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American Academy of Pediatrics
Research Articles

Neonatal Circumcision: Is Feeding Behavior Altered?

Theresa B. Gattari, Andrea R. Bedway, Robert Drongowski, Kristin Wright, Patricia Keefer and Kerry P. Mychaliska
Hospital Pediatrics October 2013, 3 (4) 362-365; DOI: https://doi.org/10.1542/hpeds.2012-0082
Theresa B. Gattari
1Department of Pediatrics and Communicable Diseases, and
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Andrea R. Bedway
2Department of Physiology, Wayne State University School of Medicine, Detroit, Michigan
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Robert Drongowski
3Division of Pediatric Surgery, Department of Surgery, The University of Michigan Medical School, CS Mott Children’s Hospital, Ann Arbor, Michigan; and
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Kristin Wright
1Department of Pediatrics and Communicable Diseases, and
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Patricia Keefer
1Department of Pediatrics and Communicable Diseases, and
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Kerry P. Mychaliska
1Department of Pediatrics and Communicable Diseases, and
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Abstract

Background: The effect of circumcision on feeding behavior in the newborn period is unknown. We hypothesized that circumcision would not have a significant effect on newborn feeding.

Methods: This prospective study analyzed the effect of circumcision on neonatal feeding behavior. Inclusion criteria were healthy male infants WHO were exclusively bottle-fed and underwent a circumcision before discharge from the newborn nursery. We collected data (N = 42) on gestational age, birth weight, Apgar scores, maternal age, gravid status, anesthesia used during delivery, analgesia used after circumcision, time of circumcision, and volume and frequency of feeding before and after circumcision. Data were analyzed by using paired t tests, multivariable regression analysis, and analysis of variance (with SPSS version 18). Significance was P < .05 (2-tailed α).

Results: Descriptive statistics for the entire group (N = 42) are as follows: mean ± SD gestational age: 38.7 ± 1.2 weeks; mean birth weight: 3.3 ± 0.4 kg; maternal age: 26.7 ± 6.3 years; baseline feeding (mean of first 2 feedings before circumcision): 24.5 ± 9.9 mL; mean first feeding after circumcision: 21.7 ± 11.9 mL; and mean second feeding: 26.7 ± 13.5 mL. Forty-eight percent of patients increased their feeding volume after circumcision compared with baseline, and 52% of patients decreased their feeding volume, which persisted with the second feeding. There was no statistical difference between the baseline and first feeding (P = .11) or second feeding (P = .22).

Conclusions: Our data suggest that circumcision does not alter feeding after circumcision. This information will be useful in counseling families regarding circumcision in the newborn period.

  • circumcision
  • neonatal feeding
  • newborn
  • Abbreviations:
    EMR
    electronic medical record
    • Copyright © 2013 by the American Academy of Pediatrics
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    Hospital Pediatrics: 3 (4)
    Hospital Pediatrics
    Vol. 3, Issue 4
    1 Oct 2013
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    Neonatal Circumcision: Is Feeding Behavior Altered?
    Theresa B. Gattari, Andrea R. Bedway, Robert Drongowski, Kristin Wright, Patricia Keefer, Kerry P. Mychaliska
    Hospital Pediatrics Oct 2013, 3 (4) 362-365; DOI: 10.1542/hpeds.2012-0082

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    Neonatal Circumcision: Is Feeding Behavior Altered?
    Theresa B. Gattari, Andrea R. Bedway, Robert Drongowski, Kristin Wright, Patricia Keefer, Kerry P. Mychaliska
    Hospital Pediatrics Oct 2013, 3 (4) 362-365; DOI: 10.1542/hpeds.2012-0082
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    Subjects

    • Fetus/Newborn Infant
      • Fetus/Newborn Infant
      • Circumcision
    • Nutrition
      • Nutrition
      • Breastfeeding

    Keywords

    • circumcision
    • neonatal feeding
    • newborn
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