Care Of Circumcised Infants



Care Of Circumcised Infants

Learning Outcomes

To analyze the process of circumcision and pain control

To discuss the care for circumcised infants

Studies in newborns have shown that signs of stress occur during the circumcision procedure. These include crying, increased heart rate, and increased blood pressure. Although these responses may be related in part to the infant being restrained, it is reasonable to assume that they are also an indication that the newborn is experiencing pain.

A number of measures may be used to help control pain during circumcision. Some physicians use anesthetic cream while others may inject numbing medicine under the foreskin. The infant may be given a sugar-coated pacifier, which causes a natural painkiller (endorphins) to be released in the baby's brain.

Parents should discuss what pain control measures will be used before their child is circumcised. The American Academy of Pediatrics recommends that all infants undergoing circumcision have adequate pain control during and after the procedure. The American College of Obstetricians and Gynecologists supports the conclusions of the AAP and also states that pain control (eg, anesthetic cream or injectable local anesthetic) should be provided. Swaddling, oral sugar solutions or acetaminophen may be given as well, but should not be used as the primary method of pain relief.

Post-procedure care — After the circumcision is completed, a petroleum jelly gauze dressing is usually applied. This gauze should be removed and replaced with every diaper change for 24 hours. The circumcision site should be cleaned with warm water and a cotton ball once or twice a day. The infant should urinate within 12 hours of the procedure.

After the first 24 hours, petroleum jelly should be applied directly to the penis for three to five days. This helps keep the area clean and keeps the wound site from adhering to the diaper. ...