They stitch it tightly enough to cause miscarriages and stillbirths. Some guy still can rip it enough to get his pNi$ in, but when the girls have babies, many lose them because of the horrible stitches. Also many girls die (blessedly at the time) from infections from the stitching and the blood loss.
I just finished the book “Slave,” where the poor dear describes it all too vividly. She was a slave in Sudan.
Ah, sometimes too loose, sometimes too tight. Ain’t diversity fine?