Rates of Complications After Newborn Circumcision in a Well-Baby Nursery, Special Care Nursery, and Neonatal Intensive Care Unit

Clin Pediatr (Phila). 2015 Oct;54(12):1185-91. doi: 10.1177/0009922815573932. Epub 2015 Feb 26.

Abstract

Objective/method: To determine rates of complications after newborn circumcision by performing a retrospective chart review of patients circumcised at a well-baby nursery, neonatal intensive care units (NICU), and special care nursery (SCN) from 2007 to 2012.

Result: A total of 5129 babies (73%) were circumcised at the well-baby nursery and 1909 babies (27%) at the NICU and SCN. Forty-seven patients (0.67%, 95% CI 0.49% to 0.89%) had circumcision-related complications: 5 (0.07%) patients with acute and 42 (0.6%) with late complications. Babies in the NICU/SCN had increased odds of complication (OR 4.00, 95% CI 2.23 to 7.19) compared with those in well-baby nursery. There were increased odds of complications in babies with Caucasian ethnicity (OR 2.60, 95% CI 1.48 to 4.89) compared with African American babies and in babies with private insurance (OR 4.0, 95% CI 2.1 to 7.5) compared with nonprivate insurance.

Conclusions: The rates of complications after newborn circumcisions were low. Babies in the NICU/SCN had increased odds of complication.

Keywords: phimosis; redundant foreskin; revision circumcision.

Publication types

  • Comparative Study

MeSH terms

  • Acute Disease
  • Circumcision, Male / adverse effects*
  • Humans
  • Infant, Newborn
  • Intensive Care, Neonatal
  • Male
  • Nurseries, Hospital
  • Odds Ratio
  • Postoperative Complications / epidemiology
  • Retrospective Studies
  • Risk Factors