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Surgical Management of Meatal Stenosis with Meatoplasty
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Shared Decision Making for Routine Infant Circumcision: A Pilot Study.

Teri M Mitchell, Claudia Beal

    The Journal of Perinatal Education
    |February 3, 2016
    PubMed
    Summary
    This summary is machine-generated.

    Expectant parents can make informed decisions about routine infant circumcision (RIC) using a shared decision-making (SDM) program. This pilot study found the SDM model effectively prepared parents for this important choice.

    Keywords:
    childbirth educationforeskinmale circumcisionneonatal circumcisionparental decision makingshared decision making

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    Area of Science:

    • Medical Ethics
    • Pediatric Health
    • Decision Science

    Background:

    • Routine infant circumcision (RIC) involves complex decisions for expectant parents.
    • Accurate information on benefits and risks of both circumcision and intact foreskin is crucial.
    • Shared decision-making (SDM) models can aid in complex health choices.

    Purpose of the Study:

    • To evaluate the effectiveness of a 3-phase SDM program for guiding parents' decisions on RIC.
    • To assess parental preparedness in making the RIC decision.

    Main Methods:

    • A pilot study utilized a 3-phase SDM program within childbirth education classes.
    • Participants engaged in a structured decision-making process regarding RIC.
    • Preparedness scores were measured after each phase.

    Main Results:

    • Participants demonstrated a high level of preparedness after completing the SDM program phases.
    • The highest preparedness scores were observed in parents who chose to keep their sons intact.
    • The SDM program proved effective in facilitating the decision-making process.

    Conclusions:

    • The SDM conceptual model is an effective tool for guiding expectant parents through the RIC decision.
    • Informed decision-making regarding infant circumcision can be enhanced through structured educational programs.
    • Parental preparedness for RIC decisions is positively influenced by SDM interventions.