Circumcision

As parents, we face an overwhelming amount of decisions.  It’s tempting to avoid the additional research and contemplation on circumcision…..But, we’re talking about surgery.  It’s worth some discussion--even if it feels uncomfortable.

This is a scary one for me.   I’ve worked with many families who chose to have the procedure done.  As a Postpartum Doula, non-judgmental support is crucial to the work I do.  I believe you are the best person to make these choices for your baby. I respect and support your decisions for your family--even if they differ from my own.

In the first days of life, your newborn is learning how to breathe, swallow, eat, regulate their own body temperature, as well as processing new stimulations on every level.  Why add surgery and recovery to that burden?

Circumcision rates vary and are dropping.  Currently in the US it’s around 54%.  The midwest having a vast majority of circumcision, while the West Coast is around 40%.  When these babies reach adolescence, there will a pretty good mix of intact and circumcised boys.

It remains an elective procedure.  Many health insurance companies do not cover it, and in many states, Medicaid will not cover it.    

"The health benefits are not great enough to recommend routine circumcision for all male newborns...." according to the American Academy of Pediatrics.

I believe that every part of the body serves a function--even if we are yet to understand it fully.  I’m hesitant to advocate for the permanent removal of any body part before an individual is old enough to give informed consent.  Also, a circumcision can be chosen and performed at any point in a boy’s life….But it can never be undone.

What is the benefit of removing the foreskin?

It’s not easier hygiene.  An intact penis requires no care whereas a circumcised penis requires fresh bandage at every diaper change until it heals.  

A one percent reduction in the risk of urinary tract infections.  Decreased risk of STDs and certain cancers.  

If you choose to circumcise, consider the timing.  Does it need to happen in the first 48 hours?  I find it fascinating that newborn vitamin k production appears to kick in on the 8th day of life, which is also when a bris is traditionally performed.  

Traditionally, circumcisions have been performed with NO PAIN RELIEF or anesthesia.  The medical community stated that newborns do not feel pain.  There are several studies that prove this is completely untrue.  Ideally, seek anesthesia for your newborn, as this is probably what you would want for yourself in that situation.


For additional information on circumcision, check out Ask Dr. Sears.