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Page: Pain and Pain Relief During Circumcision
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According to a 1998 study, 45% of physicians used anaesthesia for infant circumcisions. Dorsal penile nerve block was the most commonly used form. Obstetricians had a significantly lower rate of anaesthesia use (25%) than pediatricians (71%) or family practitioners (56%).
A study by Taddio showed that infants are affected by the pain of circumcision. It found a correlation between circumcision and intensity of pain response during vaccination months later. While the researchers stated that their results were "speculative" and suggested that "analgesia should be routine for circumcision" to avoid long-term effects in pain responses, Taddio's paper was referred to in the American Academy of Pediatrics' 1999 Circumcision Policy Statement, which, for the first time recommended the use of pain relief for circumcision.
In 1999, J.M. Glass in referring to Jewish circumcisions stated, "As the procedure is so quick, most mohelim do not routinely use any anaesthesia as they feel there is probably no need in the neonate. However, there is no Talmudic objection and should the parents wish for local anaesthetic cream to be applied thee is no reason why this cannot be done." According to Tannenbaum and Shechet an “authentic, traditional bris performed by a mohel does not use clamps, so there is no pain associated with crushing tissue."They also asserted that due to the speed of the procedure and rarity of complication, it is “more humane not to subject the infant to a local anesthetic."
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