Neonatal circumcision: Effects on breastfeeding and outcomes associated with breastfeeding

Fergusson, David M.; Boden, Joseph M.; Horwood, L. John

doi:10.1111/j.1440-1754.2007.01202.x

Cited by 23 publications

(36 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In contrast, in a longitudinal study of New Zealand boys circumcised in 1977, MC had no adverse effect on breastfeeding outcomes or cognitive ability later in childhood 26 . In another follow-up study, of Swedish boys after MC, the boys showed no adverse psychological effect of MC 112 …”

Section: Procedural and Post-operative Pain In Infantsmentioning

confidence: 90%

“…The risk of major surgical mishaps with MC, however, is extremely low and the benefits gained from MC far exceed risks 2 , 5 , 8 , 9 . Furthermore, there is no long-term adverse effect of infant MC on psychological 26 , 27 or sexual 28 – 33 outcomes. Systematic reviews have found no adverse effect of MC on sexual function, 28 , 29 , 33 sensitivity, or satisfaction 29 .…”

Section: Benefits Versus Risksmentioning

confidence: 99%

See 1 more Smart Citation

CDC's Male Circumcision Recommendations Represent a Key Public Health Measure

Morris

Krieger

Klausner³

2017

Glob Health Sci Pract

View full text Add to dashboard Cite

show abstract

Section: Procedural and Post-operative Pain In Infantsmentioning

confidence: 90%

Section: Benefits Versus Risksmentioning

confidence: 99%

CDC's Male Circumcision Recommendations Represent a Key Public Health Measure

Morris

Krieger

Klausner³

2017

Glob Health Sci Pract

View full text Add to dashboard Cite

show abstract

“…As expected, risk of asthma was independent of the boys' foreskin status, which is in accordance with prior findings for asthma in the first years of life. 24 …”

Section: Discussionmentioning

confidence: 99%

Ritual circumcision and risk of autism spectrum disorder in 0- to 9-year-old boys: national cohort study in Denmark

Frisch

2015

J R Soc Med

View full text Add to dashboard Cite

Objective: Based on converging observations in animal, clinical and ecological studies, we hypothesised a possible impact of ritual circumcision on the subsequent risk of autism spectrum disorder (ASD) in young boys. Design: National, register-based cohort study. Setting: Denmark. Participants: A total of 342,877 boys born between 1994 and 2003 and followed in the age span 0-9 years between 1994 and 2013. Main outcome measures: Information about cohort members' ritual circumcisions, confounders and ASD outcomes, as well as two supplementary outcomes, hyperkinetic disorder and asthma, was obtained from national registers. Hazard ratios (HRs) with 95% confidence intervals (CIs) associated with foreskin status were obtained using Cox proportional hazards regression analyses. Results: With a total of 4986 ASD cases, our study showed that regardless of cultural background circumcised boys were more likely than intact boys to develop ASD before age 10 years (HR ¼ 1.46; 95% CI: 1.11-1.93). Risk was particularly high for infantile autism before age five years (HR ¼ 2.06; 95% CI: 1.36-3.13). Circumcised boys in nonMuslim families were also more likely to develop hyperkinetic disorder (HR ¼ 1.81; 95% CI: 1.11-2.96). Associations with asthma were consistently inconspicuous (HR ¼ 0.96; 95% CI: 0.84-1.10). Conclusions: We confirmed our hypothesis that boys who undergo ritual circumcision may run a greater risk of developing ASD. This finding, and the unexpected observation of an increased risk of hyperactivity disorder among circumcised boys in non-Muslim families, need attention, particularly because data limitations most likely rendered our HR estimates conservative. Considering the widespread practice of non-therapeutic circumcision in infancy and childhood around the world, confirmatory studies should be given priority.

show abstract

“…Circumcision status was not associated with health in infancy, cognitive ability outcomes in later childhood or breastfeeding. 9 On the other hand, reports usually include subjective descriptions by adult observers based on the visual appraisal of neonatal suffering. 10 Quantitative reports indicate higher intravenous cortisol levels in neonates ~30 min following circumcision conducted 57–80 h after birth.…”

Section: Introductionmentioning

confidence: 99%

Circumcision does not alter long-term glucocorticoids accumulation or psychological effects associated with trauma- and stressor-related disorders

et al. 2017

View full text Add to dashboard Cite

Male infants and boys through early adolescence can undergo circumcision either for the sake of upholding religious traditions or for medical reasons. According to both, Jewish as well as Islamic tenets, circumcision is a religious rite symbolizing the bond with God. The World Health Organization (WHO), the United Nations Council (UNC) as well as the American Academy of Pediatrics (AAP), and the Centers for Disease Control and Prevention (CDC) strongly recommend circumcision to promote hygiene and prevent disease. This procedure has frequently been criticized by various communities claiming that circumcision in infancy and early adolescence were psychologically traumatizing with medical implications up into old age. Due to the lack of evidence concerning an alleged increase in vulnerability, we measured objective and subjective stress and trauma markers, including glucocorticoids from hair samples, in circumcised and non-circumcised males. We found no differences in long-term limbic–hypothalamic–pituitary–adrenal axis activity, subjective stress perception, anxiety, depressiveness, physical complaints, sense of coherence and resilience. Rather, an increase in the glucocorticoid levels indicated a healthy lifestyle and appropriate functioning. Thus, our findings provide evidence that male circumcision does not promote psychological trauma. Moreover, a qualitative approach, the ambivalence construct, was used for the discussion, aiming at a discourse devoid of biases.

show abstract

Neonatal circumcision: Effects on breastfeeding and outcomes associated with breastfeeding

Cited by 23 publications

References 29 publications

CDC's Male Circumcision Recommendations Represent a Key Public Health Measure

CDC's Male Circumcision Recommendations Represent a Key Public Health Measure

Ritual circumcision and risk of autism spectrum disorder in 0- to 9-year-old boys: national cohort study in Denmark

Circumcision does not alter long-term glucocorticoids accumulation or psychological effects associated with trauma- and stressor-related disorders

Contact Info

Product

Resources

About