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.
To view the article abstract click here