Is hyperbilirubinemia a contraindication for neonatal circumcision? A survey of practice patterns of pediatric urologists and a review of the literature
Journal of Pediatric Urology Oct 15, 2020
Huen KH, Fong C, Roach G, et al. - This study was intended to define practice patterns among the Society of Pediatric Urology (SPU) members and to explore whether HB confers increased bleeding risk for newborn circumcision. The survey was completed by 234 SPU members. This study's findings demonstrate that 30% of pediatric urologists survey respondents consider HB a potential contraindication to neonatal circumcision. Neonatal jaundice rarely confers increased bleeding risks, despite varied practices in circumcising jaundiced babies. A review of the scientific literature implies that in otherwise healthy neonates, elevated Tbili likely represents benign causes and is unlikely to increase bleeding risk, while deferring circumcision is appropriate in an ill infant with HB, or in those with a genetic/congenital syndrome or with a family history of coagulopathy.
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