The Association between Post-Operative Complications of Circumcision and Body Mass Index in Pediatric Population at a Tertiary Centre in the Maldives

The purpose of this study is to examine the association between post-operative complications of circumcisions and body mass index. The study selected 143 who registered in IGMH (a public hospital) for routine ritual normal circumcision starting from 1st July 2022 to 31st of July 2022. The post-operative complication of circumcision includes bleeding and swellings and are considered dependent variables. The data was collected using simple random probability sampling from the sampling strata. The independent variables include weight, height and Body Mass Index of children. The data was collected based on clinical, and children complain complications. The data was analysed using Pearson’s correlation, paired sample t-test and multiple linear regression techniques via SPSS version 22. The correlation analysis showed that there is a significantly positive association between bleedings and Body Mass Index in both cases of child complaints and clinical findings of bleedings. In terms of height of children, there was a significantly negative association between height of children and bleeding (clinical findings). The paired sample T-test showed that child complained swelling is more compared to clinical findings and such differences are significant. This means children complain swellings are critical complication of circumcision. In terms of multiple linear regressions, it was found that height and Body Mass Index has significantly positive influence on post-operative complication of circumcision in terms of bleeding (clinical findings). However, body weight itself was found to have a significantly negative impact on the post-operative complication of circumcision in terms of bleeding (clinical findings). Therefore, it is concluded that increasing the Body Mass Index of children will causes to increase the post-operative complication of circumcision in terms of bleeding. Also, it was concluded that increasing height of the children could cause more complication after circumcisions. The implications of the findings were discussed. This study adds value to the current theoretical frameworks by establishing BMI as key determinants of bleeding as a post-operative complication of circumcisions. Also, this study contributes to new knowledge in terms of establishing the relationship between BMI and post-operative complications, particularly in Maldivian context.