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* Gunnar et al. (1981) recorded serum cortisol and behavior state throughout the unanesthetized, non-therapeutic circumcision process. Serum cortisol levels and behavioral distress were found to be closely related. The authors stated:
|Text=Neonatal circumcision is performed without anesthesia and it is clearly stressful for the infant.
|Author=Gunnar et al. (1981)