衛生組織並不將[[阴唇整型术]]及{{le|去除陰蒂包皮|clitoral hood reduction}}視為女陰殘割，但它的定義是為了防止漏洞的產生，而確實有許多對於成人的作法都不在世界衛生組織的分類中<ref name=WHOelective>[http://whqlibdoc.who.int/publications/2008/9789241596442_eng.pdf WHO 2008] {{Wayback|url=http://whqlibdoc.who.int/publications/2008/9789241596442_eng.pdf |date=20130810080948 }}, p. 28.</ref>。有些禁止女陰殘割的國家只著重在未成年者<!--minors-->，像是加拿大和美國。包括瑞典和英國在內的許多國家，立法禁止任何與女陰殘割有關的手術，甚至涵蓋到整形手術。以瑞典來說，「無論受術者是否同意手術的進行，瑞典政府都禁止切除或會對女性外部生殖器官產生永久性變化的手術」<ref>[http://www.iscgmedia.com/uploads/6/0/9/7/6097060/johnsdotter_cvs.pdf Johnsdotter and Essén 2010] {{
有些人質疑，女陰殘割和女孩為了體態而[[節食]]有什麼不同？哲學家[[瑪莎·努斯鮑姆]]認為此兩者最大的差異在於，接受女陰殘割的女孩通常是被硬生生的抓去接受手術。她以色誘和強暴互相比較，認為相較於前述的物理性脅迫，女孩因社會眼光的壓力而進行節食，於道德和法律上相對有理據。此外，瑪莎又做了一些延伸探討，認為實行女陰殘割的國家，大部分識字率和發展程度較低，而影響了女性受知的機會，這使她們選擇的能力大幅降低<ref>Nussbaum 1999, pp. [http://books.google.com/books?id=7zoaKIolT9oC&pg=PA123 123–124].
Also see [[Yuli Tamir|Yael Tamir]], [http://new.bostonreview.net/BR21.3/Tamir.html "Hands Off Clitoridectomy"] {{webarchive|url=https://web.archive.org/web/20140808051255/http://new.bostonreview.net/BR21.3/Tamir.html |date=2014-08-08 }}, ''Boston Review'', Summer 1996.<p>▼
Also see [[
▲
一些評論者認為[[雙性人]]孩子的生殖器改變手術侵犯了兒童的人權，這些孩子一出生因為擁有雙性生殖器而被醫生診斷修正。法律學者南希·厄萊雷奇（Nancy Ehrenreich）和馬克·巴爾（Mark Barr）表示上述案例有數千件在美國發生，並說道這在醫學上是不必要，但比女陰殘割更廣泛，且在生理與心理上有嚴重的後果。他們歸因於反女陰殘割運動者因[[白人特权|白人特權]]，對於雙性者的漠視，與一種拒絕承認「類似且不必要和有害的生殖器切割就發生在自家後院。」<ref>Nancy Ehrenreich, Mark Barr, [http://www.law.harvard.edu/students/orgs/crcl/vol40_1/ehrenreich.pdf {{Wayback|url=http://www.law.harvard.edu/students/orgs/crcl/vol40_1/ehrenreich.pdf|date=20170517021052}}][//web.archive.org/web/20170517021052/http://www.law.harvard.edu/students/orgs/crcl/vol40_1/ehrenreich.pdf 页面存档备份]<span>，存于</span>[[互联网档案馆|-{zh-cn:互联网档案馆; zh-tw:網際網路檔案館; zh-hk:互聯網檔案館; zh-sg:互联网档案馆}-]]<span>）</span>[//web.archive.org/web/20170517021052/http://www.law.harvard.edu/students/orgs/crcl/vol40_1/ehrenreich.pdf 页面存档备份]<span>，存于</span>[[互联网档案馆|-{zh-cn:互联网档案馆; zh-tw:網際網路檔案館; zh-hk:互聯網檔案館; zh-sg:互联网档案馆}-]]<span>）</span>[//web.archive.org/web/20170517021052/http://www.law.harvard.edu/students/orgs/crcl/vol40_1/ehrenreich.pdf 页面存档备份]<span>，存于</span>[[互联网档案馆|-{zh-cn:互联网档案馆; zh-tw:網際網路檔案館; zh-hk:互聯網檔案館; zh-sg:互联网档案馆}-]]<span>）</span>[//web.archive.org/web/20170517021052/http://www.law.harvard.edu/students/orgs/crcl/vol40_1/ehrenreich.pdf 页面存档备份]<span>，存于</span>[[互联网档案馆|-{zh-cn:互联网档案馆; zh-tw:網際網路檔案館; zh-hk:互聯網檔案館; zh-sg:互联网档案馆}-]]<span>）</span><span> </span>{{Wayback|url=http://www.law.harvard.edu/students/orgs/crcl/vol40_1/ehrenreich.pdf|date=20170517021052}}<span> </span>{{Wayback|url=http://www.law.harvard.edu/students/orgs/crcl/vol40_1/ehrenreich.pdf|date=20170517021052}}<span> </span>{{Wayback|url=http://www.law.harvard.edu/students/orgs/crcl/vol40_1/ehrenreich.pdf|date=20170517021052}}<span> </span>{{Wayback|url=http://www.law.harvard.edu/students/orgs/crcl/vol40_1/ehrenreich.pdf|date=20130319150704}}<span> "Intersex Surgery, Female Genital Cutting, and the Selective Condemnation of 'Cultural Practices</span>{{' "}} {{Wayback|url=http://www.law.harvard.edu/students/orgs/crcl/vol40_1/ehrenreich.pdf|date=20170517021052}}, ''Harvard Civil Rights-Civil Liberties Law Review'', 40(1), 2005 (pp. 71–140), pp. 74–75.
Also see [[Cheryl Chase (activist)|Cheryl Chase]], {{" '}}Cultural Practice' or 'Reconstructive Surgery'? US Genital Cutting, the Intersex Movement, and Medical Double Standards", in James and Robertson (eds.) 2002, pp. 126–151.</ref>。
==参见==▼
*[[割禮]]▼
*[[包皮環切術|割包皮]]▼
*[[印度尼西亚女性割礼]]▼
*[[沙漠之花 (2009年电影)]]
==腳註==
第617行 ⟶ 第629行：
==参考资料==
{{reflist|
===文献书目===
{{ReflistH|2}}
* Al-Qaradawi, Y. (2004, February 7). [http://www.islamonline.net/servlet/Satellite?pagename=IslamOnline-English-Ask_Scholar/FatwaE/FatwaE&cid=1119503543886 Islamic ruling on female circumcision]{{
* Al-Qaradawi, Y. (2004, December 13). [http://www.islamonline.net/servlet/Satellite?pagename=IslamOnline-English-Ask_Scholar/FatwaE/FatwaE&cid=1119503548446 Circumcision: Juristic, medical & social perspectives]{{Wayback|url=http://www.islamonline.net/servlet/Satellite?pagename=IslamOnline-English-Ask_Scholar%2FFatwaE%2FFatwaE&cid=1119503548446 |date=20100608202648 }}. Retrieved March 29, 2006.
* Boyle, E. H. (2002). ''Female genital cutting: Cultural conflict in the global community''. Baltimore: Johns Hopkins University Press. ISBN 978-0-8018-7063-7.
* [[Kathy Dettwyler|Dettwyler, Katherine A.]] (1994). ''Dancing skeletons: life and death in West Africa''. Prospect Heights, Ill.: Waveland Press. ISBN 0-88133-748-X.
第629行 ⟶ 第641行：
* Hoffman, B. (2002). ''[https://web.archive.org/web/20090917044524/http://www.berkeleymedia.com/catalog/berkeleymedia/films/anthropology_world_cultures/african_studies/womanhood_and_circumcision_three_maasai_women_have_their_say Womanhood and Circumcision: Three Maasai women have their say]''. Berkeley: Berkeley Media.
* Hrzán, Daniela. (Re)Discovering FGC: Anthropology, Whiteness, Feminism. In: Tißberger, Martina/ Dietze, Gabriele/ Hrzán, Daniela/ Husmann-Kastein, Jana (eds.). Weiß – Weißsein – Whiteness: Kritische Studien zu Gender und Rassismus/Critical Studies on Gender and Racism. Frankfurt/Main: Peter Lang, 2006, pp. 113–142.
* {{cite news
| last=IRIN
| last=IRIN | title= Razor's Edge - The Controversy of Female Genital Mutilation | url=http://www.irinnews.org/IndepthMain.aspx?IndepthId=15&ReportId=62462▼
| title=Razor's Edge - The Controversy of Female Genital Mutilation
▲
| publisher=IRIN
| date=2005
| accessdate=2009-06-19
| archive-date=2012-05-30
| archive-url=https://www.webcitation.org/6837POWsY?url=http://www.irinnews.org/IndepthMain.aspx?IndepthId=15
| dead-url=no
}}
* Johnson, Michelle C. (2000). Becoming a Muslim, Becoming a person: Female 'circumcision', religious identity, and personhood in Guinea-Bissau. In B. Shell-Duncan & Y. Herlund (Eds.), ''Female circumcision in Africa: Culture, controversy, and change''. Boulder: Lynne Rienner Publishers.
* Kandela, P. (1995, January). [http://bmj.bmjjournals.com/cgi/content/full/310/6971/12 Egypt sees U turn on female circumcision] {{Wayback|url=http://bmj.bmjjournals.com/cgi/content/full/310/6971/12 |date=20050205200254 }}. ''British Medical Journal, 310'', 12.
* Kassindja, F. (1998). ''Do they hear you when you cry''. New York: Delacorte Press. ISBN 0-38531-832-4.
* Obermeyer, Carla Makhlouf (2003). The health consequences of female circumcision: Science, advocacy, and standards of evidence. ''Medical Anthropology Quarterly, 17''(3), 394-412. PMID 12974204. {{doi|10.1525/maq.2003.17.3.394}}
* Pieters, G., & Lowenfels A. B. (1977). Infibulation in the horn of Africa. ''New York State Journal of Medicine, 77''(5), 729-31. PMID 265433.
* Research papers from medical gynecologists, judges, linguistics, and social scientists on the subject (1994). [[University of Khartoum]], [[Sudan]]. [http://www.umatia.org/papers.htm Umm Atteya Organization website] {{Wayback|url=http://www.umatia.org/papers.htm |date=20200130154239 }} (Arabic). Retrieved March 29, 2006.
* UNICEF (1999). ''Consultation on the elimination of female genital mutilation: 14 December-16 December 1998''. New York: Author. 40 pp.
* World Health Organization. (1996). ''Female genital mutilation: Report of a WHO Technical Working Group'' (unpublished document [http://whqlibdoc.who.int/hq/1996/WHO_FRH_WHD_96.10.pdf WHO/FRH/WHD/96.10] {{Wayback|url=http://whqlibdoc.who.int/hq/1996/WHO_FRH_WHD_96.10.pdf |date=20110629190004 }}). Geneva: World Health Organization. Retrieved 2007-02-21.
{{ReflistF}}
===出版物===
{{ReflistH|2}}
* [[Sami A. Aldeeb|Aldeeb, Sami]] (2000). Male and Female Circumcision in the Jewish, Christian and Muslim Communities, Religious debate. Beirut, ISBN 1855134063.
*Daw, E. (1970). Female circumcision and infibulation complicating delivery. ''Practitioner, 204''(222), 559-63. {{PMID|5443542}}.
第653行 ⟶ 第671行：
*Mustafa, Asim Zaki (1966). Female circumcision and infibulation in the Sudan. ''Journal of Obstetrics and Gynaecology of the British Commonwealth, 73''(2), 302–306. {{Doi|10.1111/j.1471-0528.1966.tb05163.x}}.
*Robinett, Patricia (2006). ''The rape of innocence: One woman's story of female genital mutilation in the USA''. N.p.: Aesculapius Press. ISBN 1-878411-04-7.</div>
{{ReflistF}}
▲==参见==
▲*[[割禮]]
▲*[[包皮環切術|割包皮]]
▲*[[印度尼西亚女性割礼]]
{{女性生殖诊断及手术}}
[[Category:女性割礼| ]]
[[Category:非洲文化]]
[[Category:对女性的暴力行为]]
[[Category:联合国可持续发展目标5]]
[[Category:生殖器改造与残割]]
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