The 1999 aap circumcision policy statements position on the medical ethics of circumcision is inconsistent with major aap committee on bioethics policy statements. Circumcision is the surgical removal of the portion of the foreskin that normally covers the tip of the penis. Circumcision policy statement american academy of pediatrics. In 2007, the american academy of pediatrics aap convened a multidisciplinary workgroup of aap members and other stakeholders to evaluate the. Commentary on american academy of pediatrics 2012 circumcision. Circumcision is a surgical procedure in which the skin covering the end of the penis is the penis should be fully healed in about 1 week to 10 days after circumcision. Pediatrics covid19 collection we are fasttracking and publishing the latest research and articles related to covid19 for free. The american academy of pediatrics aap hosts the website and related materials on its servers and makes them available via the internet to subscribers for noncommercial research and education purposes and for use in providing healthcare services. The american academy of pediatrics is an organization of 53,000 primary care pediatricians, pediatric medical subspecialists, and pediatric surgical specialists dedicated to the health, safety, and wellbeing of infants, children, adolescents, and young adults. Policystatement circumcision policy statement abstract. The aap has worked with key partner organizations to establish policy recommendations and guidelines regarding foster care and adoption. Dec 19, 2015 after 24 years as a member, alexandre rotta left the american academy of pediatrics over their 2012 circumcision policy. This official statement follows a week or so of speculation in the media that the aaps new statement would fall on the side of supporting newborn male circumcision, stating that the benefits outweigh the risks. While the rate of neonatal circumcision in the united states has been dropping, circumcision continues to be frequent, ranging from 42% to 80% among various populations.
Fatal flaws in the latest aap policy report on neonatal circumcision. Revising its policy on circumcision for the first time in years, the american academy of pediatrics now says that the preventative health benefits of infant circumcision clearly outweigh the risks. In 2012 the aap circumcision policy statement aap task force on circumcision, 2012 not only affirmed the benefits of circumcision but unequivocally stated that analgesia must be provided during neonatal circumcision. The american academy of pediatrics aap and the american college of obstetricians and gynecologists acog do not support routine circumcision of normal male neonates, infants or children in the united states. The supporting evidence for the aap statement and recommendation is carefully outlined in an accompanying technical report. As mentioned in the outset, the aap released its new policy statement on circumcision in august 2012. Sep 19, 2012 the supporting evidence for the aap statement and recommendation is carefully outlined in an accompanying technical report. Scientific studies show a number of medical benefits of circumcision. Circumcision policy statement abstract american academy of.
New aap policy on circumcision sciencebased medicine. Cultural bias in the aaps 2012 technical report and policy statement on male circumcision article pdf available in pediatrics 14. In the united states, the procedure is commonly performed during the newborn period. Cultural bias in the aaps 2012 technical report and policy statement on male circumcision abstract. Further reading on the 2012 aap policy statement i have long said that the medical community will not stop soliciting circumcision voluntarily. Now available from the american academy of pediatrics. The aap task force is pleased that the policy statement and technical reports on. Michael brady, md, representing the committee on pediatric aids. This page will remain for archival reasons and as a. The american academy of pediatrics believes that circumcision has potential medical benefits and advantages, as well as risks. In 2012, the american academy of pediatrics aap updated its policy on infant male circumcision, arguing that the benefits of the procedure outweigh the risks. For the first time in over a decade, the american academy of pediatrics aap has revised its policy position on infant male circumcision.
Pdf the american academy of pediatrics recently released a policy statement and technical report on circumcision, in both of which the organisation. This email is my notice and counsel to you that if you issue a policy statement advocating routine infant circumcision there will be filed federal, state and public mandated reports as well as complaints to appropriate state board of medical examiners and other professional regulatory boards against all cdc, aap and acog members as well as others involved in the aap circumcision policy. On august 27, 2012, the american academy of pediatrics issued a revised circumcision policy statement saying that the benefits outweigh the risks. Ellen buerk, md, representing the aap board of directors waldemar carlo, md, representing the aap committee on fetus and newborn.
Pdf in 2012, the american academy of pediatrics aap updated its policy on infant male circumcision, arguing that the benefits of the. It is one of the most common procedures in the world. Parents may also want their sons circumcised for religious, social, or cultural reasons. Adequate analgesia means having a trained provider perform the procedure and provide pharmacologic analgesia task force on. In consideration of payment of the applicable subscription fee, the aap is willing to. The cdcaap project archived male circumcision and hiv. Socialization of violence and abuse in child abuse and. The aap issued their 2012 revised statement on circumcision in late august, which has widely been panned as contradictory and failing to address the issues presented or to uphold the principles of the aap. Pediatrics is owned, pediatrics is the official journal of the american academy of pediatrics.
Task force on circumcision american academy of pediatrics. Vogelstein cautions medical organizations against jumping into the fray of controversial issues, yet proffers the 2012 american academy of pediatrics task force policy position on infant male circumcision as an appropriate use of. In 2007, the american academy of pediatrics aap formed a multidisciplinary task force of aap members and other stakeholders to evaluate the recent evidence on male circumcision and update the academys 1999 recommendations in this area. Pediatrician explains leaving the aap over circumcision. Response to the aap circumcision policy statement and technical report by james w. Physicians counseling families about elective male circumcision should assist. The american academy of pediatrics aap, with endorsement from the. The infant does experience some pain during the operation, but a simple nerve block can minimize this pain. The case for circumcision has been dealt a final, fatal blow. Response to aap circumcision policy statement intactivists. The whole network calls upon the aap to act quickly to retract the 2012 circumcision statement, and instead put the rights and wellbeing of the patient before all other interests by condemning routine infant circumcision.
Response to the american academy of pediatrics aap. However, many parents still wish to have their boys circumcised for religious, ethnic, or personal reasons. Technical report male circumcision abstract pediatrics. American academy of pediatrics male circumcision is a common procedure, generally performed during the newborn period in the united states. After 24 years as a member, alexandre rotta left the american academy of pediatrics over their 2012 circumcision policy. The choice of whether to have ones newborn son undergo a circumcision has. Evaluation of current evidence indicates that the health benefits of newborn male circumcision outweigh the risks and that the procedures benefits justify access to this procedure for families who choose it. Data consistently show that neonatal circumcision reduces risk for urinary tract infection uti in males, especially in those younger than 2 years, and clear evidence demonstrates protection against acquisition of hiv. The american academy of pediatricians aap caused a stir in the medical, and more so, in the human rights fields when it issued a policy statement on august 27, 2012, concluding that circumcision of male newborns has preventive health benefits that outweigh the risks of the procedure. The american academy of pediatrics aap task force on circumcision published its policy statement and technical report on newborn circumcision in september 2012. Because circumcision is not essential to a childs health, parents should choose what is. Mar 18, 20 cultural bias in the aaps 2012 technical report and policy statement on male circumcision article pdf available in pediatrics 14 march 20 with 299 reads how we measure reads. While the rest of the world moves in a direction far away from the forced genital cutting of healthy babies and minor children, with many nations implementing bans on the practice, this new aap statement takes an awkward, procutting slant, and one that it not grounded in. Aap american academy of pediatrics this document is ed and is property of the american academy of pediatrics and its board of directors.
The american academy of pediatrics aap statement on circumcision of the newborn penis was last issued in may 1999. I have long said that the most effective way to significantly reduce circumcision in america is by educating the individual of child bearing age or younger because circumcision happens one parental. Aug 30, 2012 response to the aap circumcision policy statement and technical report by james w. Male circumcision is a common procedure, generally performed during the newborn period in the united states. The 2012 american academy of pediatrics report on circumcision concluded the following. Circumcision is a surgical procedure in which the skin covering the end of the penis is removed. All policy statements from the aap automatically expire 5 years after publication unless reaffirmed, revised, or retired at or before that time. They now state that the probabilistic health benefits conferred by the procedure outweigh the known risks and harms. This newly updated brochure explains the circumcision process, then takes an objective look at the advantages and disadvantages. Aap waves white flag as vikings storm fortress circumcision. Timing of circumcision and breastfeeding initiation among. The aap 2012 circumcision policy statement and what i have.
Research article timing of circumcision and breastfeeding. Neonatal male circumcision is the most common surgical procedure performed on pediatric patients. The circumcision decision american academy of pediatrics. Board of directors 7 bright futures steering committee 3. Pediatrics is the official journal of the american academy. American academy of pediatrics releases revised policy on. Sep 01, 2012 male circumcision is a common procedure, generally performed during the newborn period in the united states. Aug 27, 2012 revising its policy on circumcision for the first time in years, the american academy of pediatrics now says that the preventative health benefits of infant circumcision clearly outweigh the risks.
Aap policy statement on male circumcision nejm journal watch. Health benefits of circumcision outweigh the risks cnn. Alexandre rotta, md, fccm, faap, is chief of the division of pediatric. Danish research showing that the vast majority of normal uncircumcised boys never experience any foreskin problems, and that only a tiny minority of boys with a problem require circumcision to fix it, has forced the american academy of pediatrics to admit that the. On august 27th, 2012, the american academy of pediatrics aap released their. The american academy of pediatrics recently released its new technical report and policy statement on male circumcision, concluding that current evidence indicates that the health bene. Male circumcision abstract american academy of pediatrics. Evaluation of current evidence indicates that the health benefits of newborn male circumcision outweigh the risks and that the procedures benefits justify access to this procedure for families who choose it, however, existing scientific evidence is not sufficient to. From 1999 through 2010, the centers for disease control and prevention reported that 55% to 60% of newborn boys were circumcised before hospital discharge.
418 1174 217 963 487 1529 384 1044 785 1120 633 1413 668 1521 597 1166 1284 1197 764 32 809 76 67 905 680 944 129 211 820 216 149 1430 69 933 362