A mother who has taken flight with her son to prevent his circumcision could face a prison sentence if she fails have the boy undergo the procedure, a judge ruled, in a case that has become a rallying cry for ‘intactivists.’

The case, which began as a domestic dispute between Heather Hironimus and her husband, Dennis Nebus, over whether or not to circumcise their four-year-old son, has caught the attention of circumcision opponents, who call themselves ‘intactivists,’ as the courts have intervened in the matter.