Metzitzah b'peh - Revision history

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	In three medical papers done in Israel, Canada, and the US, oral suction following [[circumcision]] was suggested as a cause in 11 cases of neonatal ''[[herpes]]''.<ref name="Gesundheit"/><ref>{{REFjournal		In three medical papers done in [[Israel]], [[Canada]], and the [[USA]], oral suction following [[circumcision]] was suggested as a cause in 11 cases of neonatal ''[[herpes]]''.<ref name="Gesundheit"/><ref>{{REFjournal
	\|last=Rubin		\|last=Rubin
	\|init=LG		\|init=LG
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	\|accessdate=2007-02-15		\|accessdate=2007-02-15
	\|url=https://web.archive.org/web/20120306221308/http://www.ou.org/jewish_action/article/8987		\|url=https://web.archive.org/web/20120306221308/http://www.ou.org/jewish_action/article/8987
	\|quote = The mohel brings the baby’s organ into his mouth immediately after the [[excision]] of the [[foreskin]] and sucks blood from it vigorously. This action lowers the internal pressure in the tissues of the organ, in the blood vessels of the head of the organ and in the exposed ends of the arterioles that have just been cut. Thus, the difference between the pressure in the blood vessels in the base of the organ and the pressure in the blood vessels at its tip is increased. This requirement has deep religious significance as well as medical benefits....Immediately after incising or injuring an artery, the arterial walls contract and obstruct, or at least reduce, the flow of blood. Since the arterioles of the ''orlah'', or the foreskin, branch off from the dorsal arteries (the arteries of the upper side of the organ), cutting away the foreskin can result in a temporary obstruction in these dorsal arteries. This temporary obstruction, caused by arterial muscle contraction, continues to develop into a more enduring blockage as the stationary blood begins to clot. The tragic result can be severe hypoxia (deprivation of the supply of blood and oxygen) of the glans penis.28 If the arterial obstruction becomes more permanent, gangrene follows; the baby may lose his glans, and it may even become a life-threatening situation. Such cases have been known to occur. Only by immediately clearing the blockage can one prevent such clotting from happening. Performing ''metzitzah'' immediately after circumcision lowers the internal pressure within the tissues and blood vessels of the glans, thus raising the pressure gradient between the blood vessels at the base of the organ and the blood vessels at its distal end—the glans as well as the excised arterioles of the foreskin, which branch off of the dorsal arteries. This increase in pressure gradient (by a factor of four to six!) can resolve an acute temporary blockage and restore blood flow to the glans, thus significantly reducing both the danger of immediate, acute hypoxia and the danger of developing a permanent obstruction by means of coagulation. How do we know when a temporary blockage has successfully been averted? When the “blood in the further reaches [i.e., the proximal dorsal artery] is extracted,” as Rambam has stated.		\|quote = The mohel brings the baby’s organ into his mouth immediately after the [[excision]] of the [[foreskin]] and sucks blood from it vigorously. This action lowers the internal pressure in the tissues of the organ, in the blood vessels of the head of the organ and in the exposed ends of the arterioles that have just been cut. Thus, the difference between the pressure in the blood vessels in the base of the organ and the pressure in the blood vessels at its tip is increased. This requirement has deep religious significance as well as medical benefits....Immediately after incising or injuring an artery, the arterial walls contract and obstruct, or at least reduce, the flow of blood. Since the arterioles of the ''orlah'', or the [[foreskin]], branch off from the dorsal arteries (the arteries of the upper side of the organ), cutting away the foreskin can result in a temporary obstruction in these dorsal arteries. This temporary obstruction, caused by arterial muscle contraction, continues to develop into a more enduring blockage as the stationary blood begins to clot. The tragic result can be severe hypoxia (deprivation of the supply of blood and oxygen) of the [[glans penis]].<sup>28</sup> If the arterial obstruction becomes more permanent, [[gangrene]] follows; the baby may lose his [[glans]], and it may even become a life-threatening situation. Such cases have been known to occur. Only by immediately clearing the blockage can one prevent such clotting from happening. Performing ''metzitzah'' immediately after circumcision lowers the internal pressure within the tissues and blood vessels of the glans, thus raising the pressure gradient between the blood vessels at the base of the organ and the blood vessels at its distal end—the glans as well as the excised arterioles of the foreskin, which branch off of the dorsal arteries. This increase in pressure gradient (by a factor of four to six!) can resolve an acute temporary blockage and restore blood flow to the glans, thus significantly reducing both the danger of immediate, acute hypoxia and the danger of developing a permanent obstruction by means of coagulation. How do we know when a temporary blockage has successfully been averted? When the “blood in the further reaches [i.e., the proximal dorsal artery] is extracted,” as Rambam has stated.
	}}</ref>		}}</ref>
	</blockquote>		</blockquote>

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	* [[Penile herpes simplex virus type 1 infection (after Jewish ritual circumcision)]]		* [[Penile herpes simplex virus type 1 infection (after Jewish ritual circumcision)]]
	* [[Periah]]		* [[Periah]]
			{{LINKS}}
			* {{REFweb
			\|url=https://www.reddit.com/r/Intactivism/comments/1p2gfdd/metzitzah_bpeh_and_the_sexual_abuse_of_boys/
			\|title=Metzitzah b'peh: and the sexual abuse of boys
			\|last=Anonymous
			\|publisher=REDDIT
			\|date=2025-11-20
			\|accessdate=2025-11-22
			}}
	{{REF}}		{{REF}}

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	<br>		<br>
	<youtube>v=b29iTcX-yt4</youtube>		<youtube>v=b29iTcX-yt4</youtube>
			<br>
			<youtube>v=rLcXvgv4FYI&list=PL9xT8CDa49tCXrql9UQdmU5_zUdGEtzOj&index=12</youtube>
	{{SEEALSO}}		{{SEEALSO}}
	* [[Brit Milah]]		* [[Brit Milah]]

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	<br>		<br>
	<youtube>dZy5lbWb9Xg</youtube>		<youtube>dZy5lbWb9Xg</youtube>
			<br>
			<youtube>v=b29iTcX-yt4</youtube>
	{{SEEALSO}}		{{SEEALSO}}
	* [[Brit Milah]]		* [[Brit Milah]]

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	\|issn=1098-4275		\|issn=1098-4275
	\|url=https://web.archive.org/web/20060723081226/http://pediatrics.aappublications.org/cgi/reprint/114/2/e259.pdf		\|url=https://web.archive.org/web/20060723081226/http://pediatrics.aappublications.org/cgi/reprint/114/2/e259.pdf
	}}</ref><ref>{{REFnews		}}</ref><ref name="blau2020>{{REFnews
			\|last=Blau
			\|first=Reuven
			\|init=
			\|author-link=
	\|title=Another Jewish baby has contracted herpes through bris		\|title=Another Jewish baby has contracted herpes through bris
	\|url=https://web.archive.org/web/20151208042913/http://www.nydailynews.com/new-york/jewish-baby-contracted-herpes-bris-article-1.2055911		\|url=https://web.archive.org/web/20151208042913/http://www.nydailynews.com/new-york/jewish-baby-contracted-herpes-bris-article-1.2055911
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	}}</ref>		}}</ref>
	</blockquote>		</blockquote>
	Metzitzah b'peh ~~may not be universally~~ practiced.		Metzitzah b'peh is practiced mostly by Orthodox Jews.

	==Recent events==		==Recent events==

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	\|issue=3		\|issue=3
	\|pages=266–67		\|pages=266–67
			\|pubmedCID=10749479
			\|DOI=10.1097/00006454-200003000-00025
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	}}</ref><ref>{{REFjournal		}}</ref><ref>{{REFjournal
	\|last=Distel		\|last=Distel
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	\|url=https://web.archive.org/web/20121021093342/http://www.ima.org.il/imaj/ar03dec-14.pdf		\|url=https://web.archive.org/web/20121021093342/http://www.ima.org.il/imaj/ar03dec-14.pdf
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			\|pubmedID=14689764
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	}}</ref> Researchers noted that prior to 1997, neonatal ''[[herpes]]'' reports in Israel were rare, and that the late incidences were correlated with the mothers carrying the virus themselves.<ref name="Gesundheit"/> Rabbi Doctor [[Mordechai Halperin]] implicates the "better hygiene and living conditions that prevail among the younger generation", which lowered to 60% the rate of young Israeli Chareidi mothers who carry the virus. He explains that an "absence of antibodies in the mothers’ blood means that their newborn sons received no such antibodies through the placenta, and therefore are vulnerable to infection by HSV-1."<ref name="Halperin">{{REFjournal		}}</ref> Researchers noted that prior to 1997, neonatal ''[[herpes]]'' reports in Israel were rare, and that the late incidences were correlated with the mothers carrying the virus themselves.<ref name="Gesundheit"/> Rabbi Doctor [[Mordechai Halperin]] implicates the "better hygiene and living conditions that prevail among the younger generation", which lowered to 60% the rate of young Israeli Chareidi mothers who carry the virus. He explains that an "absence of antibodies in the mothers’ blood means that their newborn sons received no such antibodies through the placenta, and therefore are vulnerable to infection by HSV-1."<ref name="Halperin">{{REFjournal
	\|last=Halperin		\|last=Halperin
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	Metzitzah b'peh may not be universally practiced.		Metzitzah b'peh may not be universally practiced.

	==Recent events==		==Recent events==
	* 2020: Four New York baby boys have contracted [[herpes]] from the [[mohel]] in six months.<ref name="oster2012">{{REFnews		* 2020: Four New York baby boys have contracted [[herpes]] from the [[mohel]] in six months.<ref name="oster2012">{{REFnews

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	[[Category:Jewish]]		[[Category:Jewish]]
	[[Category:Judaism]]		[[Category:Judaism]]
	~~[[Category:Lawsuit]]~~
	[[Category:Religion]]		[[Category:Religion]]

	[[de:{{FULLPAGENAME}}]]		[[de:{{FULLPAGENAME}}]]

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	}}</ref> In more recent times, boys have been infected with ''herpes'' and some have died.		}}</ref> In more recent times, boys have been infected with ''herpes'' and some have died.

			There is no Biblical support for this portion of the [[Jewish]] circumcision ritual.
			==Discussion==
	{{WikipediaQuote		{{WikipediaQuote
	\|URL=https://en.wikipedia.org/wiki/Brit_milah#Metzitzah_B'Peh_(oral_suction)		\|URL=https://en.wikipedia.org/wiki/Brit_milah#Metzitzah_B'Peh_(oral_suction)
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	}}</ref>		}}</ref>
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			Metzitzah b'peh may not be universally practiced.
	==Recent events==		==Recent events==
	* 2020: Four New York baby boys have contracted [[herpes]] from the [[mohel]] in six months.<ref name="oster2012">{{REFnews		* 2020: Four New York baby boys have contracted [[herpes]] from the [[mohel]] in six months.<ref name="oster2012">{{REFnews

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	\|accessdate=2020-04-12		\|accessdate=2020-04-12
	}}</ref>		}}</ref>
			==Video==
			<br>
			<youtube>dZy5lbWb9Xg</youtube>
	{{SEEALSO}}		{{SEEALSO}}
	* [[Brit Milah]]		* [[Brit Milah]]

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	==Recent events==		==Recent events==
	* 2020: Four New York baby boys have contracted [[herpes]] from the [[mohel]] in six months.<ref>{{REFnews		* 2020: Four New York baby boys have contracted [[herpes]] from the [[mohel]] in six months.<ref name="oster2012">{{REFnews
	\|title=4 NY babies get herpes from Jewish circumcision rite in past 6 months		\|title=4 NY babies get herpes from Jewish circumcision rite in past 6 months
	\|url=https://www.timesofisrael.com/4-ny-babies-get-herpes-from-jewish-circumcision-rite-in-past-6-months		\|url=https://www.timesofisrael.com/4-ny-babies-get-herpes-from-jewish-circumcision-rite-in-past-6-months