a nurse is caring for a term newborn who has just had a circumcision This is a topic that many people are looking for. bluevelvetrestaurant.com is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, bluevelvetrestaurant.com would like to introduce to you Newborn Circumcision. Following along are instructions in the video below:
Welcome to this educational program. This module discusses newborn or neonatal circumcision. This information is is taken from a recent review of the medical literature and attempts to be as as possible however it may not necessarily reflect the experience of your healthcare provider or the specifics of your situation this program is strictly informational in nature and no attempt is made to provide opinion or recommendation.
Please feel free to view this presentation as many times as necessary you may also use the player on your left to repeat slides or to skip through them. In any order. You wish circumcision is a surgical procedure to remove the covering of the end of the penis also called the foreskin or prepuce.
The diagram here shows an uncircumcised and a circumcised penis. At birth. The head of the penis also called the glans is covered with a folded layer of skin called the foreskin or prepuce in fact before birth the foreskin and the glans actually develop as one tissue the foreskin consists of two layers the outer skin.
You can touch and an inner lining similar to the lining on the inside surface of your lips. That lies against the glans. The foreskin serves a protective role early in life since the glans is quite delicate it can be easily irritated by urine or feces.
The foreskin helps to prevent this irritation. The foreskin may also help prevent infection of the urinary tract by protecting the opening to the urethra called the meatus routine neonatal circumcision is not indicated for medical reasons. But has sometimes done for religious reasons and sometimes for personal preference of the parents after the neonatal period.
Circumcision may be required later in life for medical reasons. If problems arise while routine circumcision is not indicated for medical reasons for normal baby boys. There are a few situations.
Where it might be considered to reduce the risk of urinary tract infections. These include boys with reoccurring urinary tract infections already those with what is called high grade reflux. Where the urine flows backwards up to the kidney when urinating and a special condition called prune belly.
Syndrome that some children are born with in normal boys. It is recognized that it would take about 111 circumcisions to benefit one child.
But in these cases one in four would benefit from circumcision the number of infant boys who undergo circumcision varies between cultural groups and between geographic regions in north america about 65 of baby boys undergo circumcision. Which is down significantly from a couple decades ago. But which is still much higher than in europe and other areas circumcision is a safe surgical procedure.
When performed carefully by a trained operator and should only be done on a healthy stable infant. It is often performed in the hospital by a family doctor or obstetrician. But may also be done as part of a religious ceremony.
After the infant has been discharged the use of anesthesia or freezing with an injection or cream. Is often used to minimize pain prior to circumcision the penis is cleaned then frozen by injecting anesthetic around the nerves of the penis. The circumcision is performed by placing a special instrument.
One type of which is shown here around the head of the penis and then cutting and removing the foreskin. An antibiotic ointment or vaseline gauze is then used to cover the incision. The procedure generally takes about ten minutes taking care of the newly circumcised penis is quite simple the gauze dressing can be gently removed with the first diaper change.
If it sticks dont pull at it instead soak the dressing with a warm wet cloth until it comes off easily if theres a plastic ring instead of addressing it will drop off on its own usually in about a week or so do not be alarmed. If you see a small amount of blood or yellowish drainage on the dressing. This is normal.
It is also normal for the head of the penis to look very red and raw looking and to appear swollen. Simply clean the area with warm water and pat dry using a gentle touch. You should avoid bathing your son in a tub.
Until the penis is fully healed and remember to wash your hands before touching. The newly circumcised penis. A new vaseline dressing may be applied with each diaper change for the first 24 hours or as recommended by your doctor.
After that you may continue to apply vaseline to the penis to keep it from sticking to the diaper for several days until the redness of the penis goes. Away your infant son may be fussy as his penis heals especially during diaper changes and cleaning be patient and gentle cuddling your son may help as may breastfeeding.
A pacifier may also be helpful remember to change your sons diaper frequently to help. But stay clean a circumcision usually heals in about a week or so the most common reason for having an infant boy circumcised is so that he looks like is dead some boys are circumcised for religious reasons or cultural reasons either way the procedure can be beneficial in terms of the infant boy fitting into the family unit genital hygiene may also be easier for circumcised males once the circumcision is healed no special care is necessary also some uncircumcised boys and men will need to have the procedure performed at a later date for medical reasons. This is a more complicated procedure medically and psychologically than when it is performed as an infant circumcised males have a decreased risk of urinary tract infections especially in babies younger than one year of age.
Also the risk of cancer of the penis is almost entirely eliminated by circumcision. There are other potential benefits as well like the prevention of phimosis and narrowing of the foreskin such that it cannot be retracted and of infections of the glands and foreskin called balanoposthitis. Some venereal diseases may also occur less frequently in circumcised men.
Although not all studies confirm this it is important to remember. Though that these medical problems are quite rare. Having said all of this the health benefit of circumcision is felt to be marginal at best except in certain situations.
As described earlier. It is estimated that it would take about 80 to 100 circumcisions to prevent one urinary infection. Moreover.
Proper hygiene and good health are more important than circumcision in preventing cancer and other foreskin problems finally safe sexual practices are likewise more important than circumcision in preventing stds. One of the disadvantages of circumcision is paying to the infant. Although this can be minimized by using local anesthesia during the procedure.
The penis is probably sore for several days after the procedure and cleaning the area requires attention and regular care. Other disadvantages include the rare chance of complications and the possibility of altering the sensation of the penis reports on this latter topic are conflicting circumcision should absolutely not be considered in a few special situations. Obviously.
If your baby is unwell. He should not undergo a stressful operation such as a circumcision that is not medically necessary secondly. If your child has hypospadias where the urinary opening comes out lower down than it normally should circumcision should be avoided because the foreskin may be required to help repair the hypo spay deus finally if there is any concern about the sex or gender of your child circumcision should be avoided until this issue is clarified like any surgical procedure.
There are risks associated with having your infants uncircumcised. Complications are rare especially when the circumcision is performed by a trained operator.
But they are alarming when they do occur and can rarely be very serious. The overall complication rate is about 1 in 300 to 1 and 100 potential complications. Include infection.
Bleeding narrowing of the urinary opening removal of too much or too little for skin removal of part of the end of the penis and twisting of the penis signs of an infection include increased redness and swelling of the penis and foul smelling drainage from the site a fever may also occur if you notice persistent newsing of bright red blood keep gentle pressure on the penis. As long as the bleeding is occurring and contact your doctor. If the bleeding does not stop keep an eye also on the frequency and amount of urination following circumcision.
If your baby does not urinate. In 8. Hours.
Contact your doctor removal of too much or not enough skin can be troubling and may require further surgery later to correct the situation this surgery should be performed by a pediatric urologist who is a surgeon specially trained to deal with the genital urinary tract of children finally less common but more serious complications include removal of part of the head of the penis and twisting of the penis. These should also be dealt with by a specialist surgeon official bodies in north america such as the american academy of pediatrics or aap recognize that there are certain risks and certain benefits of circumcision and while they do not recommend it for medical reasons. They also do not condemn it either if it is to be done they recommend that local anesthesia or freezing.
Should be used to minimize discomfort to the baby circumcision is a common procedure performed on infant males in north america. In trained hands. The procedure has few risks circumcision is performed most commonly for religious or personal reasons.
While there are some potential health benefits to some babies. These are not strong enough to warrant routine newborn circumcision for this reason to an otherwise healthy baby ultimately with the thorough understanding of the risks and benefits explained by the physician. The decision of whether or not to have their infants uncircumcised should be made by the parents these resources may help you find further information about newborn circumcision music.
These references were also used to assist in preparing this presentation. They are available through your local medical library. We sincerely hope that this module has furthered your understanding of newborn circumcision.
We wish you the best for the future and thank you once again for viewing. This educational program music. .
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