Incidence of Neonatal Circumcision in Atlanta, 1985-1986.
O'BRIEN, THOMAS R. MD, MPH; CALLE, EUGENIA E. PhD, Atlanta, Ga; POOLE, W. KENNETH PhD, Research Triangle Park, NC
Southern Medical Journal.
88(4):411-415, April 1995.
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We reviewed Atlanta area hospital records to determine the following regarding neonatal circumcision: incidence in July 1985; incidence after publicized serious complications of circumcision in August 1985; medical record documentation; and the complication rate. After stratified sampling from hospital birth logs, we abstracted information from medical charts and calculated weighted estimates and P values. The circumcision incidence was 89.3% in July 1985, 87.5% in September 1985, and 84.3% in September 1986. Circumcision was recorded on the medical record face sheet for 84.3% of circumcised boys. The complication rate was 3.1%; no serious complications were recorded. We conclude the following: circumcision incidence was high during the study period; publicity regarding adverse outcomes may have decreased the subsequent incidence of the procedure; hospital discharge data, which rely on medical record face sheet information, underestimate the true incidence of neonatal circumcision; and neonatal circumcision is usually safe, but serious complications may occur.
(C) 1995 Southern Medical Association