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JUNE 1999 EDITION
by Rabbi Yonason Binyomin Goldberger
Excerpted from "SANTITY AND SCIENCE,"
Reprinted with permission of Feldheim Publishers.
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As an operation, circumcision has an extremely small complication rate. A study in the New England Journal of Medicine (1990) reported a complication rate of 0.19% when circumcision is performed by a physician. When performed by a trained mohel, the rate falls to 0.13% or about 1 in 1000. When a complication occurs, it is usually excessive bleeding, which is easily correctable. No other surgical procedure can boast such figures for complication-free operations!
One reason why there are so few complications involving bleeding may be that, according to recent studies, the major clotting agents, prothrombin and vitamin K, do not reach peak levels in the blood until the eighth day of life. According to Dr. Armand J. Quick, author of several works on the control of bleeding, it was recognized as early as 1894 that the newborn infant tended to bleed easily in the first few days of life. This was later confirmed when researchers gained the ability to accurately measure prothrombin in the blood.
Prothrombin levels are normal at birth, drop to very low levels in the next few days, and return to normal at the end of the first week. Another study showed that by the eighth day prothrombin levels reach 110% of normal... In the words of Dr. Quick, "It hardly seems accidental that the rite of circumcision was postponed until the eighth day by the Mosaic law."
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In addition, circumcision protects against bacterial, fungal, and parasitic infections and a variety of other conditions related to hygiene. The extremely low rate of cervical cancer in Jewish women (nine to 22 times less than among non-Jewish women) is thought to be related to the practice of circumcision. Beginning in the early 1980s, several studies reported that circumcised boys were between 10 and 39 times less likely to develop urinary tract infections during infancy than uncircumcised boys. As a result of studies like these, a number of prestigious medical organizations in the U.S. are beginning to recognize the benefits of circumcision on public health. The California Medical Association recently endorsed circumcision as an "effective public health measure." (Resolution March 1988)
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