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How does circumcision performed under regional anesthesia affect sleep, feeding, and maternal attachment in babies
1Department of Pediatric Surgery, Biruni University School of Medicine, Istanbul, Turkey,.
Insights
Infant circumcision under regional anesthesia in the first four months of life showed no negative impact on baby feeding or sleep. Maternal attachment scores significantly increased post-circumcision, indicating a positive effect.
Area of Science:
- Pediatrics
- Neonatal Care
- Surgical Outcomes
Background:
- Lack of consensus exists regarding potential negative effects of infant circumcision on feeding, sleep, and maternal bonding.
- Previous studies have not simultaneously investigated these outcomes in the early months of life.
Purpose of the Study:
- To prospectively evaluate the effects of infant circumcision on feeding, sleep patterns, and maternal attachment.
- To determine if circumcision performed in the first four months of life impacts infant well-being and mother-infant bonding.
Main Methods:
- A prospective study involving 75 infants aged 0-4 months undergoing circumcision under regional anesthesia.
- Utilized questionnaires for feeding and sleep habits and the Maternal Attachment Inventory (MAI) for attachment assessment.
- All assessments were conducted pre-procedure and one month post-circumcision.
Main Results:
- No statistically significant changes were observed in infant sleep habits or feeding status post-circumcision.
- Maternal attachment scores showed a significant increase from 98.89 to 101.36 (p < 0.001) after the procedure.
- The mean age at circumcision was 75 days, with mothers averaging 32.5 years.
Conclusions:
- Circumcision performed under regional anesthesia in infants aged 0-4 months does not negatively affect infant sleep or feeding.
- The procedure appears to positively influence maternal attachment, with scores significantly increasing post-circumcision.
Background:
There is no consensus whether circumcision performed in the first months of life has negative effects on feeding, sleep, and maternal attachment in babies. This prospective study aimed to investigate this relation in the first months of life. This study is the first to investigate the effects of circumcision on feeding, sleep, and maternal attachment simultaneously.
Methods:
The study group consisted of 75 families with their babies aged 0-4 months. Surgical circumcision procedure under regional anesthesia was applied to all patients. The questionnaires were used to evaluate the babies' feeding and sleeping habits, and the Maternal Attachment Inventory (MAI) was used to assess mother-baby attachment level. All assessments were performed before and one month after the circumcision.
Results:
The mean age of the patients when circumcision was performed was 75 (74.52 ± 37.03) (3-120) days. The mean ages of mothers were 32 (32.51 ± 4.05) years. There was no statistically significant change in the sleep habits and feeding status of babies before and after circumcision. The mean maternal attachment value before circumcision was 101 (98.89 ± 6.77) points, while it was 103 (101.36 ± 4.21) points after circumcision. This result indicates that the maternal attachment score increased significantly after circumcision (p < 0.001).
Conclusions:
The circumcision performed under regional anesthesia between 0 and 4 months did not have any negative effect on sleep, feeding, and maternal attachment in babies.
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