Circumcision laws and practices: What Rhode Island families should know
Newborn circumcision might seem like a standardized procedure, but the reality is, how it's done can vary widely depending on where you live. Across the United States, different regions favor different devices, providers, and protocols. While there are no federal circumcision laws regulating the procedure, state medical practices and hospital policies vary significantly. For families in Rhode Island considering circumcision, understanding these variations can help you make informed choices about your baby's care.
Different devices, different approaches
Gomco clamp: Most common in the Northeast, including Rhode Island and surrounding states. A metal clamp compresses the foreskin to minimize bleeding before the foreskin is removed. Healing is typically complete in 7 to 10 days. Preferred by many hospitals for its visibility during the procedure and low rates of retained tissue.
Plastibell device: More commonly used in Southern and Western states, as well as by some pediatricians and family practice physicians in outpatient settings. A small plastic ring is placed under the foreskin and tied off with a string. The foreskin dies and falls off with the ring in 5 to 10 days. Requires careful monitoring at home to make sure the ring falls off in a timely manner and doesn't get embedded. Less immediate bleeding but more home-based responsibility for follow-up.
Mogen clamp: Less widely used in hospital settings due to higher risk of complications if not used carefully. Quickest device to use, takes only seconds, but provides less visibility of the glans during the procedure. Still preferred by some providers, especially in ritual circumcisions performed by mohels or in high-volume clinics.
Why the device used depends on where you live
While circumcision laws don't dictate which device must be used, circumcision technique often reflects a mix of medical training norms (OBs and pediatricians in the Northeast are often trained using the Gomco clamp, while physicians in other areas might learn with Plastibell), cultural and religious practices (mohels performing ritual circumcision often use the Mogen clamp), and hospital policy (some institutions have protocols that favor one device over others due to cost, complication rate, or staff familiarity).
What Rhode Island families should know
Most hospitals in Rhode Island use either the Gomco or Mogen clamp for circumcision. The Plastibell device is rarely used in New England. The procedure is typically performed in the hospital before discharge if the baby is healthy and stable, often within 24 hours of birth. Most procedures are performed by OB-GYNs, depending on the setting.
Each provider is different, so it's important that parents ask their provider which device they use and why. According to the American Academy of Pediatrics, parents should be fully informed about the procedure, including technique and potential complications. Parents are also encouraged to ask their OB-GYN what their revision rate is. A revision rate refers to how often a circumcision needs to be corrected or redone due to complications, poor cosmetic outcome, or incomplete removal of the foreskin.
It is rare for OB-GYNs to perform follow-up care or manage complications. This responsibility typically falls on the outpatient pediatrician or family physician.
What parents should ask their provider
Which circumcision device do you use and why?
What is your revision rate?
Who provides follow-up care if complications arise?
Can I schedule the procedure after the first 24 hours?
Another option: SafeCirc®
At SafeCirc®, we understand that circumcision is a personal decision and families deserve time, transparency, and support. That's why we offer:
Flexible timing: Unlike hospital-based procedures that are often rushed within 24 hours of birth, SafeCirc® allows circumcision to be scheduled anytime within the first 28 days of life. This supports bonding, lactation, and informed decision-making.
Prenatal visits encouraged: We invite families to visit our Center of Excellence before delivery to meet the provider who will perform the procedure and ask any questions you may have about the process, risks, and healing.
Transparent technique and aftercare: We take time to explain why we use AccuCirc®, how it compares to other methods like Gomco or Plastibell, and what to expect during healing.
Comprehensive follow-up care: Every family receives clear aftercare instructions, and at SafeCirc® every one of our patients is seen at two weeks to ensure adequate wound healing has occurred. We also offer 24/7 phone support in the event there are questions or concerns, day or night.
Making informed decisions about circumcision
Circumcision is not a one-size-fits-all procedure. From device selection to timing, aftercare, and who performs it, there's a lot that varies by region. While circumcision laws don't mandate specific approaches, understanding state medical practices and hospital policies helps families make informed choices. In Rhode Island, families benefit from the option of outpatient clinics like SafeCirc® that use evidence-based methods, offer 24/7 post-procedure support, and respect families' diverse reasons for choosing circumcision.
Have more questions about circumcision techniques or options in Rhode Island? Schedule a consultation at SafeCirc® or contact us with questions. We're here to help you make the best choice for your family with care that's safe, respectful, and centered on your child.
Frequently asked questions
Are there circumcision laws that regulate the procedure? There are no federal circumcision laws in the United States. The procedure is regulated by state medical boards and individual hospital policies. Providers must meet state licensing requirements and follow medical standards of care.
What circumcision laws apply in Rhode Island? Rhode Island does not have specific circumcision laws. The procedure is performed according to medical standards of care and hospital policies. Parents have the right to informed consent and can choose whether to circumcise.
Can insurance coverage for circumcision vary by state? Yes. Insurance coverage and Medicaid policies for circumcision vary significantly by state. In Rhode Island, most private insurance plans cover newborn circumcision, but coverage details should be verified with your provider.