Infant circumcision in a family practice clinic is typically recommended between 1-2 weeks after birth, once the newborn has stabilized and established normal feeding patterns. The procedure should be delayed if there are any health concerns such as prematurity, bleeding disorders, or congenital abnormalities. Local anesthesia using EMLA cream (lidocaine 2.5% and prilocaine 2.5%) applied 60-90 minutes before the procedure or a dorsal penile nerve block with 1% lidocaine without epinephrine is essential for pain management. Oral sucrose solution and non-nutritive sucking can provide additional comfort. Post-procedure care includes petroleum jelly application to the circumcision site with diaper changes for 24-48 hours and monitoring for bleeding, infection, or urinary retention. This timing allows for proper assessment of any contraindications while still performing the procedure when the infant is young enough to minimize psychological trauma and when wound healing is optimal. Parents should be fully informed about risks, benefits, and alternatives before providing consent.
What is the recommended age for neonatal circumcision in a family practice (FP) clinic?
Last updated: March 28, 2025 • View editorial policy
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