Circumcision bleeding complications: neonatal intensive care infants compared to those in the normal newborn nursery

Abigail R. Litwiller, Courtney Browne, David Haas

Research output: Contribution to journalArticle

Abstract

Purpose: To determine if a significant difference exists in the bleeding complications following circumcision in neonates admitted to neonatal intensive care unit (NICU) versus the normal newborn nursery (NNN). Materials and methods: Observational cohort study of 260 infants undergoing circumcision with Gomco clamp. Vitamin K was given to neonates at delivery. Demographic data, procedural characteristics, bleeding complications, and interventions were recorded. The bleeding rates of the two groups were compared using chi square. Results: NICU neonates experienced increased bleeding complications versus NNN neonates (22% vs. 9.6%, p = .029). No differences were found regarding gestational age at delivery, age at circumcision, and birth weight. Neonates with circumcision performed at ≥5 days of life experienced increased rates of bleeding complications versus those performed at ≤4 days (28% vs. 10.3%, p = .023). All neonates with circumcision performed ≥5 days of life were initially admitted to the NICU. Conclusion: NICU neonates had increased rate of bleeding complications following circumcision when compared to the NNN neonates. There was an increased rate of bleeding complications in neonates who undergo circumcision at ≥5 days of life. Further research may help to determine if redosing of vitamin K or variations in the circumcision procedure are necessary for circumcision at >4 days of life.

Original languageEnglish (US)
Pages (from-to)1-4
Number of pages4
JournalJournal of Maternal-Fetal and Neonatal Medicine
DOIs
StateAccepted/In press - May 2 2017

Fingerprint

Neonatal Intensive Care
Nurseries
Newborn Infant
Hemorrhage
Neonatal Intensive Care Units
Vitamin K
Birth Weight
Gestational Age
Observational Studies

Keywords

  • circumcision
  • complication
  • Gomco
  • neonate
  • vitamin K

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Circumcision bleeding complications : neonatal intensive care infants compared to those in the normal newborn nursery. / Litwiller, Abigail R.; Browne, Courtney; Haas, David.

In: Journal of Maternal-Fetal and Neonatal Medicine, 02.05.2017, p. 1-4.

Research output: Contribution to journalArticle

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abstract = "Purpose: To determine if a significant difference exists in the bleeding complications following circumcision in neonates admitted to neonatal intensive care unit (NICU) versus the normal newborn nursery (NNN). Materials and methods: Observational cohort study of 260 infants undergoing circumcision with Gomco clamp. Vitamin K was given to neonates at delivery. Demographic data, procedural characteristics, bleeding complications, and interventions were recorded. The bleeding rates of the two groups were compared using chi square. Results: NICU neonates experienced increased bleeding complications versus NNN neonates (22{\%} vs. 9.6{\%}, p = .029). No differences were found regarding gestational age at delivery, age at circumcision, and birth weight. Neonates with circumcision performed at ≥5 days of life experienced increased rates of bleeding complications versus those performed at ≤4 days (28{\%} vs. 10.3{\%}, p = .023). All neonates with circumcision performed ≥5 days of life were initially admitted to the NICU. Conclusion: NICU neonates had increased rate of bleeding complications following circumcision when compared to the NNN neonates. There was an increased rate of bleeding complications in neonates who undergo circumcision at ≥5 days of life. Further research may help to determine if redosing of vitamin K or variations in the circumcision procedure are necessary for circumcision at >4 days of life.",
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