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Decreased circumcision rate with videotaped counseling
Southern Medical Journal
|June 1, 1986
Summary
Videotaped informed consent counseling significantly reduced the rate of routine newborn male circumcision in the US. This method proved more effective than standard oral counseling in influencing parental decisions regarding neonatal circumcision.
Area of Science:
- Medical ethics
- Pediatric health
- Informed consent
Background:
- Neonatal circumcision is common in the US despite lacking medical necessity.
- Parental decisions are influenced by counseling methods.
- Standard oral counseling may not fully convey information about neonatal circumcision.
Purpose of the Study:
- To evaluate the impact of videotaped informed consent counseling on parental decisions regarding routine neonatal circumcision.
- To compare the circumcision frequency rate (CFR) following videotape counseling versus standard oral counseling.
Main Methods:
- A trial was conducted to assess the effectiveness of videotaped informed consent counseling.
- Circumcision frequency rates were compared between groups receiving videotape counseling and standard oral counseling.
Main Results:
- Videotaped counseling significantly decreased parental requests for routine neonatal circumcision.
- The reduction in circumcision frequency was more pronounced with videotaped counseling compared to standard oral counseling.
Conclusions:
- Videotaped informed consent counseling is a more effective method for informing parents about neonatal circumcision decisions.
- This approach can help reduce the rate of medically unnecessary neonatal circumcisions.