Table 2 Characteristics at institutions that perform circumcisions (N = 317)
From: Neonatal circumcision availability in the United States: a physician survey
Characteristics | N (%) |
|---|---|
Standard protocol, checklist, or similar that is used during the birth encounter that includes offering or performing circumcision | |
Yes | 139 (43.4%) |
No | 133 (41.6%) |
Don’t know/unsure | 44 (13.8%) |
No response | 1 (0.3%) |
Who must initiate conversations about circumcision? | |
Either hospital team or family | 250 (78.9%) |
Family | 20 (6.3%) |
Hospital team | 10 (3.2%) |
Don’t know/uncertain | 6 (1.9%) |
Other | 31 (9.8%) |
Entity that developed this protocol, checklist, or similar | |
Institution | 59 (18.4%) |
Department | 34 (10.6%) |
Group practice | 21 (6.6%) |
Self | 6 (1.9%) |
Government | 1 (0.3%) |
Don’t know/unsure | 106 (33.1%) |
Othera | 6 (1.9%) |
No response | 84 (26.3%) |
Exclusion criteria at birth encounter for neonatal circumcision | |
Penile anatomic abnormality (e.g., hypospadias, curvature, buried penis) | 312 (97.5%) |
Family history of bleeding disorder | 233 (72.8%) |
Prematurity | 47 (14.7%) |
Weight limit | 38 (11.9%) |
Older age at discharge | 35 (10.9%) |
Neonatal intensive care unit | 25 (7.8%) |
Other exclusionb | 48 (15.0%) |
Days that neonatal circumcision is available | |
Monday | 262 (82.6%) |
Tuesday | 261 (82.3%) |
Wednesday | 262 (82.6%) |
Thursday | 261 (82.3%) |
Friday | 261 (82.3%) |
Saturday | 246 (77.6%) |
Sunday | 242 (76.3%) |
Don’t know/unsure | 55 (17.4%) |
Times neonatal circumcision is available during birth encounter | |
Regular business hours (approximately 08:00 AM–05:00 PM) | 165 (51.6%) |
24 h per day | 67 (20.9%) |
Don’t know/unsure | 56 (17.5%) |
Otherc | 25 (7.8%) |
No response | 4 (1.3%) |
Specialty that performs neonatal circumcisions at institution | |
Pediatrics | 233 (73.5%) |
Obstetrics and gynecology | 181 (57.1%) |
Pediatric urology | 170 (53.6%) |
Family medicine | 98 (30.9%) |
Pediatric surgery | 97 (30.6%) |
Adult urology | 9 (2.8%) |
Otherd | 7 (2.2%) |
Don’t know/unsure | 3 (0.9%) |
Payment for neonatal circumcision | |
Private insurance | 251 (79.4%) |
Medicaid | 205 (64.9%) |
Self-pay/cash | 177 (56.0%) |
Don’t know/unsure | 53 (16.8%) |
Othere | 6 (1.9%) |