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Does circumcision increase neonatal jaundice?
1Section of Pediatric Surgery, VKF American Hospital, Istanbul, Turkey. egemene@amerikanhastanesi.com.tr
Insights
Newborn circumcision on the second day of life is safe and does not impact feeding frequency, bowel movements, or serum bilirubin levels. This procedure does not increase the risk of neonatal jaundice in healthy newborns.
Area of Science:
- Neonatal care
- Pediatric surgery
Background:
- Neonatal circumcision is a common procedure.
- Concerns exist regarding its potential impact on infant physiology.
Purpose of the Study:
- To assess the effects of early newborn circumcision on feeding frequency.
- To evaluate the impact of circumcision on serum bilirubin levels.
Main Methods:
- A comparative study of 60 male newborns, with 30 circumcised.
- Inclusion criteria: 35-40 weeks gestation, weight >3000g, no antenatal/perinatal issues.
- Monitored weight, feeding frequency, urination, stooling, and serum bilirubin levels.
Main Results:
- No statistically significant differences were observed between the circumcised and control groups.
- Circumcision did not affect feeding frequency or bowel movements on day 3.
- Serum bilirubin levels on day 4 were not significantly increased by circumcision.
Conclusions:
- Newborn circumcision, when performed by experienced practitioners on the second day of life, is safe.
- The procedure does not adversely affect feeding, elimination, or increase the risk of neonatal jaundice.
- Early newborn circumcision is a safe practice with no significant physiological impact on healthy infants.
Purpose:
The aim of this study was to evaluate the effects of circumcision done during the early newborn period on the baby's feeding frequency and therefore a possible effect on serum bilirubin values.
Methods:
Sixty consecutive male patients, of whom 30 were circumcised, were comparatively followed. Babies born between 35 and 40 gestational weeks, weighing above 3000 g and who had no antenatal and/or perinatal problems were enrolled. Changes in weight, frequency of feeds, urination, stooling and the serum bilirubin levels were compared.
Results:
There was no statistically significant difference between the two groups.
Conclusion:
In experienced hands, newborn circumcision on the second day of life is safe, does not affect babies' feeding frequency or bowel movements on day 3, and does not increase serum bilirubin on day 4, thus does not increase the risk of neonatal jaundice.
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