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Breast ironing, also known as breast flattening, is the pounding and massaging of a pubescent girl's
breasts The breast is one of two prominences located on the upper ventral region of a primate's torso. Both females and males develop breasts from the same embryological tissues. In females, it serves as the mammary gland, which produces and secret ...
, using hard or heated objects, to try to make them stop developing or disappear. Reproduced at the Child Rights Information Network. Retrieved 2011-04-02. The practice is typically performed by a close female figure to the victim, traditionally fulfilled by a mother, grandmother, aunt, or female guardian who will say she is trying to protect the girl from sexual harassment and rape, to prevent early pregnancy that would tarnish the family name, preventing the spread of sexually transmitted infections such as
HIV/AIDS Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual ma ...
, or to allow the girl to pursue education rather than be forced into
early marriage Child marriage is a marriage or similar union, formal or informal, between a child under a certain age – typically 18 years – and an adult or another child. * * * * The vast majority of child marriages are between a female child and a mal ...
. It is mostly practiced in parts of Cameroon, where boys and men may think that girls whose breasts have begun to grow are ready for sex. Evidence suggests that it has spread to the Cameroonian diaspora, for example to Britain, where the law defines it as
child abuse Child abuse (also called child endangerment or child maltreatment) is physical, sexual, and/or psychological maltreatment or neglect of a child or children, especially by a parent or a caregiver. Child abuse may include any act or failure to ...
. The most widely used implement for breast ironing is a wooden
pestle Mortar and pestle is a set of two simple tools used from the Stone Age to the present day to prepare ingredients or substances by crushing and grinding them into a fine paste or powder in the kitchen, laboratory, and pharmacy. The ''mortar'' () ...
normally used for pounding
tubers Tubers are a type of enlarged structure used as storage organs for nutrients in some plants. They are used for the plant's perennation (survival of the winter or dry months), to provide energy and nutrients for regrowth during the next growing s ...
. Other tools used include leaves, bananas, coconut shells, grinding stones, ladles, spatulas, and hammers heated over coals. The ironing practice is generally performed around dusk or dawn in a private area such as the household kitchen to prevent others from seeing the victim or becoming aware of the process, particularly fathers or other male figures. The massaging process could occur anywhere between one week to several months, depending on the victim's refusal and the resistance of the breasts; in cases where the breasts appear to be consistently protruding, the ironing practice may occur more than once a day for these weeks or months at a time.


History

Breast ironing may be derived from the ancient practice of breast massage. Breast massage aims to help even out different breast sizes and reduce the pain of nursing mothers by massaging the breast with warm objects, see Treatment for mastitis.


Incidence

The breast ironing practice has been documented in Nigeria, Togo, Republic of Guinea, Côte d'Ivoire, Kenya, and Zimbabwe. Additionally it has been found in other African countries including Burkina Faso, Central African Republic (CAR), Benin, and Guinea-Conakry. Breast "sweeping" has been reported in
South Africa South Africa, officially the Republic of South Africa (RSA), is the Southern Africa, southernmost country in Africa. It is bounded to the south by of coastline that stretch along the Atlantic Ocean, South Atlantic and Indian Oceans; to the ...
. The practice has become commonly associated with Cameroon as a result of media attention and local levels of activism from human rights groups. All of Cameroon's 200 ethnic groups engage in breast ironing, with no known relation to religion, socio-economic status, or any other identifier. A 2006 survey by the German development agency GIZ of more than 5,000 Cameroonian girls and women between the ages of 10 and 82 estimated that nearly one in four had undergone breast ironing, corresponding to four million girls. The survey also reported that it is most commonly practiced in urban areas, where mothers fear their daughters could be more exposed to sexual abuse. Incidence is 53 percent in the Cameroon's southeastern region of
Littoral The littoral zone or nearshore is the part of a sea, lake, or river that is close to the shore. In coastal ecology, the littoral zone includes the intertidal zone extending from the high water mark (which is rarely inundated), to coastal areas ...
. Compared with Cameroon's Christian and animist south, breast ironing is less common in the Muslim north, where only 10 percent of women are affected. Some hypothesize that this is related to the practice of
early marriage Child marriage is a marriage or similar union, formal or informal, between a child under a certain age – typically 18 years – and an adult or another child. * * * * The vast majority of child marriages are between a female child and a mal ...
, which is more common in the north, making early sexual development irrelevant or even preferable. Research suggests that 16% of girls, particularly in the far North regions where child marriages are highly common, try to flatten their own breasts in an attempt to delay early sexual maturity and early marriage. A 2007 journal suggested that social norms in Cameroon result in women lacking bodily autonomy, as Cameroonian women are not socialized to negotiate
safer sex In cryptography, SAFER (Secure And Fast Encryption Routine) is the name of a family of block ciphers designed primarily by James Massey (one of the designers of IDEA) on behalf of Cylink Corporation. The early SAFER K and SAFER SK designs share ...
practices, while Cameroonian men are encouraged to engage in polygyny and to take concubines. This lack of bodily autonomy contributes to an increased incidence of breast ironing, sexual coercion, and the normalization of early marriage practices. In an interview, one human rights activist stated that parents who resist under-aged marriages "usually point to the fact that the girlʼs breasts have not grown meaning that she is not yet ready for sexual intercourse. For parents who practice child marriage, by ironing the breasts of the prospective bride, they can continue receiving goods and services from their in-laws." A 2008 report suggested that the rise in the incidence of breast ironing is due to the earlier onset of puberty, caused by dietary improvements in Cameroon over the previous 50 years. Half of Cameroonian girls who develop under the age of nine have their breasts ironed, and 38% of those who develop before eleven. Additionally, since 1976, the percentage of women married by the age of 19 has decreased from nearly 50% to 20%, leading to an increasingly long gap between childhood and marriage. The later age of marriage may be due to changed social norms that allow girls and women to attend school through university and to hold jobs in the formal sector; previously, girls entered married life young, wed to an older man without informed consent. Women who delay marriage in pursuit of education and career are more likely to be financially independent later in life, whereas girls who become pregnant are often forced to drop out of school and forgo formal employment. One of the only full-length reports on breast ironing dates from 2011, when a Cameroonian NGO sponsored by GIZ called it "a harmful traditional practice that has been silenced for too long". There are fears that the practice has spread to the Cameroonian diaspora, for example to Britain. A charity, CAME Women and Girls Development Organisation, is working with London's
Metropolitan Police Service The Metropolitan Police Service (MPS), formerly and still commonly known as the Metropolitan Police (and informally as the Met Police, the Met, Scotland Yard, or the Yard), is the territorial police force responsible for law enforcement and ...
and social services departments to raise awareness of breast ironing.


Health consequences

Breast ironing is extremely painful and can cause tissue damage. , there have been no medical studies on its effects. However, medical experts warn that it might contribute toward
breast cancer Breast cancer is cancer that develops from breast tissue. Signs of breast cancer may include a lump in the breast, a change in breast shape, dimpling of the skin, milk rejection, fluid coming from the nipple, a newly inverted nipple, or a r ...
,
cyst A cyst is a closed sac, having a distinct envelope and division compared with the nearby tissue. Hence, it is a cluster of cells that have grouped together to form a sac (like the manner in which water molecules group together to form a bubble) ...
s and depression, and perhaps interfere with
breastfeeding Breastfeeding, or nursing, is the process by which human breast milk is fed to a child. Breast milk may be from the breast, or may be expressed by hand or pumped and fed to the infant. The World Health Organization (WHO) recommends that brea ...
later. In addition to this, breast ironing puts girls at risk of
abscesses An abscess is a collection of pus that has built up within the tissue of the body. Signs and symptoms of abscesses include redness, pain, warmth, and swelling. The swelling may feel fluid-filled when pressed. The area of redness often extends b ...
, cysts, infections, and permanent tissue damage, resulting in breast pimples, imbalance in breast size, and
milk Milk is a white liquid food produced by the mammary glands of mammals. It is the primary source of nutrition for young mammals (including breastfed human infants) before they are able to digest solid food. Immune factors and immune-modulatin ...
infection from scarring. In extreme cases of damage, there are currently ten cases of diagnosed breast cancer reported from women who identified as victims of breast ironing. Other possible side effects reported by GIZ include malformed breasts and the eradication of one or both breasts. The practice ranges dramatically in its severity, from using heated leaves to press and massage the breasts, to using a scalding grinding stone to crush the budding gland. Due to this variation, health consequences vary from benign to acute. The Child Rights Information Network (CRIN) reports the delay of breast milk development after birth, endangering the life of newborns. Breast ironing can cause women to fear
sexual activity Human sexual activity, human sexual practice or human sexual behaviour is the manner in which humans experience and express their sexuality. People engage in a variety of sexual acts, ranging from activities done alone (e.g., masturbation) t ...
. Men have said that breast loss detracts from women's sexual experiences, although this has not been corroborated by women. Many women also suffer mental trauma after undergoing breast ironing. Victims feel as if it is punishment and often internalise blame, and fear breastfeeding in the future.


Opposition

As well as being dangerous, breast ironing is criticised as being ineffective for stopping early sex and pregnancy. GIZ (then called "GTZ") and the Network of Aunties (RENATA), a Cameroonian
non-governmental organization A non-governmental organization (NGO) or non-governmental organisation (see spelling differences) is an organization that generally is formed independent from government. They are typically nonprofit entities, and many of them are active in h ...
that supports young mothers, campaign against breast ironing, and are supported by the Ministry for the Promotion of Women and the Family. Some have also advocated a law against the practice; however, no such law has been passed. Some consider the practice to be an emerging human rights issue, recognized as an act of
gender-based violence Gender-related violence or gender-based violence includes any kind of violence directed against people due to their gender or gender identification. Types of gender-related violence include: * Violence against women (sometimes referred to simply a ...
as breast ironing affects women and girls regardless or race, class, religion,
socioeconomic Socioeconomics (also known as social economics) is the social science that studies how economic activity affects and is shaped by social processes. In general it analyzes how modern societies progress, stagnate, or regress because of their local ...
background, or age. In regards to recent opposition, in 2000, the
United Nations The United Nations (UN) is an intergovernmental organization whose stated purposes are to maintain international peace and security, develop friendly relations among nations, achieve international cooperation, and be a centre for harmonizi ...
(UN) identified breast ironing as one of five intersecting forms of discrimination and overlooked
crimes against women Violence against women (VAW), also known as gender-based violence and sexual and gender-based violence (SGBV), are violent acts primarily or exclusively committed against women or girls, usually by men or boys. Such violence is often cons ...
. According to one Cameroonian lawyer, if a medical doctor determines that damage has been caused to the breasts, the perpetrator can be punished by up to three years in prison, provided the matter is reported within a few months. However, it is unclear if such a law exists as there are no recorded instances of legal enforcement. The GIZ survey found that in 2006, 39 percent of Cameroonian women opposed breast ironing, with 41 percent expressing support and 26 percent indifferent. Reuters reported in 2014 that nationwide campaigning against the practice had helped reduce the rate of breast ironing by 50 percent in the country.


See also

*
Breast reduction Reduction mammoplasty (also breast reduction and reduction mammaplasty) is the plastic surgery procedure for reducing the size of large breasts. In a breast reduction surgery for re-establishing a functional bust that is proportionate to the wom ...
*
Breast binding Breast binding, also known as chest binding, is the flattening of breasts with constrictive materials such as cloth strips, purpose-built undergarments, often using spandex or other synthetic fiber, and shirts layered from tight to loose. Binder ...
*
Female genital mutilation Female genital mutilation (FGM), also known as female genital cutting, female genital mutilation/cutting (FGM/C) and female circumcision, is the ritual cutting or removal of some or all of the external female genitalia. The practice is found ...
*
Mastectomy Mastectomy is the medical term for the surgical removal of one or both breasts, partially or completely. A mastectomy is usually carried out to treat breast cancer. In some cases, women believed to be at high risk of breast cancer have the operat ...
*
Amazons In Greek mythology, the Amazons ( Ancient Greek: Ἀμαζόνες ''Amazónes'', singular Ἀμαζών ''Amazōn'', via Latin ''Amāzon, -ŏnis'') are portrayed in a number of ancient epic poems and legends, such as the Labours of Hercules ...
*
Thelarche Thelarche, also known as breast budding, is the onset of secondary breast development, often representing the beginning of pubertal development. It is the stage at which male and female breasts differentiate due to variance in hormone levels; howe ...
, the stage of pubertal development at which breast buds appear *
Precocious puberty In medicine, precocious puberty is puberty occurring at an unusually early age. In most cases, the process is normal in every aspect except the unusually early age and simply represents a variation of normal development. In a minority of childr ...


References


External links


Breast ironing in the UK
BBC, 2019 {{DEFAULTSORT:Breast Ironing Abuse Body modification Breast Cameroonian culture Children's rights Violence against women in Cameroon Women's rights in Cameroon