Cargando…

Neonatal Circumcision: What Are the Factors Affecting Parental Decision?

Introduction: The American Academy of Pediatrics (AAP) guidelines state that the health benefits of circumcision outweigh the risks, but these benefits are not enough to recommend universal newborn circumcision. Therefore, it is the guardians’ decision to circumcise their son. In this study, we asse...

Descripción completa

Detalles Bibliográficos
Autores principales: Guevara, Christian G, Achua, Justin K, Blachman-Braun, Ruben, Cabrera-Valencia, Isabella, Ransford, George A, Gosalbez, Rafael, Labbie, Andrew S, Castellan, Miguel A, Alam, Alireza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654051/
https://www.ncbi.nlm.nih.gov/pubmed/34926011
http://dx.doi.org/10.7759/cureus.19415
_version_ 1784611787931385856
author Guevara, Christian G
Achua, Justin K
Blachman-Braun, Ruben
Cabrera-Valencia, Isabella
Ransford, George A
Gosalbez, Rafael
Labbie, Andrew S
Castellan, Miguel A
Alam, Alireza
author_facet Guevara, Christian G
Achua, Justin K
Blachman-Braun, Ruben
Cabrera-Valencia, Isabella
Ransford, George A
Gosalbez, Rafael
Labbie, Andrew S
Castellan, Miguel A
Alam, Alireza
author_sort Guevara, Christian G
collection PubMed
description Introduction: The American Academy of Pediatrics (AAP) guidelines state that the health benefits of circumcision outweigh the risks, but these benefits are not enough to recommend universal newborn circumcision. Therefore, it is the guardians’ decision to circumcise their son. In this study, we assess the factors that influence the decision-making process for newborn circumcision. Methods: A prospective study was done from January to April 2020 for newborn circumcision. AAP guidelines were used as an educational tool and given to the parents on the day of patient circumcision assessment. On procedure day, a self-reported survey regarding the reasons for circumcision and the usefulness of the guideline as an educational resource was given to guardians. Results: A total of 265 parents completed the survey. Of the study variables, the future health of the child and the circumcision status of the father were considered extremely important factors influencing the decision-making process for 168 (63.4%) and 90 (34%) guardians, respectively. The study showed that 226 (85.3%) of the parents found the AAP guidelines helpful whereas 39 (14.7%) did not. Conclusion: Overall results suggest that the health of the child and the father of the child being circumcised are the primary factors that influence the guardians’ decision to circumcise their child. In addition, providing parents with an educational resource such as the AAP guidelines policy statement prior to circumcision may serve as a way to supplement the discussion between parents and providers.
format Online
Article
Text
id pubmed-8654051
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-86540512021-12-17 Neonatal Circumcision: What Are the Factors Affecting Parental Decision? Guevara, Christian G Achua, Justin K Blachman-Braun, Ruben Cabrera-Valencia, Isabella Ransford, George A Gosalbez, Rafael Labbie, Andrew S Castellan, Miguel A Alam, Alireza Cureus Pediatrics Introduction: The American Academy of Pediatrics (AAP) guidelines state that the health benefits of circumcision outweigh the risks, but these benefits are not enough to recommend universal newborn circumcision. Therefore, it is the guardians’ decision to circumcise their son. In this study, we assess the factors that influence the decision-making process for newborn circumcision. Methods: A prospective study was done from January to April 2020 for newborn circumcision. AAP guidelines were used as an educational tool and given to the parents on the day of patient circumcision assessment. On procedure day, a self-reported survey regarding the reasons for circumcision and the usefulness of the guideline as an educational resource was given to guardians. Results: A total of 265 parents completed the survey. Of the study variables, the future health of the child and the circumcision status of the father were considered extremely important factors influencing the decision-making process for 168 (63.4%) and 90 (34%) guardians, respectively. The study showed that 226 (85.3%) of the parents found the AAP guidelines helpful whereas 39 (14.7%) did not. Conclusion: Overall results suggest that the health of the child and the father of the child being circumcised are the primary factors that influence the guardians’ decision to circumcise their child. In addition, providing parents with an educational resource such as the AAP guidelines policy statement prior to circumcision may serve as a way to supplement the discussion between parents and providers. Cureus 2021-11-09 /pmc/articles/PMC8654051/ /pubmed/34926011 http://dx.doi.org/10.7759/cureus.19415 Text en Copyright © 2021, Guevara et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pediatrics
Guevara, Christian G
Achua, Justin K
Blachman-Braun, Ruben
Cabrera-Valencia, Isabella
Ransford, George A
Gosalbez, Rafael
Labbie, Andrew S
Castellan, Miguel A
Alam, Alireza
Neonatal Circumcision: What Are the Factors Affecting Parental Decision?
title Neonatal Circumcision: What Are the Factors Affecting Parental Decision?
title_full Neonatal Circumcision: What Are the Factors Affecting Parental Decision?
title_fullStr Neonatal Circumcision: What Are the Factors Affecting Parental Decision?
title_full_unstemmed Neonatal Circumcision: What Are the Factors Affecting Parental Decision?
title_short Neonatal Circumcision: What Are the Factors Affecting Parental Decision?
title_sort neonatal circumcision: what are the factors affecting parental decision?
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654051/
https://www.ncbi.nlm.nih.gov/pubmed/34926011
http://dx.doi.org/10.7759/cureus.19415
work_keys_str_mv AT guevarachristiang neonatalcircumcisionwhatarethefactorsaffectingparentaldecision
AT achuajustink neonatalcircumcisionwhatarethefactorsaffectingparentaldecision
AT blachmanbraunruben neonatalcircumcisionwhatarethefactorsaffectingparentaldecision
AT cabreravalenciaisabella neonatalcircumcisionwhatarethefactorsaffectingparentaldecision
AT ransfordgeorgea neonatalcircumcisionwhatarethefactorsaffectingparentaldecision
AT gosalbezrafael neonatalcircumcisionwhatarethefactorsaffectingparentaldecision
AT labbieandrews neonatalcircumcisionwhatarethefactorsaffectingparentaldecision
AT castellanmiguela neonatalcircumcisionwhatarethefactorsaffectingparentaldecision
AT alamalireza neonatalcircumcisionwhatarethefactorsaffectingparentaldecision