To determine the incidence of immediate complications of elective newborn circumcision in 2 community teaching hospitals. METHODS: We performed a retrospective chart review of all term neonates who had circumcision performed between August 2011 and December 2014 at 2 community hospitals in New York. Neonatal hospital records and subsequent inpatient and outpatient records were reviewed. We classified complications as minor, intermediate, and major. RESULTS: Out of a total of 1115 circumcisions, 1064 met inclusion criteria. There were 41 complications (3.9%), all involving hemorrhage. Sutures were used to control hemorrhage in 3 patients (0.3%). Local pressure or application of hemostatic chemical agents controlled bleeding in the remainder of patients. Bleeding was more common with the use of the Gomco clamp than with the Mogen clamp. Circumcisions performed with Gomco clamp represented 73.2% of the total complications compared with 26.8% with the Mogen clamp. There were no injuries to structures outside the prepuce or problems requiring medical treatment after discharge from the neonatal hospitalization. CONCLUSIONS: The most common immediate complication encountered during an elective neonatal circumcision was bleeding that required only pressure or topical thrombin to achieve hemostasis. Bleeding was more common with the use of the Gomco versus the Mogen clamp. To conclude, our data support the theory that elective infant circumcision can be performed safely in a hospital setting.

guideline compliance were compared to the monthly severity index (SI) via meta-regression.RESULTS: A total of 465 women were included. Guideline implementation improved active phase documentation (45.3% from 22.9%, P5.002). No differences were identified in rates of chorioamnionitis, indication for CD, duration of second-stage or number of hours without cervical change prior to CD for arrest, though there was a trend (P5.056) towards decreased unscheduled CDs. There was also a trend (P5.057) towards decreasing SI in months that also demonstrated increased odds of guideline compliance.CONCLUSION: By introducing evidence-based inter-professional labor guidelines, we report increased documentation of labor progress and a trend towards decreased total adverse outcomes when labor guidelines were followed. Further research with larger cohorts is required to assess guideline impact on CD rates. Majed Faden, MBBS, FRCSC, and Richard Brown, MBBS, DFSRH, FRCOG INTRODUCTION:The objective of the study was to examine the obstetrical outcomes of pregnancies in women with rheumatic heart disease (RHD) and the rate of associated chronic diseases. METHODS: The nationwide inpatient sample (NIS) database was queried for all birth related admissions between 2008 and 2012. The data were weighted by the NIS weight code provided. Women with RHD were identified and compared to women without RHD. The prevalence of relevant medical conditions and common obstetrical outcomes were compared between the two groups using logistic regressions.